Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal

Background: 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's Attitudes Toward Advance Care Directives (GPATACD) Scale. Design and Methods: Methodological study...

Full description

Bibliographic Details
Main Authors: Carlos Laranjeira, Maria dos Anjos Dixe, Luís Gueifão, Lina Caetano, Rui Passadouro, Tiago Gabriel, Ana Querido
Format: Article
Language:English
Published: SAGE Publishing 2021-02-01
Series:Journal of Public Health Research
Subjects:
Online Access:https://jphres.org/index.php/jphres/article/view/1881
_version_ 1797971594217259008
author Carlos Laranjeira
Maria dos Anjos Dixe
Luís Gueifão
Lina Caetano
Rui Passadouro
Tiago Gabriel
Ana Querido
author_facet Carlos Laranjeira
Maria dos Anjos Dixe
Luís Gueifão
Lina Caetano
Rui Passadouro
Tiago Gabriel
Ana Querido
author_sort Carlos Laranjeira
collection DOAJ
description Background: 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's Attitudes Toward Advance Care Directives (GPATACD) Scale. Design and Methods: Methodological study.  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. Data 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’s alpha. Results: The 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’s alpha of 0.848. Conclusions: The findings demonstrate that the scale is valid and reliable as a vehicle for assessment of the general public's attitudes toward advance care directives.
first_indexed 2024-04-11T03:35:06Z
format Article
id doaj.art-f7a2231a25284738b2b0ca16a280dbf1
institution Directory Open Access Journal
issn 2279-9028
2279-9036
language English
last_indexed 2024-04-11T03:35:06Z
publishDate 2021-02-01
publisher SAGE Publishing
record_format Article
series Journal of Public Health Research
spelling doaj.art-f7a2231a25284738b2b0ca16a280dbf12023-01-02T05:37:08ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362021-02-0110110.4081/jphr.2021.1881Development and psychometric properties of the general public's attitudes toward advance care directives scale in PortugalCarlos Laranjeira0Maria dos Anjos Dixe1Luís Gueifão2Lina Caetano3Rui Passadouro4Tiago Gabriel5Ana Querido6School 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 LeiriaSchool of Health Sciences of Polytechnic of Leiria; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria Intensive Care Unit, Leiria Hospital Center, LeiriaLeiria Hospital Center, LeiriaACES do Pinhal Litoral, Leiria; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of LeiriaACES do Pinhal Litoral, LeiriaSchool 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 PortoBackground: 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's Attitudes Toward Advance Care Directives (GPATACD) Scale. Design and Methods: Methodological study.  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. Data 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’s alpha. Results: The 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’s alpha of 0.848. Conclusions: The findings demonstrate that the scale is valid and reliable as a vehicle for assessment of the general public's attitudes toward advance care directives.https://jphres.org/index.php/jphres/article/view/1881Advance care directivesinstrument developmentreliabilityvalidityPortugal
spellingShingle Carlos Laranjeira
Maria dos Anjos Dixe
Luís Gueifão
Lina Caetano
Rui Passadouro
Tiago Gabriel
Ana Querido
Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal
Journal of Public Health Research
Advance care directives
instrument development
reliability
validity
Portugal
title Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal
title_full Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal
title_fullStr Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal
title_full_unstemmed Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal
title_short Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal
title_sort development and psychometric properties of the general public s attitudes toward advance care directives scale in portugal
topic Advance care directives
instrument development
reliability
validity
Portugal
url https://jphres.org/index.php/jphres/article/view/1881
work_keys_str_mv AT carloslaranjeira developmentandpsychometricpropertiesofthegeneralpublicsattitudestowardadvancecaredirectivesscaleinportugal
AT mariadosanjosdixe developmentandpsychometricpropertiesofthegeneralpublicsattitudestowardadvancecaredirectivesscaleinportugal
AT luisgueifao developmentandpsychometricpropertiesofthegeneralpublicsattitudestowardadvancecaredirectivesscaleinportugal
AT linacaetano developmentandpsychometricpropertiesofthegeneralpublicsattitudestowardadvancecaredirectivesscaleinportugal
AT ruipassadouro developmentandpsychometricpropertiesofthegeneralpublicsattitudestowardadvancecaredirectivesscaleinportugal
AT tiagogabriel developmentandpsychometricpropertiesofthegeneralpublicsattitudestowardadvancecaredirectivesscaleinportugal
AT anaquerido developmentandpsychometricpropertiesofthegeneralpublicsattitudestowardadvancecaredirectivesscaleinportugal