Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
The efficacy of the MacArthur competence assessment tool for treatment decisions (MacCAT-T) to assess South African patients' abilities to give consent to treatment
Thesis (M.A.) -- University of Stellenbosch, 1997.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | en_ZA |
| Published: |
Stellenbosch : Stellenbosch University
2012
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613770771070977 |
|---|---|
| access_status_str | Open Access |
| author | Sharratt, James Gillespie |
| author2 | Nortje, C. |
| author_browse | Nortje, C. Sharratt, James Gillespie |
| author_facet | Nortje, C. Sharratt, James Gillespie |
| author_sort | Sharratt, James Gillespie |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (M.A.) -- University of Stellenbosch, 1997. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/55713 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:41:25.747Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2012 |
| publishDateRange | 2012 |
| publishDateSort | 2012 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/55713 The efficacy of the MacArthur competence assessment tool for treatment decisions (MacCAT-T) to assess South African patients' abilities to give consent to treatment Sharratt, James Gillespie Nortje, C. Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology. Therapeutics -- Decision-making Informed consent (Medical law) Care of the sick -- Decision making Patient compliance Dissertations -- Psychology UCTD Thesis (M.A.) -- University of Stellenbosch, 1997. ENGLISH ABSTRACT: The efficacy of the MacCAT-T to assess the competency of South African patients to give consent to treatment was investigated with a group of hospitalised mentally-ill patients. Comparisons and correlations between MacCAT-T and clinical interviews (by clinicians and psychiatric nurses) indicate that the concurrent validity of the MacCAT-T is relatively high. The MacCAT-T thus appears to be an accurate indicator of competence to give consent to treatment. Clinicians in South Africa are likely to experience the MacCAT-T as a helpful guideline when making decisions concerning a patient's competency to give consent to treatment. The MacCAT-T was most accurate when conducted in a patient's home language. Before the MacCAT-T can be used optimally in South Africa, standardised translations of this assessment tool are essential. Although there is a significant association between education and competence to give consent to treatment, the MacCAT-T does not appear to be too advanced for the South African population. There was a significant association between legal status and Global Assessment of Functioning (GAF), and competency to give consent to treatment. Voluntary patients with higher GAF scores were more likely to be judged competent. Clinicians are thus encouraged to be aware of the numerous factors that may affect the assessment of competence to give consent to treatment. AFRIKAANSE OPSOMMING: Die doeltreffendherd van die MacCAT-T om die bevoegdheid van Suid Afrikaanse pasiënte om toestemming te gee tot behandeling, te evalueer, was met 'n groep gehospitaliseerde, sielkundig versteurde pasiënte ondersoek. Vergelykings en korrelasies tussen die MacCAT-T en kliniese onderhoude (deur klinici en psigiatriese verpleegsters) dui aan dat die saamvallende geldigheid van die MacCAT-T relatief hoog is. Dit wil dus voorkom asof die MacCAT-T 'n akkurate aanduider is van bevoegdheid om toestemming te gee tot behandeling. Vir klinici in Suid Afrika, behoort die MacCAT-T 'n nuttige hulpmiddel te wees vir die evaluering van pasiënte se bevoegdheid om toestemming te gee tot behandeling. Die MacCAT-T was die akkuraatste wanneer dit in die persoon se huistaal uitgevoer was. Voordat die MacCA T-T optimaal in Suid Afrika gebruik kan word, is gestandaardiseerde vertalings van hierdie meetinstrument in ander tale noodsaaklik. Alhoewel daar 'n beduidende verband gevind is tussen vlak van opvoeding en bevoegdheid om toestemming te gee tot behandeling, behoort die MacCAT-T nie te gevorderd vir die Suid Afrikaanse bevolking te wees nie. Daar was 'n beduidende verband tussen wettige status en "Global Assessment of Functioning" (GAF), en bevoegdheid om toestemming te gee vir behandeling. Vrywillige pasiënte met hoër GAF tellings was meer geneig om bevoegd te wees. Dit is dus belangrik dat klinici bewus sal wees van die verskeidenheid van faktore wat in ag geneem behoort te word by die evaluering van bevoegdheid om toestemming te gee tot behandeling. Masters 2012-08-27T11:37:11Z 2012-08-27T11:37:11Z 1997 Thesis http://hdl.handle.net/10019.1/55713 en_ZA Stellenbosch University 43 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Therapeutics -- Decision-making Informed consent (Medical law) Care of the sick -- Decision making Patient compliance Dissertations -- Psychology UCTD Sharratt, James Gillespie The efficacy of the MacArthur competence assessment tool for treatment decisions (MacCAT-T) to assess South African patients' abilities to give consent to treatment |
| title | The efficacy of the MacArthur competence assessment tool for treatment decisions (MacCAT-T) to assess South African patients' abilities to give consent to treatment |
| title_full | The efficacy of the MacArthur competence assessment tool for treatment decisions (MacCAT-T) to assess South African patients' abilities to give consent to treatment |
| title_fullStr | The efficacy of the MacArthur competence assessment tool for treatment decisions (MacCAT-T) to assess South African patients' abilities to give consent to treatment |
| title_full_unstemmed | The efficacy of the MacArthur competence assessment tool for treatment decisions (MacCAT-T) to assess South African patients' abilities to give consent to treatment |
| title_short | The efficacy of the MacArthur competence assessment tool for treatment decisions (MacCAT-T) to assess South African patients' abilities to give consent to treatment |
| title_sort | efficacy of the macarthur competence assessment tool for treatment decisions maccat t to assess south african patients abilities to give consent to treatment |
| topic | Therapeutics -- Decision-making Informed consent (Medical law) Care of the sick -- Decision making Patient compliance Dissertations -- Psychology UCTD |
| url | http://hdl.handle.net/10019.1/55713 |
| work_keys_str_mv | AT sharrattjamesgillespie theefficacyofthemacarthurcompetenceassessmenttoolfortreatmentdecisionsmaccatttoassesssouthafricanpatientsabilitiestogiveconsenttotreatment AT sharrattjamesgillespie efficacyofthemacarthurcompetenceassessmenttoolfortreatmentdecisionsmaccatttoassesssouthafricanpatientsabilitiestogiveconsenttotreatment |