Development and preliminary validation of a scale to measure patient uncertainty: The "Uncertainty Scale"

J Health Psychol. 2020 Aug;25(9):1248-1258. doi: 10.1177/1359105317752827. Epub 2018 Jan 29.

Abstract

Research suggests that patient uncertainty related to experiencing symptoms may drive decisions to seek care. The only validated measure of patient uncertainty assesses uncertainty related to defined illness. In prior work, we engaged patients to describe uncertainty related to symptoms and used findings to develop the 'U-Scale' scale. In this work, we present results from preliminary scale reliability and validity testing. Psychometric testing demonstrated content validity, high internal consistency, and evidence for concurrent validity. Next steps include administration in diverse populations for continued refinement and validation, and exploration of the potential contribution of uncertainty to healthcare utilization.

Keywords: diagnosis; emergency department; health worry; scale; symptoms; validation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Patients / psychology*
  • Psychometrics*
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Uncertainty*