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Death Preparedness

Development and Initial Validation of the Advance Planning Preparedness Scale

Bibliographic Data

ID13629443
AuthorsRenee McLeod‐Sordjan (0000-0003-1952-2792, Northwell Health, corresponding author)
Year2023
Volume92
Issue4
Pages1820-1845
Publication date2023-11-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00302228231212998
PMID37922539
OpenAlexW4388279945
LanguageEN
References cited37

Delayed advance planning and costs of life sustaining treatments at end of life significantly contribute to the economic burden of healthcare. Clinician barriers include perceptions of inappropriate timing, lack of skills in end-of-life communication and viewing readiness as a behavior rather than a death attitude. This study developed and validated a measurement of psychological preparedness for advance directive completion. Confirmatory factor analysis ( N = 543) of a 35 item pool (Cronbach α = .96) supported five sub-scales; psychological comfort (α = .87), desire to know (α = .88), thinking (α = .84), willingness (α = .82) and existential reflection (α = .79) with a possible common factor (α = .84). Results suggested significant predictors of completing directives in 30 days included discussion (OR .08, p p = .03) and uncertainty (OR 4.37, p = .02). APP = 35 is a reliable and valid measure with utility to assess readiness for completion of EOL documents

Advance care planning · Confirmatory factor analysis · Cronbach's alpha · Directive · Palliative care · Political science · Preparedness · Psychometrics · Reliability (semiconductor · Scale (ratio · Structural equation modeling · Applied Psychology · Clinical Psychology · Computer Science · Grief, Bereavement, and Mental Health · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology

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    Open Access•Colette A Mcafee, Timothy R Jordan et al.•OMEGA - Journal of Death and Dying•2017

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Citation velocityhistorical
Highly citedNo

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