Translation, Cultural Adaptation and Validation of the Advance Care Planning Engagement Survey for Korean Older People

IF 2 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2025-07-03 DOI:10.1111/opn.70039

Minjeong Jo, Heejin Chung, Mihyun Park

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引用次数: 0

Abstract

Introduction

The Advance Care Planning (ACP) Engagement Survey, initially developed in English, was designed to assess behaviour related to the ACP process. Although ACP is widely recognised globally, its adoption and practice differ considerably among countries, primarily due to unique cultural and policy-related factors. Therefore, ensuring appropriate translation and cultural validation of the tool is critical for its effective use in varied contexts. This study aimed to translate and culturally adapt the ACP Engagement Survey for use with Korean older people and to examine its psychometric properties.

Methods

This study used a cross-sectional survey design that was implemented in two phases. In phase 1, the ACP Engagement Survey underwent translation and cross-cultural adaptation from English to Korean by: (1) forward and backward translation, (2) committee review and (3) pretesting. In phase 2, psychometric properties of the finalised Korean version were examined via factor analysis, assessment of construct validity and analysis of internal consistency. The study sample comprised 235 community-dwelling older people with a mean age of 71.1 years.

Results

The final Korean version of the ACP Engagement Survey (K-ACP-ES 12) was composed of 12 items across three factors: readiness, contemplation and self-efficacy. Hypothesis testing demonstrated construct validity of the K-ACP-ES 12 by a statistically significant correlation with the AD Knowledge Scale (r = 0.26, p < 0.001). In addition, the Korean version showed acceptable reliability, with a Cronbach's alpha of 0.93.

Conclusions

The K-ACP-ES 12 demonstrated good reliability, acceptable structural validity and supported hypothesis-testing construct validity. Evaluating a patient's engagement in ACP is essential for assessing ACP quality, which constitutes a principal outcome of the ACP process. The findings highlight the necessity of tailoring and validating measurement tools within specific cultural and policy contexts to ensure accurate assessment of ACP outcomes and enhance the instrument's utility across varied populations.

Implications for Practice

The findings underscore the importance of tailoring and validating measurement tools within specific cultural and policy contexts to ensure accurate assessment of ACP outcomes and to enhance the instrument's applicability in both research and practice across diverse population.

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韩国老年人提前护理计划参与调查的翻译、文化适应与验证

预先护理计划（ACP）参与调查最初是用英语开发的，旨在评估与ACP过程相关的行为。虽然非加太在全球范围内得到广泛认可，但其采用和实践在各国之间存在很大差异，主要是由于独特的文化和政策相关因素。因此，确保该工具的适当翻译和文化验证对于其在各种上下文中的有效使用至关重要。本研究的目的是翻译和文化适应ACP参与调查与韩国老年人的使用，并检查其心理测量特性。方法本研究采用横断面调查设计，分两个阶段实施。在第一阶段，ACP参与调查通过以下方式进行了英语到韩语的翻译和跨文化适应：(1)向前和向后翻译，(2)委员会审查和(3)预测试。在第二阶段，通过因子分析、构念效度评估和内部一致性分析来检验定稿韩文版本的心理测量特性。研究样本包括235名平均年龄为71.1岁的社区老年人。最终的韩国版ACP敬业度调查（K-ACP-ES 12）由12个项目组成，涉及三个因素：准备、沉思和自我效能。假设检验表明，k - acp - es12的结构效度与AD知识量表有统计学显著相关（r = 0.26, p < 0.001）。此外，韩国版本显示出可接受的信度，Cronbach's alpha为0.93。结论k - acp - es12具有良好的信度、可接受的结构效度和支持的假设检验结构效度。评估患者对ACP的参与程度对于评估ACP质量至关重要，而ACP质量是ACP过程的主要结果。研究结果强调了在特定文化和政策背景下定制和验证测量工具的必要性，以确保对ACP结果的准确评估，并增强该工具在不同人群中的效用。研究结果强调了在特定文化和政策背景下定制和验证测量工具的重要性，以确保准确评估ACP结果，并增强该工具在不同人群的研究和实践中的适用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.