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Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica
BACKGROUND: Using a validated instrument to measure palliative care (PC) educational needs of health professionals is an important step in understanding how best to educate a well-versed PC workforce within a national health system. The End-of-life Professional Caregiver Survey (EPCS) was developed...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10190054/ https://www.ncbi.nlm.nih.gov/pubmed/37193983 http://dx.doi.org/10.1186/s12913-023-09497-2 |
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author | Edwards, Rebecca L. Bakitas, Marie Li, Peng Spence, Dingle Kahwa, Eulalia Stoltenberg, Mark Ivankova, Nataliya V. Thomas, Kaesha Segree, Kammar Kodilinye, Syed Matthew Markaki, Adelais |
author_facet | Edwards, Rebecca L. Bakitas, Marie Li, Peng Spence, Dingle Kahwa, Eulalia Stoltenberg, Mark Ivankova, Nataliya V. Thomas, Kaesha Segree, Kammar Kodilinye, Syed Matthew Markaki, Adelais |
author_sort | Edwards, Rebecca L. |
collection | PubMed |
description | BACKGROUND: Using a validated instrument to measure palliative care (PC) educational needs of health professionals is an important step in understanding how best to educate a well-versed PC workforce within a national health system. The End-of-life Professional Caregiver Survey (EPCS) was developed to measure U.S. interprofessional PC educational needs and has been validated for use in Brazil and China. As part of a larger research project, this study aimed to culturally adapt and psychometrically test the EPCS among physicians, nurses, and social workers practicing in Jamaica. METHODS: Face validation involved expert review of the EPCS with recommendations for linguistic item modifications. Content validation was carried out by six Jamaica-based experts who completed a formal content validity index (CVI) for each EPCS item to ascertain relevancy. Health professionals practicing in Jamaica (n = 180) were recruited using convenience and snowball sampling to complete the updated 25-item EPCS (EPCS-J). Internal consistency reliability was assessed using Cronbach’s [Formula: see text] coefficient and McDonald’s [Formula: see text]. Construct validity was examined through confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). RESULTS: Content validation led to elimination of three EPCS items based on a CVI < 0.78. Cronbach’s [Formula: see text] ranged from 0.83 to 0.91 and McDonald’s [Formula: see text] ranged from 0.73 to 0.85 across EPCS-J subscales indicating good internal consistency reliability. The corrected item-total correlation for each EPCS-J item was > 0.30 suggesting good reliability. The CFA demonstrated a three-factor model with acceptable fit indices (RMSEA = 0.08, CFI = 0.88, SRMR = 0.06). The EFA determined a three-factor model had the best model fit, with four items moved into the effective patient care subscale from the other two EPCS-J subscales based on factor loading. CONCLUSIONS: The psychometric properties of the EPCS-J resulted in acceptable levels of reliability and validity indicating that this instrument is suitable for use in measuring interprofessional PC educational needs in Jamaica. |
format | Online Article Text |
id | pubmed-10190054 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-101900542023-05-18 Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica Edwards, Rebecca L. Bakitas, Marie Li, Peng Spence, Dingle Kahwa, Eulalia Stoltenberg, Mark Ivankova, Nataliya V. Thomas, Kaesha Segree, Kammar Kodilinye, Syed Matthew Markaki, Adelais BMC Health Serv Res Research BACKGROUND: Using a validated instrument to measure palliative care (PC) educational needs of health professionals is an important step in understanding how best to educate a well-versed PC workforce within a national health system. The End-of-life Professional Caregiver Survey (EPCS) was developed to measure U.S. interprofessional PC educational needs and has been validated for use in Brazil and China. As part of a larger research project, this study aimed to culturally adapt and psychometrically test the EPCS among physicians, nurses, and social workers practicing in Jamaica. METHODS: Face validation involved expert review of the EPCS with recommendations for linguistic item modifications. Content validation was carried out by six Jamaica-based experts who completed a formal content validity index (CVI) for each EPCS item to ascertain relevancy. Health professionals practicing in Jamaica (n = 180) were recruited using convenience and snowball sampling to complete the updated 25-item EPCS (EPCS-J). Internal consistency reliability was assessed using Cronbach’s [Formula: see text] coefficient and McDonald’s [Formula: see text]. Construct validity was examined through confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). RESULTS: Content validation led to elimination of three EPCS items based on a CVI < 0.78. Cronbach’s [Formula: see text] ranged from 0.83 to 0.91 and McDonald’s [Formula: see text] ranged from 0.73 to 0.85 across EPCS-J subscales indicating good internal consistency reliability. The corrected item-total correlation for each EPCS-J item was > 0.30 suggesting good reliability. The CFA demonstrated a three-factor model with acceptable fit indices (RMSEA = 0.08, CFI = 0.88, SRMR = 0.06). The EFA determined a three-factor model had the best model fit, with four items moved into the effective patient care subscale from the other two EPCS-J subscales based on factor loading. CONCLUSIONS: The psychometric properties of the EPCS-J resulted in acceptable levels of reliability and validity indicating that this instrument is suitable for use in measuring interprofessional PC educational needs in Jamaica. BioMed Central 2023-05-16 /pmc/articles/PMC10190054/ /pubmed/37193983 http://dx.doi.org/10.1186/s12913-023-09497-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Edwards, Rebecca L. Bakitas, Marie Li, Peng Spence, Dingle Kahwa, Eulalia Stoltenberg, Mark Ivankova, Nataliya V. Thomas, Kaesha Segree, Kammar Kodilinye, Syed Matthew Markaki, Adelais Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica |
title | Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica |
title_full | Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica |
title_fullStr | Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica |
title_full_unstemmed | Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica |
title_short | Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica |
title_sort | adaptation and psychometric testing of the end-of-life professional caregiver survey in jamaica |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10190054/ https://www.ncbi.nlm.nih.gov/pubmed/37193983 http://dx.doi.org/10.1186/s12913-023-09497-2 |
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