Validation of the Patient Dignity Inventory in Mexican Cancer Patients

Rodríguez-Mayoral, Oscar; Galindo-Vázquez, Oscar; Allende-Pérez, Silvia; Arzate-Mireles, Cinthya Elizabeth; Peña-Nieves, Adriana; Cantú-Quintanilla, Guillermo; Lerma, Abel; Chochinov, Harvey Max

doi:10.1089/jpm.2020.0572

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…One study (Namjoo et al, 2020) performed a CFA and was rated ‘very good’ quality. Six studies (Brudek & Steuden, 2017; Eskigülek & Kav, 2021; Ota et al, 2019; Parpa et al, 2017; Ripamonti et al, 2012; Rodríguez‐Mayoral et al, 2021) performed both CFA and exploratory factor analysis (EFA) and were rated ‘very good’ quality. The remaining 19 studies performed an EFA and were rated ‘adequate’ quality, with factor solutions ranging from one to five.…”

Section: Resultsmentioning

confidence: 99%

Self‐report instruments for measuring patient dignity: A psychometric systematic review

Lam

Chang

Natashia

et al. 2022

Journal of Advanced Nursing

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Aims:To synthesize and evaluate the psychometric properties of self-report instruments that measure patient dignity.Design: A psychometric systematic review. Data sources: A comprehensive search of studies published from inception until February 17, 2022, was performed using PubMed, Embase, CINAHL, Web of Science, and Scopus. Review Methods: The methodological quality of the psychometric studies was evaluated following the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.Results: Eleven self-report instruments that evaluate dignity were identified. For most instruments, psychometric properties, including reliability, cross-cultural validity, responsiveness, and measurement error, had not been adequately examined. The Patient Dignity Inventory (PDI), the Jacelon's Attributed Dignity Scale (JADS), and the Inpatient Dignity Scale (IPDS) had acceptable content validity, structure validity, and internal consistency to measure dignity among adult patients under palliative care, community-dwelling older adults, and inpatients receiving daily care. Conclusion:The PDI, the JADS, and the IPDS are recommended for future clinical practice and research to measure dignity among adult patients under palliative care, community-dwelling older adults, and inpatients receiving daily care. Early identification of patients' dignity-related problems in nursing care can prevent negative health outcomes and help develop a timely intervention to promote patients' health and recovery.Impact: Given that the psychometric properties of the existing self-report dignity instruments have not been systematically assessed, the present review utilized comprehensive methods according to COSMIN to evaluate and determine the most appropriate measure for research and practice. The PDI, the JADS, and the IPDS demonstrated satisfactory psychometric properties and are, thus, recommended for clinical and research applications. Nursing professionals can employ these instruments to assess and promptly identify dignity issues among both young and older adults in hospitals and communities.

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Section: Resultsmentioning

confidence: 99%

Self‐report instruments for measuring patient dignity: A psychometric systematic review

Lam

Chang

Natashia

et al. 2022

Journal of Advanced Nursing

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“…Phase 1 consisted of adapting the PDI-Mx previously validated in Mexican patients with cancer [22] to Mexican patients with RMDs, followed by its validity and reliability. The PDI-Mx is a validated Mexican cancer patients' version of the original PDI, developed in Canadian patients with cancer (Please refer to the S2 Appendix "Original Patient Dignity Inventory").…”

Section: Methodsmentioning

confidence: 99%

“…There is a Mexican version (PDI-Mx) validated in 290 patients with cancer, integrated with 25 items; each one is scored on a five-point Likert scale. The 25 items are distributed into four factors (loss of meaning in life, anxiety and loss of autonomy, dependency, and social support), accounting for 64.7% of the total variance [22].…”

Section: Introductionmentioning

confidence: 99%

Perceived dignity is an unrecognized source of emotional distress in patients with rheumatic diseases: Results from the validation of the Mexican version of the Patient Dignity Inventory

Pascual-Ramos,

Contreras-Yáñez,

Cuevas-Montoya

et al. 2023

PLoS ONE

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Introduction Dignity has rarely been explored in patients with rheumatic diseases (RMDs), which contrasts with patients´ observations that dignity is a relevant area for research focus. The study’s primary objective was to adapt and validate the Mexican version of the Patient Dignity Inventory (PDI-Mx) in patients with RMDs, and to estimate the proportion of patients with distress related to perceived dignity (DPD) assessed with the PDI-Mx. Methods This cross-sectional study was developed in 2 phases. Phase 1 consisted of pilot testing and questionnaire feasibility (n = 50 patients), PDI-Mx content validity (experts’ agreement), construct validity (exploratory factor analysis), discriminant validity (Heterotrait-Monotrait correlations’ rate [HTMT]), criterion validity (Spearman correlations) and PDI-Mx reliability with internal consistency (Cronbach’s alpha) and test-retest (intra-class correlation coefficients [ICC]) in 220 additional outpatients (among whom 30 underwent test-retest). Phase 2 consisted of quantifying DPD (PDI-Mx cut-off ≥54.4) in 290 outpatients with RMDs. Results Overall, patients were representative of typical outpatients with RMDs from a National tertiary care level center. The 25-item PDI-Mx was found feasible, valid (experts’ agreement ≥82%; a 4-factor structure accounted for 68.7% of the total variance; HTMT = 0.608; the strength of the correlations was moderate to high between the PDI-Mx, the Depression, Anxiety, and Stress scale dimensions scores, and the Health Assessment Questionnaire Disability Index score) and reliable (Cronbach’s ɑ = 0.962, ICC = 0.939 [95%CI = 0.913–0.961]). DPD was present in 78 patients (26.9%). Conclusions The PDI-Mx questionnaire showed good psychometric properties for assessing DPD in our population. Perceived dignity in patients with RMDs might be an unrecognized source of emotional distress.

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“…The Patient Dignity Inventory (PDI) was used to assess patients' perception of dignity and the European Organization for Research and Treatment of Cancer quality of life questionnaire (QLQ-30) to assess QoL. All instruments have been validated in Mexican populations (all Cronbach's alpha >0.85) (Zigmond and Snaith, 1983;Aaronson et al, 1993;NCCN, 2003;Almanza et al, 2008;Oñate-Ocaña et al, 2009;Galindo Vázquez et al, 2015;Chochinov et al, 2008;Rodríguez-Mayoral et al, 2021). Single-item questionnaires (Wilson et al, 2000) on an ordinal scale (0-6) for dignity and hopelessness were applied to briefly assess these constructs.…”

Section: Methodsmentioning

confidence: 99%

Dignity therapy in Mexican lung cancer patients with emotional distress: Impact on psychological symptoms and quality of life

et al. 2021

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Lung cancer (LC) is the most frequent and deadly neoplasm in the world, and patients have shown a tendency to have more emotional distress than other cancer populations. Dignity Therapy (DT) is a brief intervention aimed to improve emotional well-being in patients facing life-threatening illness. Objective To analyze the effect of DT on anxiety, depression, hopelessness, emotional distress, dignity-related distress, and quality of life (QoL) in a group of Mexican patients with stage IV LC undergoing active medical treatment with baseline emotional distress. Method In this preliminary pretest–posttest study, patients received three sessions of DT and were evaluated with the HADS, Distress Thermometer, Patient Dignity Inventory, single-item questions, and QLQ-30. Results In total, 24 out of 29 patients completed the intervention. Statistically significant improvements were found in anxiety, depression, emotional distress, hopelessness, and dignity-related distress with large effect sizes. Patients reported that DT helped them, increased their meaning and purpose in life, their sense of dignity, and their will to live, while it decreased their suffering. No changes were found in QoL. Significance of results DT was well accepted and effective in improving the emotional symptoms of LC patients with distress that were undergoing medical treatment. Although more research is warranted to confirm these results, this suggests that DT can be used in the context of Latin-American patients.

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Validation of the Patient Dignity Inventory in Mexican Cancer Patients

Cited by 3 publications

References 27 publications

Self‐report instruments for measuring patient dignity: A psychometric systematic review

Self‐report instruments for measuring patient dignity: A psychometric systematic review

Perceived dignity is an unrecognized source of emotional distress in patients with rheumatic diseases: Results from the validation of the Mexican version of the Patient Dignity Inventory

Dignity therapy in Mexican lung cancer patients with emotional distress: Impact on psychological symptoms and quality of life

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