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Role preferences of people with Multiple Sclerosis: image-revised, computerized self-administered version of the control preference scale

Solari, Alessandra and Giordano, Andrea and Kasper, Jurgen and Drulovic, Jelena and van Nunen, An and Vahter, Liina and Viala, Frederique and Pietrolongo, Erika and Pugliatti, Maura and Antozzi, Carlo and Radice, Davide and Köpke, Sascha and Heesen, Christoph (2013) Role preferences of people with Multiple Sclerosis: image-revised, computerized self-administered version of the control preference scale. PLoS One, Vol. 8 (6), e66127. eISSN 1932-6203. Article.

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DOI: 10.1371/journal.pone.0066127

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Abstract

Background: The Control Preference Scale (CPS) is the most frequently used measure of patients’ preferred roles in treatment decisions. We revised the original CPS and developed a new computerized patient self-administered version (eCPS). We used the eCPS to assess role preferences, and their determinants, in Italian and German people with multiple sclerosis (MS).
Methods: New cartoons were produced, based on MS health professional and patient input/feedback and previous findings, and pilot tested on 26 Italian and German MS patients. eCPS acceptability and reliability (weighted kappa statistic, wK) in comparison to the original tool, was determined in 92 MS patients who received both CPS versions in random order.
Results: The new cartoons were well accepted and easily interpreted by patients, who reported they based their choices mainly on the text and considered the images of secondary importance. eCPS reliability was moderate (wK 0.53, 95% confidence interval [CI] 0.40–0.65) and similar to the test-retest reliability of face-to-face administration assessed in a previous publication (wK 0.65, 95% CI 0.45–0.81). Higher education (odds ratio [OR] 3.74, 95% CI 1.00–14.05) and German nationality (OR 10.30, 95% CI 3.10–34.15) were associated with preference for an active role in the logistic model.
Conclusions: The newly devised eCPS was well received and considered easy to use by MS patients. Reliability was in line with that of the original version. Role preference appears affected by cultural characteristics and (borderline statistical significance) education.

Item Type:Article
ID Code:9638
Status:Published
Refereed:Yes
Uncontrolled Keywords:Control Preference Scale (CPS), role preferences, multiple sclerosis (MS)
Subjects:Area 06 - Scienze mediche > MED/26 Neurologia
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Medicina Clinica e Sperimentale
Publisher:Public Library of Science
eISSN:1932-6203
Copyright Holders:© 2013 Solari et al.
Deposited On:24 Feb 2014 10:35

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