{"id":5259,"date":"2023-03-27T01:08:47","date_gmt":"2023-03-26T23:08:47","guid":{"rendered":"https:\/\/www.jphres.org\/?p=5259"},"modified":"2023-04-02T14:19:57","modified_gmt":"2023-04-02T12:19:57","slug":"development-and-psychometric-properties-of-the-general-publics-attitudes-toward-advance-care-directives-scale-in-portugal","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1881\/","title":{"rendered":"Development and psychometric properties of the general public&#8217;s attitudes toward advance care directives scale in Portugal"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2021.1881\">https:\/\/doi.org\/10.4081\/jphr.2021.1881<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Carlos Laranjeira<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Health Sciences of Polytechnic Institute of Leiria; Research in Education and Community Intervention (RECI), Piaget Institute; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Portugal.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0003-1080-9535\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0003-1080-9535<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Maria dos Anjos Dixe<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Health Sciences of Polytechnic of Leiria; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria , Portugal.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0001-9035-8548\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0001-9035-8548<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Lu\u00eds Gueif\u00e3o<\/strong><br \/>\n<\/span><span class=\"affiliation\">Intensive Care Unit, Leiria Hospital Center, Leiria, Portugal.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0001-5615-3012\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0001-5615-3012<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Lina Caetano<\/strong><br \/>\n<\/span><span class=\"affiliation\">Leiria Hospital Center, Leiria, Portugal.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0002-0720-1396\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0002-0720-1396<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Rui Passadouro<\/strong><br \/>\n<\/span><span class=\"affiliation\">ACES do Pinhal Litoral, Leiria; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Portugal.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0002-7766-576X\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0002-7766-576X<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Tiago Gabriel<\/strong><br \/>\n<\/span><span class=\"affiliation\">ACES do Pinhal Litoral, Leiria, Portugal.<\/span><\/li>\n<li><span class=\"name\"><strong>Ana Querido<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Health Sciences of Polytechnic of Leiria; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Center for Research in Health and Information Systems (CINTESIS), NursID, University of Porto, Portugal.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0002-5021-773X\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0002-5021-773X<\/a><\/span><\/li>\n<\/ul>\n<p><strong>ABSTRACT<\/strong><\/p>\n<p><em>Background:\u00a0<\/em>To date, no instrument in Portugal has evaluated the attitudes of the population about advance care directives. This paper describes the development and testing of the General Public&#8217;s Attitudes Toward Advance Care Directives (GPATACD) Scale.<br \/>\n<em><br \/>\nDesign and Methods:<\/em>\u00a0Methodological study.\u00a0<strong>\u00a0<\/strong>The development of the instrument was based on a literature review, updated in 2018. Face and content validity were verified by an expert panel and piloted among six participants.\u00a0Data were collected in an online survey of 1024 Portuguese adults. The obtained data were analyzed using Varimax rotation, while the reliability was evaluated by calculating Cronbach\u2019s alpha.<br \/>\n<em><br \/>\nResults:<\/em>\u00a0The scale achieves good Item-Content Validity Index (I-CVI) values, between 0.89 and 1.00, and scale-CVI values of 0.91. A principal component analysis generated four dimensions with 26 items as a final scale, with overall Cronbach\u2019s alpha of 0.848.<br \/>\n<em><br \/>\nConclusions:<\/em>\u00a0The findings demonstrate that the scale is valid and reliable as a vehicle for assessment of the general public&#8217;s attitudes toward advance care directives.<\/p>\n<p><strong>REFERENCES<\/strong><\/p>\n<p>Permanyer I, Scholl N. Global trends in lifespan inequality: 1950-2015. PLoS One 2019;14:e0215742. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1371\/journal.pone.0215742\">https:\/\/doi.org\/10.1371\/journal.pone.0215742<\/a><\/p>\n<p>Fan SY, Wang YW, Lin IM. Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision. BMC Palliat Care 2018;17:114. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1186\/s12904-018-0367-4\">https:\/\/doi.org\/10.1186\/s12904-018-0367-4<\/a><\/p>\n<p>Hall A, Rowland C, Grande G. 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Examining the knowledge, awareness, and perceptions of palliative care in the general public over time: A scoping literature review. Am J Hosp Palliat Care 2020;37:481-7. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1177\/1049909119885899\">https:\/\/doi.org\/10.1177\/1049909119885899<\/a><\/p>\n<p>Andr\u00e9s-Pretel F, Navarro Bravo B, P\u00e1rraga Mart\u00ednez I, et al. [Conocimientos y actitudes de los mayores hacia el documento de voluntades anticipadas].[Article in Spanish]. Gac Sanit 2012;26:570-3. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.gaceta.2011.12.007\">https:\/\/doi.org\/10.1016\/j.gaceta.2011.12.007<\/a><\/p>\n<p>Aguilar-S\u00e1nchez J, Caba\u00f1ero-Mart\u00ednez M, Fern\u00e1ndez F, et al. [Grado de conocimiento y actitudes de los profesionales sanitarios sobre el documento de voluntades anticipadas].[Article in Spanish]. Gac Sanit 2017;32:339-45. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.gaceta.2017.08.006\">https:\/\/doi.org\/10.1016\/j.gaceta.2017.08.006<\/a><\/p>\n<p>Macedo JC. Contribution to improve advance directives in Portugal. MOJ Gerontol Ger 2020;5:27\u201230. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.15406\/mojgg.2020.05.00225\">https:\/\/doi.org\/10.15406\/mojgg.2020.05.00225<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2021.1881 Carlos Laranjeira School of Health Sciences of Polytechnic Institute of Leiria; Research in Education and Community Intervention (RECI), Piaget Institute; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Portugal.https:\/\/orcid.org\/0000-0003-1080-9535 Maria dos Anjos Dixe School of Health Sciences of Polytechnic of Leiria; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of &#8230; <a title=\"Development and psychometric properties of the general public&#8217;s attitudes toward advance care directives scale in Portugal\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1881\/\" aria-label=\"More on Development and psychometric properties of the general public&#8217;s attitudes toward advance care directives scale in Portugal\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-5259","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Development and psychometric properties of the general public&#039;s attitudes toward advance care directives scale in Portugal - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1881\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Development and psychometric properties of the general public&#039;s attitudes toward advance care directives scale in Portugal - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2021.1881 Carlos Laranjeira School of Health Sciences of Polytechnic Institute of Leiria; Research in Education and Community Intervention (RECI), Piaget Institute; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Portugal.https:\/\/orcid.org\/0000-0003-1080-9535 Maria dos Anjos Dixe School of Health Sciences of Polytechnic of Leiria; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of ... 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