Behavioral Intention Scale for End-of-life DiscussionsReliability and Validity Using a Web-based Survey

Nobuko Yamaguchi; Naoko Yamagishi; Miyuki Aida; Mitsuyo Azegami; Chihiro Kawamura; Junko Hoshino; Yasuhiro Asakawa; Eriko Sase; Chiho Shimada

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Behavioral Intention Scale for End-of-life DiscussionsReliability and Validity Using a Web-based Survey

VernacularTitle:「もしも」のときの医療・ケアにおける話し合い行動意図尺度：Web調査による信頼性と妥当性の検討
Author: Nobuko YAMAGUCHI ¹ ; Naoko YAMAGISHI ¹ ; Miyuki AIDA ¹ ; Mitsuyo AZEGAMI ¹ ; Chihiro KAWAMURA ¹ ; Junko HOSHINO ¹ ; Yasuhiro ASAKAWA ¹ ; Eriko SASE ² ; Chiho SHIMADA ³
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1. School of Health and Social Services, Saitama Prefectural University
2. Saitama Prefectural University
3. Graduate School of Medicine, The University of Tokyo
Keywords: advance care planning; end-of-life care; the theory of planned behavior; behavioral intention scale for end-of-life discussions; web-based survey
From:Palliative Care Research 2023;18(4):213-223
CountryJapan
Language:Japanese
Abstract: Purpose: The purpose of this study was to examine the reliability and validity of the behavioral intention scale for end-of-life discussions. Methods: The scale items were developed according to the Theory of Planned Behavior. The drafts of the scale were created by Item-Level Content Validity Index (I-CVI) and a preliminary test. In the main study, we administered a cross-sectional questionnaire on the web to the participants 20–79 years of age (n=860), living in Tokyo and six surrounding prefectures, and a retest one week later (n=665). We examined item analysis, calculation of a reliability coefficient (intraclass correlation coefficient, Cronbach's alpha coefficient), construct validity, and concurrent validity of the scale. Results: Six factors identified by an exploratory factor analysis were; outcome evaluation, perceived power, control beliefs, motivation to comply, normative beliefs, and behavioral beliefs. The alpha coefficient of the overall scale was .96. The effect size that was determined based on known-groups validity and the correlation coefficient determined on the basis of concurrent validity were moderate. Conclusions: The reliability and validity of the scale were generally confirmed.