Wang Yazhou, Li Yuanheng, Xie Yuzhuo, Zhang Yuwei, Wang Jingzhi, Guo Jiaqi, Shi Jiajun, Ma Mingxue, Zhao Lu, Jiao Mingli
School of Health Management, Harbin Medical University, 157 BaoJian Road, Nangang District, Harbin, Heilongjiang, 150086, China.
BMC Palliat Care. 2025 Mar 8;24(1):59. doi: 10.1186/s12904-025-01697-3.
The negative impact of over-treatment in end-of-life individuals has led to attention to the value of death. Reassessing the attitude of death and dying can improve care and improve the quality of life. Therefore, the use of multidimensional tools to comprehensively assess the attitudes of individuals on dying and death, identify attitude tendencies and causes meaningful, and evaluate the effectiveness of the tools is an important prerequisite.
We aimed to obtain MODDI-F-C through cross-cultural translation and to evaluate its psychometric characteristics among mainland China participants.
In order to obtain MODDI-F-C, a cross-cultural translation of MODDI- F/eng was performed using the Brislin model. The items quality, factor structure, reliability and validity were assessed among 2105 participants from mainland China. The concurrent validity was assessed using the Chinese version of DAP-R for the first time.
MODDI-F-C consists of 27 items, and five common factors were identified through factor analysis, accounting for 56.79% of the overall variance.The total consistency coefficient was 0.949.The correlation coefficient between DAP-R-C-Z and the overall scale was 0.55 (p < 0.001), between DAP - R-C - Z and the subscale 0.37-0.56 (p < 0.001).Most of the methods used for psychometric evaluation meet acceptable criteria.
Our research has initially confirmed that MODDI-F-C is an effective tool to evaluate the fear dimension of death and dying attitude, which can identify individuals' tendencies and causes related to dying and death. However, the acceptance dimension needs further assessment.
临终患者过度治疗的负面影响引发了人们对死亡价值的关注。重新审视对死亡和濒死的态度有助于改善护理并提高生活质量。因此，使用多维工具全面评估个体对濒死和死亡的态度、识别态度倾向及成因，并评估工具的有效性是重要前提。
我们旨在通过跨文化翻译获得中文版死亡恐惧及濒死态度量表（MODDI-F-C），并在中国大陆参与者中评估其心理测量学特征。
为获得MODDI-F-C，采用 Brislin 模型对英文版MODDI-F进行跨文化翻译。对来自中国大陆的2105名参与者评估项目质量、因子结构、信度和效度。首次使用中文版死亡态度剖面图修订版（DAP-R）评估同时效度。
MODDI-F-C由27个项目组成，通过因子分析确定了五个共同因子，占总方差的56.79%。总一致性系数为0.949。DAP-R-C-Z与总量表的相关系数为0.55（p < 0.001），与分量表的相关系数为0.37 - 0.56（p < 0.001）。大多数用于心理测量评估的方法符合可接受标准。
我们的研究初步证实MODDI-F-C是评估死亡和濒死态度恐惧维度的有效工具，可识别个体与濒死和死亡相关的倾向及成因。然而，接受维度需要进一步评估。
