Spanish Cross-Cultural Adaptation and Psychometric Properties of the Advance Care Planning Self-Efficacy: A Cross-Sectional Study

2021 ◽  
Vol 24 (12) ◽  
pp. 1807-1815
Author(s):  
Cristina Lasmarías ◽  
Mireia Subirana-Casacuberta ◽  
Núria Mancho ◽  
Amor Aradilla-Herrero
2020 ◽  
Author(s):  
Shahpar Bagheri ◽  
Ladan Zarshenas ◽  
Mahnaz Rakhshan ◽  
Farkhondeh Sharif ◽  
Ebrahim Moghimi Sarani ◽  
...  

Abstract Background: Family caregivers of individual with schizophrenia experience various stresses in everyday life which have a negative impact on their well-being. The Caregiver Well-Being Scale(CWBS) is an instrument with psychometrics properties that identifies many important factors associated with caregiving stressors, and provides a picture of overall felt well-being. Since, there is no Persian version of this instrument for investigating schizophrenia caregiver’s well-being, cross cultural adaptation and evaluation of the psychometric properties of the CWBS among Iranian Schizophrenia caregivers is required.Methods: A methodological and cross-sectional study was conducted with 144 Schizophrenia caregivers in psychiatric centers affiliated to Shiraz University of Medical Sciences(SUMS), in the south of Iran. Persian version of the CWBS was generated in two phases: Phase 1 – Cross-cultural adaptation using forward translation and backward translation methods in five stages. Phase 2 – Psychometric properties test involved assessing content validity, construct validity by exploratory factor analysis and convergent and divergent validity, reliability by internal consistency and test –retest.Results: The translation, cross-cultural adaptation and qualitative content validity resulted in some semantic modifications to the original CWBS version. Both subscales of CWBS -(Basic Need(BN) and Activities of Daily living (ADL)- showed a significant strong positive correlation with total CWBS, (BN: r = 0.81 and ADL: r= 0.88), moderate positive correlation with SOC (BN: r = 0.42 and ADL: r = 0.46), and moderate negative correlation with CBI (BN: r = -0.38 and ADL: r= -0.47) (all p<0.001), presenting convergent and divergent validity. Factor analysis and Varimax Rotation provide evidence that the Persian version encompasses three underlying constructs for ADL and BN, as the original scale. The CWBS showed acceptable internal consistency (Cronbach’s alpha: 0. 0.842) and satisfactory test-retest reliability within 2.5 weeks interval (intraclass correlation coefficient was 0.872 (95% confidence interval [CI], 0.827 to 0.906)) for 14 items.Conclusions: The results showed the Persian adapted version of CWBS complies the validity and reliability of the criteria required. The scale can be employed in practice and research to assess well-being in Iranian caregivers of individuals with schizophrenia. Registration number: (registration no.97-01-08-18819).


Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 62
Author(s):  
Seira Takada ◽  
Yasuko Ogata ◽  
Yoshie Yumoto ◽  
Masaomi Ikeda

This study aimed to develop an inventory for advance care planning implementation for persons with dementia in group homes and to examine the association between inventory implementation and residents’ quality of dying. A nationwide cross-sectional study was conducted via questionnaires mailed from 2000 group homes in Japan, selected through stratified random sampling. Participants were managers and care planners who had provided end-of-life care for recently deceased residents. The newly developed inventory was used to assess advance care planning implementation for persons with dementia, and the Quality of Dying in Long-term Care Scale was used to evaluate quality of dying. The valid response rate was 28.5% (n = 569). The factor structure of the newly developed Advance Care Planning Practice Inventory and the association between its implementation and quality of dying were verified using factor analysis and internal consistency, and logistic regression, respectively. The composite score and the factor score of the newly developed inventory were significantly associated with quality of dying (p < 0.05). The implementation of advance care planning improves the quality of dying. These findings can be used in development of educational programs, as well as research on advance care planning for care providers.


Author(s):  
Cristina Lasmarías ◽  
Amor Aradilla-Herrero ◽  
Cristina Esquinas ◽  
Sebastià Santaeugènia ◽  
Francisco Cegri ◽  
...  

Primary care (PC) professionals have been considered the most appropriate practitioners for leading Advance care planning (ACP) processes with advanced chronic patients. Aim: To explore how PC doctors’ and nurses’ self-efficacy surrounding ACP is linked to their sociodemographic characteristics, background and perceptions of ACP practices. Methods: A cross-sectional study was performed. Sociodemographics, background and perceptions about ACP in practice were collected using an online survey. The Advance Care Planning Self-Efficacy Spanish (ACP-SEs) scale was used for the self-efficacy measurement. Statistical analysis: Bivariate, multivariate and backward stepwise logistic regression analyses were performed to identify variables independently related to a higher score on the ACP-SEs. Results: N = 465 participants, 70.04% doctors, 81.47% female. The participants had a mean age of 46.45 years and 66.16% had spent >15 years in their current practice. The logistic regression model showed that scoring ≤ 75 on the ACP-SEs was related to a higher score on feeling sufficiently trained, having participated in ACP processes, perceiving that ACP facilitates knowledge of preferences and values, and perceiving that ACP improves patients’ quality of life. Conclusion: Professionals with previous background and those who have a positive perception of ACP are more likely to feel able to carry out ACP processes with patients.


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