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Mental health professionals' attitudes to partnership in medicine taking: a validation study of the Leeds Attitude to Concordance Scale II
Author(s) -
las Cuevas Carlos,
RiveroSantana Amado,
PeresteloPerez Lilisbeth,
PerezRamos Jeanette,
GonzalezLorenzo Marien,
SerranoAguilar Pedro,
Sanz Emilio J.
Publication year - 2012
Publication title -
pharmacoepidemiology and drug safety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.023
H-Index - 96
eISSN - 1099-1557
pISSN - 1053-8569
DOI - 10.1002/pds.2240
Subject(s) - concordance , medicine , mental health , scale (ratio) , general partnership , empathy , health professionals , sample (material) , family medicine , clinical psychology , psychiatry , health care , chemistry , physics , finance , chromatography , quantum mechanics , economics , economic growth
Purpose To explore psychiatrists' attitudes toward concordance by validating the Leeds Attitude to Concordance Scale II (LATCon II) in a Spanish sample. Methods This was a cross‐sectional survey. An opportunistic sample of 125 psychiatrist and 100 psychiatry registrars attending a national conference completed the LATCon II questionnaire and sociodemographic and professional data. The principal component analysis of the LATCon II items was performed. Associations with sociodemographic and mental health professional variables were calculated. Results Principal component analysis yielded three components labeled “communication/empathy,” “shared control,” and “eventual paternalistic style.” Women obtained significantly lower scores than men on the second component. Mental health professional variables were not related to attitude to concordance. Conclusions Psychiatrists show a favorable attitude to involve patients in a process of reciprocal communication, where patients' preferences, values, and expectations are considered, but they are more cautious in their attitude to sharing decisions with patients. There is scope for the different kinds of research in this area: studying sex‐based differences in psychiatrists' attitudes to concordance and also exploring the gap in mental health care between patients' and professionals' views of shared decision making. Only in this way can the real partnership for shared decision making be fully understood. Copyright © 2011 John Wiley & Sons, Ltd.