Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
BMC Geriatr. 2024 May 6;24(1):402. doi: 10.1186/s12877-024-04976-5.
Advanced age is associated with life-threatening conditions at the end of life. Many of these persons at the end of their lives cannot make decisions because of the variable consciousness. They are able to make decisions and identify their care priorities, in a process called advanced care planning. So, an instrument is required for investigating ACP of the elderly population. This study was performed to determine the psychometric properties of the Persian version of the advanced care planning questionnaire(ACPQ) in elderly population referring to Tehran.
This methodological study was performed in five hospitals in 2021-2022. A total of 390 eligible elderlies were included. The psychometric assessment including translation, face validity, content validity were performed Alsothe exploratory factor analysis and confirmatory factor analysis were assessed. Reliability were done by internal consistency by assessing Cronbach alpha and stability was performed using test-retest.
The face validity of the instrument was performed with minor changes. The content validity index for all of the items was above 0.79. In EFA four factors was extracted also CFA showed that the four-factor model has a good fit of the data (RMSEA: 0.04; NFI: 0.97 CFI: 0.99; IFI: 0.99; RFI: 0.96; AGFI: 0.87; GFI 0/90; standardized RMR: 0.02). Cronbach alpha and ICC were 0.72-0.94 and 0.85-0.96, respectively.
The Persian version of the advance care planning questionnaire has desirable psychometric properties for measuring the advanced care planning of the elderly population. In addition, healthcare providers in Iran can employ this questionnaire in their practice and research.
高龄与生命末期的危及生命的状况有关。许多生命末期的人由于意识的变化而无法做出决策。他们能够做出决策并确定自己的护理优先级，这一过程称为高级护理计划。因此，需要一种工具来调查老年人的高级护理计划。本研究旨在确定德黑兰老年人群体使用的高级护理计划问卷（ACPQ）的波斯语版本的心理测量特性。
这是一项在 2021-2022 年期间在五家医院进行的方法学研究。共纳入 390 名符合条件的老年人。进行了心理测量评估，包括翻译、表面有效性、内容有效性，还评估了探索性因子分析和验证性因子分析。采用 Cronbach alpha 评估内部一致性来评估信度，采用测试-重测来评估稳定性。
该工具的表面有效性经过了微小的修改。所有项目的内容有效性指数均高于 0.79。在 EFA 中提取了四个因素，CFA 也表明四因素模型对数据有较好的拟合（RMSEA：0.04；NFI：0.97；CFI：0.99；IFI：0.99；RFI：0.96；AGFI：0.87；GFI 0/90；标准化 RMR：0.02）。Cronbach alpha 和 ICC 分别为 0.72-0.94 和 0.85-0.96。
波斯语版的高级护理计划问卷具有测量老年人高级护理计划的理想心理测量特性。此外，伊朗的医疗保健提供者可以在实践和研究中使用该问卷。
