Psychometric properties evaluation of the Advance Care Planning Readiness Scale for community-dwelling older adults with chronic diseases residing in suburban counties within the Chinese context

Document Type

Article

Publication Date

4-1-2024

Abstract

AimTo evaluate the psychometric properties of the Advance Care Planning Readiness Scale (ACPRS-C) within the context of community-dwelling older adults with chronic diseases residing in suburban counties in China.DesignDescriptive, cross-sectional survey.MethodsThe research method employed in this study is characterized as a methodological study. Self-reported survey data were collected among community-dwelling older adults with chronic diseases residing in suburban counties in China. Including the following psychometric characteristics, item analysis was performed using the decision value method and Pearson's correlation analysis. Content validity was assessed through expert panel evaluation. The internal consistency of the questionnaire was determined by calculating Cronbach's alpha coefficient and corrected item-total correlation. Additionally, confirmatory factor analysis (CFA) was utilized to assess the construct validity of the ACPRS-C.ResultsA total of 228 older adults participated in this psychometric study from August to October 2023. The item content validity index ranged from 0.80 to 1.00, while the scale content validity index was 0.945. The scale demonstrated excellent internal consistency (Cronbach's alpha = 0.931), and the correlation between items and total score was satisfactory. The structural validity was deemed robust (CFA model fit: chi-square/df = 1.121, comparative fit index = 0.992).ConclusionThe ACPRS-C is a scale with strong psychometric properties to assess the ACP readiness within the context of community-dwelling older adults with chronic diseases residing in suburban counties in China. Its reliability and validity hold considerable significance for both research and clinical practice.

Keywords

advance care planning, China, chronic diseases, older adults, psychometry, suburban counties

Divisions

nursing

Funders

Sichuan Provincial Cadre Healthcare Research Program

Publication Title

Nursing Open

Volume

11

Issue

4

Publisher

Wiley

Publisher Location

111 RIVER ST, HOBOKEN, NJ 07030 USA

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