Development and Psychometric Properties of the General Public's Attitudes toward Advance Care Directives Scale in Portugal

Laranjeira, Carlos; Dixe, Maria dos Anjos; Gueifão, Luís; Caetano, Lina; Passadouro, Rui; Gabriel, Tiago; Querido, Ana

doi:10.4081/jphr.2021.1881

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…The scale had a fourfactor structure: 'autonomy and dignity of the person at the EOL', 'EOL decision-making', 'application of ACD', and 'perception of the EOL'. This scale was originally developed by Laranjeira et al [25] and has a good reliability and validity. The Cronbach α of the GPATACD measure used in this current study was 0.848.…”

Section: Instrumentsmentioning

confidence: 99%

Awareness and Attitudes towards Advance Care Directives (ACDs): An Online Survey of Portuguese Adults

et al. 2021

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(1) Background: Evidence shows that facilitated advance decisions can increase the number of meaningful and valid Advance Care Directives (ACDs) and improve the quality of care when End-Of-Life (EOL) is near. Little is known about the awareness and attitudes of Portuguese adults towards ACDs. The present study aims to assess the knowledge, attitudes, and preferences of a sample of Portuguese adults regarding EOL care decisions and ACDs. (2) Methods: A total of 1024 adults were assessed with an online cross-sectional survey collecting information on sociodemographic factors, knowledge, attitudes and preferences regarding advance decisions and EOL care. (3) Results: Participants had a mean age of 40.28 ± 11.41 years. Most were female and had a professional background related to healthcare. While 76.37% of participants had heard of ACDs, only a small percentage (2.34%) had actually ever made an ACD. Knowledge levels were weakly correlated with attitudes regarding ACDs (r = −0.344; p < 0.01). (4) Conclusions: Participants lacked a comprehensive understanding about ACDs, but revealed positive attitudes towards their use and usefulness. Further research can inform efforts to improve ACD engagement in this population. The discussion about ACDs should be part of health promotion education with a focus on planning for a comfortable and peaceful death.

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Section: Instrumentsmentioning

confidence: 99%

Awareness and Attitudes towards Advance Care Directives (ACDs): An Online Survey of Portuguese Adults

et al. 2021

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“…The researchers requested authorization to use the General Public Attitudes Toward Advance Care Directives Scale (GPATACD) from the authors who validated it for the Portuguese population [ 34 ]. The authors of the scale’s validation obtained a Cronbach’s alpha of 0.848, indicating adequate internal consistency.…”

Section: Methodsmentioning

confidence: 99%

“…6,7,10,12); F3 - decision-making at the end of life (groups together statements no. 6,7,10,12,13,16,17 and 19); F3 - application of ADs (statements 3,4,5,14,20 and 23); and F4 - perceptions about the end of life (statements 21,22,24 25 and 26) [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

Attitudes of the Portuguese population towards advance directives: an online survey

Macedo,

Castro,

Nunes

2024

BMC Med Ethics

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Background Advance directives (ADs) were implemented in Portugal in 2012. Although more than a decade has passed since Law 25/2012 came into force, Portuguese people have very low levels of adherence. In this context, this study aimed to identify and analyse the attitudes of people aged 18 or older living in Portugal towards ADs and to determine the relationships between sociodemographic variables (gender/marital status/religion/level of education/residence/whether they were a health professional/whether they had already drawn up a living will) and people’s attitudes towards ADs. Methods An online cross-sectional analytical study was conducted using a convenience sample. For this purpose, a request (email) that publicized the link to a –form—which included sociodemographic data and the General Public Attitudes Toward Advance Care Directives (GPATACD) scale—was sent to 28 higher education institutions and 30 senior universities, covering all of mainland Portugal and the islands (Azores and Madeira). The data were collected between January and February 2023. Results A total of 950 adults from completed the online form. The lower scores (mean 1 and 2) obtained in most responses by applying the GPATACD scale show that the sample of the Portuguese population has a very positive attitude towards ADs. The data showed that women, agnostics/atheists, health professionals and those who had already made a living will had more positive attitudes (p < 0.001) towards ADs. There were no statistically significant differences in the attitudes of the Portuguese population sample towards ADs in relation to marital status, education level, and residence. Conclusion The results obtained enable us to confirm that this sample of the Portuguese population has a positive attitude towards ADs. We verify that there are certain fringes of this sample with certain sociodemographic characteristics (women, agnostics/atheists, health professionals and those who had already made a living will) that have a more positive attitude towards ADs. This data could facilitate the implementation and adjustment of relevant measures, particularly in the field of health education and aimed at groups with less favourable attitudes, to increase the effectiveness of voluntary exercise of citizens’ autonomy in end-of-life care planning.

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Development and Psychometric Properties of the General Public's Attitudes toward Advance Care Directives Scale in Portugal

Cited by 2 publications

References 28 publications

Awareness and Attitudes towards Advance Care Directives (ACDs): An Online Survey of Portuguese Adults

Awareness and Attitudes towards Advance Care Directives (ACDs): An Online Survey of Portuguese Adults

Attitudes of the Portuguese population towards advance directives: an online survey

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