School of Nursing, Zhengzhou University, Zhengzhou, China.
Int J Older People Nurs. 2023 Jan;18(1):e12502. doi: 10.1111/opn.12502. Epub 2022 Sep 9.
Advance care planning (ACP) has become increasingly critical for older people. The Advance Care Planning Engagement Survey (ACPES) develops targeted interventions for older people by measuring ACP-related behaviours, while previous studies focus only on advance directives. Moreover, while ACPES has English and Dutch versions, it does not yet have a Mandarin Chinese version (ACPES-MC) that can be used for Chinese populations.
To translate the ACPES into Mandarin Chinese and test its reliability and validity in community-dwelling older people with chronic diseases.
The English version of the ACPES was translated into Mandarin Chinese using Functional Assessment of Chronic Illness Therapy. Four communities were recruited in central China (N = 450) by convenience sampling. Internal consistency and construct validity were used to evaluate the reliability and validity of the ACPES-MC.
The ACPES-MC consists of 34 items across five domains, with good internal consistency (0.817), with each dimension ranging from 0.606 to 0.881; exploratory factor analysis was distributed to four different factors and the total variance explained was 63.537%; and confirmatory factor analysis results showed that χ = 3791.131 (p < .001), χ /df = 1.106, CFI = 0.980, IFI = 0.980, NFI = 0.827 and RMR = 0.027, indicating a good model fit to previous factor structures.
The ACPES-MC is an effective and reliable tool that can measure the ACP-related behaviour stage of community-dwelling older people and evaluate the effect of ACP intervention.
The ACPES-MC can be used in healthcare to identify potential ACP-related behaviours in community-dwelling older people with chronic diseases, including native and ethnic Chinese, evaluate their behaviour change stages and promote the application of ACP.
老年人群的预先医疗照护计划（ACP）变得越来越重要。 Advance Care Planning Engagement Survey（ACPES）通过测量与 ACP 相关的行为来为老年人制定有针对性的干预措施，而之前的研究仅关注预先指示。此外，虽然 ACPES 有英语和荷兰语版本，但它尚未有可用于中文人群的简体中文版本（ACPES-MC）。
将 ACPES 翻译成简体中文，并在患有慢性病的社区居住的老年人中测试其可靠性和有效性。
使用慢性病治疗的功能评估，将 ACPES 的英文版本翻译成简体中文。通过方便抽样，在中国中部的四个社区招募了 450 名老年人。使用内部一致性和结构有效性来评估 ACPES-MC 的可靠性和有效性。
ACPES-MC 由五个领域的 34 个项目组成，具有良好的内部一致性（0.817），每个维度的范围从 0.606 到 0.881；探索性因子分析分布在四个不同的因子中，总方差解释率为 63.537%；验证性因子分析结果表明，χ ²=3791.131（p<0.001），χ/df=1.106，CFI=0.980，IFI=0.980，NFI=0.827，RMR=0.027，表明模型与之前的因子结构拟合良好。
ACPES-MC 是一种有效且可靠的工具，可用于测量社区居住的老年人群的 ACP 相关行为阶段，并评估 ACP 干预的效果。
ACPES-MC 可用于医疗保健领域，以识别患有慢性病的社区居住的老年人群中潜在的 ACP 相关行为，包括本土和华裔老年人，评估他们的行为改变阶段，并促进 ACP 的应用。
