Validation of the Readiness for End-of-Life Conversations (REOLC) scale in a German hospital setting
Objective: For every health behavior, readiness to engage is a necessary and crucial foundation for following conversations, interventions or behavior changes. The present study aims to support a one-factor structure for the Readiness for End-of-Life Conversations (REOLC) scale (Berlin et al., 2021)...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | PEC Innovation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628222000309 |
| _version_ | 1811201452492718080 |
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| author | Pia Berlin Carola Seifart Pia von Blanckenburg |
| author_facet | Pia Berlin Carola Seifart Pia von Blanckenburg |
| author_sort | Pia Berlin |
| collection | DOAJ |
| description | Objective: For every health behavior, readiness to engage is a necessary and crucial foundation for following conversations, interventions or behavior changes. The present study aims to support a one-factor structure for the Readiness for End-of-Life Conversations (REOLC) scale (Berlin et al., 2021) in a population of cancer patients (N = 295). Methods: For validation purposes, data of patients participating in a screening development study at a university clinic was used. Model adequacy was analyzed with structural equation modelling and controlled for with goodness of fit indices: χ2-test, SRMR, rRMSEA. Discriminant and convergent validity were assessed with correlations of REOLC and psychological or health behavior measures. Results: Factor structure was supported with good fit indices, discriminant validity and convergent validity. Readiness correlated significantly with age and reported death anxiety. Conclusion: The REOLC scale is a reliable instrument to assess cancer patients' readiness for end-of-life conversations. Future studies may further address moderating and mediating effects of socio-demographic, medical and psychological factors. Innovation: The assessment of readiness may further indicate anxiety levels of cancer patients and enables practitioners to provide interventions accordingly. However, in a clinical setting and especially for patients with a palliative prognosis, end-of-life care conversations may need to be introduced early. |
| first_indexed | 2024-04-12T02:21:53Z |
| format | Article |
| id | doaj.art-17de0a87b9764fb5bc973e7f06fe6a68 |
| institution | Directory Open Access Journal |
| issn | 2772-6282 |
| language | English |
| last_indexed | 2024-04-12T02:21:53Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj.art-17de0a87b9764fb5bc973e7f06fe6a682022-12-22T03:52:06ZengElsevierPEC Innovation2772-62822022-12-011100045Validation of the Readiness for End-of-Life Conversations (REOLC) scale in a German hospital settingPia Berlin0Carola Seifart1Pia von Blanckenburg2Department of Psychology, Philipps-University of Marburg, Germany; Corresponding author at: Philipps-University of Marburg, Department of Clinical Psychology and Psychotherapy, Gutenbergstr. 18, 35037 Marburg, Germany.Department of Medicine, Research Group Medical Ethics, Philipps-University of Marburg, Germany; University clinic of Gießen and Marburg, Marburg, GermanyDepartment of Psychology, Philipps-University of Marburg, GermanyObjective: For every health behavior, readiness to engage is a necessary and crucial foundation for following conversations, interventions or behavior changes. The present study aims to support a one-factor structure for the Readiness for End-of-Life Conversations (REOLC) scale (Berlin et al., 2021) in a population of cancer patients (N = 295). Methods: For validation purposes, data of patients participating in a screening development study at a university clinic was used. Model adequacy was analyzed with structural equation modelling and controlled for with goodness of fit indices: χ2-test, SRMR, rRMSEA. Discriminant and convergent validity were assessed with correlations of REOLC and psychological or health behavior measures. Results: Factor structure was supported with good fit indices, discriminant validity and convergent validity. Readiness correlated significantly with age and reported death anxiety. Conclusion: The REOLC scale is a reliable instrument to assess cancer patients' readiness for end-of-life conversations. Future studies may further address moderating and mediating effects of socio-demographic, medical and psychological factors. Innovation: The assessment of readiness may further indicate anxiety levels of cancer patients and enables practitioners to provide interventions accordingly. However, in a clinical setting and especially for patients with a palliative prognosis, end-of-life care conversations may need to be introduced early.http://www.sciencedirect.com/science/article/pii/S2772628222000309cancerconversationsend-of-lifehealth behavior changepsychometricsvalidation |
| spellingShingle | Pia Berlin Carola Seifart Pia von Blanckenburg Validation of the Readiness for End-of-Life Conversations (REOLC) scale in a German hospital setting PEC Innovation cancer conversations end-of-life health behavior change psychometrics validation |
| title | Validation of the Readiness for End-of-Life Conversations (REOLC) scale in a German hospital setting |
| title_full | Validation of the Readiness for End-of-Life Conversations (REOLC) scale in a German hospital setting |
| title_fullStr | Validation of the Readiness for End-of-Life Conversations (REOLC) scale in a German hospital setting |
| title_full_unstemmed | Validation of the Readiness for End-of-Life Conversations (REOLC) scale in a German hospital setting |
| title_short | Validation of the Readiness for End-of-Life Conversations (REOLC) scale in a German hospital setting |
| title_sort | validation of the readiness for end of life conversations reolc scale in a german hospital setting |
| topic | cancer conversations end-of-life health behavior change psychometrics validation |
| url | http://www.sciencedirect.com/science/article/pii/S2772628222000309 |
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