The development of a questionnaire to assess the willingness of Chinese community health workers to implement advance care planning.
Advance care planning
Community health care workers
Community health service centers
Medical and nursing personnel
Questionnaire
Reliability
Validity
Journal
BMC palliative care
ISSN: 1472-684X
Titre abrégé: BMC Palliat Care
Pays: England
ID NLM: 101088685
Informations de publication
Date de publication:
09 Sep 2022
09 Sep 2022
Historique:
received:
03
06
2022
accepted:
24
08
2022
entrez:
9
9
2022
pubmed:
10
9
2022
medline:
14
9
2022
Statut:
epublish
Résumé
To develop a questionnaire to evaluate the willingness of Chinese health care workers to implement an advance care planning (ACP) program for patients in a Chinese cultural context. Guided by the framework of the theory of planned behavior (TPB), a literature analysis and semi-structured interviews were conducted to create a pool of questionnaire items, and then the initial assessment questionnaire was developed by two rounds of expert consultations. A random sampling method was used to pre-survey 204 health care workers in community health service centers (CHSCs) in three urban areas of Hangzhou, Zhejiang Province. The final questionnaire was derived from item analysis and exploratory factor analysis. Based on exploratory factor analysis, five common factors were identified from the questionnaire on community health care workers'(CHWs) willingness to implement ACP. In general, the content validity of the questionnaire was 0.91, and the content validity of each of the entries ranged from 0.80 to 1.00, indicating acceptable overall questionnaire content validity. The total Cronbach coefficient for the questionnaire was 0.966, the Cronbach coefficient for each dimension ranged from 0.865 to 0.954, and the retest reliability was 0.856. The questionnaire produced a final draft containing five dimensions (behavioral attitudes, subjective norms, direct control, indirect control, and behavioral intentions) and 30 items. The questionnaire on the willingness of CHWs to implement ACP was validated and found to be reliable.
Sections du résumé
BACKGROUND
BACKGROUND
To develop a questionnaire to evaluate the willingness of Chinese health care workers to implement an advance care planning (ACP) program for patients in a Chinese cultural context.
METHODS
METHODS
Guided by the framework of the theory of planned behavior (TPB), a literature analysis and semi-structured interviews were conducted to create a pool of questionnaire items, and then the initial assessment questionnaire was developed by two rounds of expert consultations. A random sampling method was used to pre-survey 204 health care workers in community health service centers (CHSCs) in three urban areas of Hangzhou, Zhejiang Province. The final questionnaire was derived from item analysis and exploratory factor analysis.
RESULTS
RESULTS
Based on exploratory factor analysis, five common factors were identified from the questionnaire on community health care workers'(CHWs) willingness to implement ACP. In general, the content validity of the questionnaire was 0.91, and the content validity of each of the entries ranged from 0.80 to 1.00, indicating acceptable overall questionnaire content validity. The total Cronbach coefficient for the questionnaire was 0.966, the Cronbach coefficient for each dimension ranged from 0.865 to 0.954, and the retest reliability was 0.856. The questionnaire produced a final draft containing five dimensions (behavioral attitudes, subjective norms, direct control, indirect control, and behavioral intentions) and 30 items.
CONCLUSION
CONCLUSIONS
The questionnaire on the willingness of CHWs to implement ACP was validated and found to be reliable.
Identifiants
pubmed: 36085142
doi: 10.1186/s12904-022-01046-8
pii: 10.1186/s12904-022-01046-8
pmc: PMC9461251
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
157Informations de copyright
© 2022. The Author(s).
Références
Jpn J Clin Oncol. 2021 May 28;51(6):942-949
pubmed: 33774665
BMC Palliat Care. 2010 Apr 08;9:4
pubmed: 20377876
BMC Palliat Care. 2019 Jun 6;18(1):49
pubmed: 31170968
J Health Care Chaplain. 2014;20(3):109-22
pubmed: 24926897
J Pain Symptom Manage. 2022 Apr;63(4):e419-e429
pubmed: 34952169
BMC Palliat Care. 2017 Nov 22;16(1):56
pubmed: 29166904
Nurs Outlook. 2015 Jan-Feb;63(1):51-9
pubmed: 25645482
BMC Palliat Care. 2018 Mar 5;17(1):40
pubmed: 29506514
J Pers Soc Psychol. 1985 Sep;49(3):843-51
pubmed: 4045706
J Am Med Dir Assoc. 2018 Jul;19(7):633-638
pubmed: 29153752
BMC Palliat Care. 2016 Dec 30;15(1):99
pubmed: 28038669
Clin Geriatr Med. 2016 May;32(2):247-60
pubmed: 27113144
Ann Am Thorac Soc. 2021 Sep;18(9):1533-1539
pubmed: 33400904
BMC Palliat Care. 2018 Mar 15;17(1):49
pubmed: 29544471
BMC Palliat Care. 2021 Sep 9;20(1):139
pubmed: 34503475
BMJ. 2010 Mar 23;340:c1345
pubmed: 20332506
Ir J Med Sci. 2022 Feb;191(1):253-262
pubmed: 33624226
Med Care. 2017 Apr;55(4):319-326
pubmed: 27875482
J Adv Nurs. 2012 Sep;68(9):2021-33
pubmed: 22117569