Validation of the psychometric properties of the Malay advance care planning questionnaire

BACKGROUND: There is a growing interest among the developing countries on advance care planning (ACP) due to the reported benefits of planning ahead in the developed countries. Validated instruments in various languages have been developed to facilitate study on the views of public prior to its impl...

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Autores principales: Lim, Mun Kit, Lai, Pauline Siew Mei, Wong, Pei Se, Othman, Sajaratulnisah, Mydin, Fadzilah Hanum Mohd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283904/
https://www.ncbi.nlm.nih.gov/pubmed/34266432
http://dx.doi.org/10.1186/s12904-021-00790-7
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author Lim, Mun Kit
Lai, Pauline Siew Mei
Wong, Pei Se
Othman, Sajaratulnisah
Mydin, Fadzilah Hanum Mohd
author_facet Lim, Mun Kit
Lai, Pauline Siew Mei
Wong, Pei Se
Othman, Sajaratulnisah
Mydin, Fadzilah Hanum Mohd
author_sort Lim, Mun Kit
collection PubMed
description BACKGROUND: There is a growing interest among the developing countries on advance care planning (ACP) due to the reported benefits of planning ahead in the developed countries. Validated instruments in various languages have been developed to facilitate study on the views of public prior to its implementation. However, instrument to explore the views on ACP in Malay has not been developed and validated yet, even though Malay is spoken extensively by approximately 220 million people in the Malay Archipelago. There is also a need for instrument in Malay language to facilitate the assessment of knowledge, attitude and practice (KAP) of Malaysians regarding ACP. Therefore, the aim of this study was to validate the psychometric properties of the Malay Advance Care Planning Questionnaire (ACPQ-M). METHODS: The ACPQ was translated according to international guidelines. This validation study was conducted from January to June 2018. Participants who were ≥ 21 years old, and able to understand Malay were recruited from an urban primary care clinic and a tertiary education institution in Malaysia. A researcher administered the ACPQ-M to participants via a face-to-face interview at baseline and 2 weeks later. Each interview took approximately 10–20 min. RESULTS: A total of 222/232 participants agreed to participate (response rate = 96.0%). Exploratory factor analysis and confirmatory factor analysis found that the ACPQ-M was a 4-factor model. The Cronbach’s α values for the four domains ranged from 0.674–0.947. Only 157/222 participants completed the test-retest (response rate = 71%). At test-retest, quadratic weighted kappa values for all domains ranged from 0.340–0.674, except for two domains which ranged from − 0.200-0.467. CONCLUSIONS: The ACPQ-M was found to be a 4-factor model, and a valid and reliable instrument to assess the KAP regarding ACP. This instrument can contribute to profound understanding of the KAP of Malaysians regarding ACP, and assist policy makers in determining the readiness for legislation of ACP in Malaysia.
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spelling pubmed-82839042021-07-19 Validation of the psychometric properties of the Malay advance care planning questionnaire Lim, Mun Kit Lai, Pauline Siew Mei Wong, Pei Se Othman, Sajaratulnisah Mydin, Fadzilah Hanum Mohd BMC Palliat Care Research Article BACKGROUND: There is a growing interest among the developing countries on advance care planning (ACP) due to the reported benefits of planning ahead in the developed countries. Validated instruments in various languages have been developed to facilitate study on the views of public prior to its implementation. However, instrument to explore the views on ACP in Malay has not been developed and validated yet, even though Malay is spoken extensively by approximately 220 million people in the Malay Archipelago. There is also a need for instrument in Malay language to facilitate the assessment of knowledge, attitude and practice (KAP) of Malaysians regarding ACP. Therefore, the aim of this study was to validate the psychometric properties of the Malay Advance Care Planning Questionnaire (ACPQ-M). METHODS: The ACPQ was translated according to international guidelines. This validation study was conducted from January to June 2018. Participants who were ≥ 21 years old, and able to understand Malay were recruited from an urban primary care clinic and a tertiary education institution in Malaysia. A researcher administered the ACPQ-M to participants via a face-to-face interview at baseline and 2 weeks later. Each interview took approximately 10–20 min. RESULTS: A total of 222/232 participants agreed to participate (response rate = 96.0%). Exploratory factor analysis and confirmatory factor analysis found that the ACPQ-M was a 4-factor model. The Cronbach’s α values for the four domains ranged from 0.674–0.947. Only 157/222 participants completed the test-retest (response rate = 71%). At test-retest, quadratic weighted kappa values for all domains ranged from 0.340–0.674, except for two domains which ranged from − 0.200-0.467. CONCLUSIONS: The ACPQ-M was found to be a 4-factor model, and a valid and reliable instrument to assess the KAP regarding ACP. This instrument can contribute to profound understanding of the KAP of Malaysians regarding ACP, and assist policy makers in determining the readiness for legislation of ACP in Malaysia. BioMed Central 2021-07-15 /pmc/articles/PMC8283904/ /pubmed/34266432 http://dx.doi.org/10.1186/s12904-021-00790-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis 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 Article
Lim, Mun Kit
Lai, Pauline Siew Mei
Wong, Pei Se
Othman, Sajaratulnisah
Mydin, Fadzilah Hanum Mohd
Validation of the psychometric properties of the Malay advance care planning questionnaire
title Validation of the psychometric properties of the Malay advance care planning questionnaire
title_full Validation of the psychometric properties of the Malay advance care planning questionnaire
title_fullStr Validation of the psychometric properties of the Malay advance care planning questionnaire
title_full_unstemmed Validation of the psychometric properties of the Malay advance care planning questionnaire
title_short Validation of the psychometric properties of the Malay advance care planning questionnaire
title_sort validation of the psychometric properties of the malay advance care planning questionnaire
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283904/
https://www.ncbi.nlm.nih.gov/pubmed/34266432
http://dx.doi.org/10.1186/s12904-021-00790-7
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