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Revista de la Asociación Española de Neuropsiquiatría

On-line version ISSN 2340-2733Print version ISSN 0211-5735


GUTIERREZ GEA, Ángela et al. Shared decision making and antipsychotic treatment: transcultural adaptation of the COMRADE scale. Rev. Asoc. Esp. Neuropsiq. [online]. 2015, vol.35, n.128, pp.749-757. ISSN 2340-2733.

Functional recovery for patients with severe mental disorder is one main feature of community mental health. COMRADE scale is an assessing tool for different aspects about interpersonal communication between clinicians and users. Introducing the process followed for adapting and translating (from English to Spanish language) this scale is the main objective of this paper, as much as exploring its comprehension. We chose a procedure of "group translation" and "translation-backtranslation" for elaborating the preliminary Spanish version. "Field pretest" was the specific technique we used for the verification of COMRADE transcultural applicability. A sample of 35 patients with psychotic spectrum disorder was arranged throughout "The Area de Gestión Sanitaria Norte de Cádiz". Most of items obtained "high" or "very high" percentages on "A" category, (maximum level of comprehension), while those obtained in "C" category (minimum level of comprehension) were "low" or "very low". Later arrangements were done for obtaining the definitive version of the scale based on these results. Therefore, we think that the COMRADE scale will become a useful tool for shared decisions about treatments between clinicians and patients.

Keywords : decision making; evaluation; severe mental disorder; treatment.

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