Measuring Attitudes About End-of-Life Care: Evaluation of a Modified Version of the Hospice Philosophy Scale

Dussen, Daniel J. Van; Cagle, John G.; Plant, Amy; Hong, Seokho; Culler, Krystal L.; Carrion, Iraida V.

doi:10.1177/0733464818774640

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…Practitioners may also benefit from administering tools such as the Hospice Philosophy Scale, which measures attitudes about end-of-life preferences and has been validated (Van Dussen et al, 2020). The use of technology to engage minority populations in advance care planning has also been explored, with researchers finding that a simple website allowing older adults to document their wishes increased advance care planning (Sudore et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Examining Racial Differences in the Informal Discussion of Advance Care Planning Among Older Adults: Application of the Andersen Model of Health Care Utilization

2021

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Objectives: The purpose of this study was to examine racial differences in the discussion of advance care planning among older adults using Andersen’s behavioral model of health care utilization. Method: This cross-sectional study utilized data from the 2018 National Health and Aging Trends Study. Weighted multivariable logistic regressions were used to predict advance care planning discussion ( n = 1,326). Results: After accounting for predisposing, enabling, and need factors, Black older adults were less likely to discuss end-of-life care (odds ratio [OR] = .527) and medical power of attorney (OR = .531) compared with Whites. Hispanic older adults were also less likely to discuss end-of-life care (OR = .389) and power of attorney (OR = .384) compared with Whites. Discussion: These results point to significant racial disparities in advance care planning discussions among older adults and call for future examinations of cultural, historical, and systemic factors that could influence the discussion of advance care planning among this population.

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Section: Discussionmentioning

confidence: 99%

Examining Racial Differences in the Informal Discussion of Advance Care Planning Among Older Adults: Application of the Andersen Model of Health Care Utilization

2021

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“…17 It has been reported that individuals who are familiar with hospice have an increased sense of importance for the service. 18 Furthermore, this work has suggested that more education is needed to improve individuals' perceptions of hospice and palliative care. 19 Based on the gaps in prior research, the objective in this study is to determine if having a conversation about advanced care planning and EOL care can affect the veteran's decision for EOL care.…”

Section: Introductionmentioning

confidence: 99%

Veteran’s Attitudes and Knowledge of End-of-Life Care: A Pilot Study Using a Mixed Methods Approach

Van Dussen,

Coyne,

Ward

2023

Am J Hosp Palliat Care

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Veterans make up a quarter of the deaths in the United States (US). However, little is known about their knowledge and preferences about end-of-life care and pain management. Given this, we were interested in how veterans’ military experiences impact their end-of-life experiences and attitudes. Our exploratory study addressed the knowledge and perceptions of hospice and pain management at the end of life. The quantitative aspect was a survey using descriptive statistics that used a small (n = 14) subgroup from a randomly selected sample in the continental US. A small population-based sample (N = 123) used a blended sampling frame of randomly selected validated cell phone and landline numbers. The qualitative aspect examined eight targeted interviews of urban dwelling older veterans over age 60 residing in Northeast Ohio to get a deeper understanding of their knowledge and attitudes toward end-of-life care. Our findings suggest that veterans did not understand the difference between hospice and palliative care and expressed concerns regarding pain medication use at the end of life. Future research examining the concept of stoicism at the end of life among veterans and educational interventions are needed.

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“…13 Within the field of Hospice and Palliative care, few instruments exist that assess psychosocial constructs among providers (Table 1). [14][15][16][17][18][19][20][21][22] Except for a survey instrument developed and validated among non-emergency providers by Bradley and colleagues, 23,24 no survey instrument directly measures emergency providers' knowledge and attitudes towards hospice and palliative care. Re-validating an existing survey instrument among emergency providers, therefore, becomes important to ensure psychometric measurement equivalence 25 since knowledge and attitude towards hospice and palliative care may differ across medical and surgical specialities.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Attitudes Toward Hospice and Palliative Care: Instrument Validation Among Emergency Providers

Adeyemi

Bouillon‐Minois

Siman

et al. 2022

Am J Hosp Palliat Care

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Background: Emergency providers can engage in goals of care discussions and hospice and palliative care referrals. Little is known about their knowledge and attitudes, which may influence these care practices. Objective: This study aims to re-validate the knowledge and attitude towards hospice and palliative care (KAHP) scale and assess the scale’s latent constructs among emergency providers. Methods: The scale consists of ten items measured on a five-point Likert scale. Five of the ten items were reverse scored. Content validation was performed by ten experts in Hospice and Palliative Medicine and Emergency Medicine. Baseline surveys of emergency physicians, advance practice providers, and nurses conducted in the context of a pragmatic, randomized control trial were used for the item analysis and the exploratory and confirmatory factor analyses. Results: The KAHP scale is a ten-item scale scored from 10 to 50. Based on the synthesis of content validation results and the item analysis, all ten items were retained. The item and scale Content Validity Index were each .91. The reliability of the scale was .64 and the exploratory factor analysis identified three underlying constructs defined as self-rated knowledge, support for hospice and palliative care practice, and views on provider-patient communication. The presence of good model fit indices supported the structural integrity of the constructs. Conclusion: We present a validated instrument that is suitable for assessing knowledge and attitude variations toward interventions designed to improve hospice and palliative care practice among emergency providers.

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Measuring Attitudes About End-of-Life Care: Evaluation of a Modified Version of the Hospice Philosophy Scale

Cited by 5 publications

References 18 publications

Examining Racial Differences in the Informal Discussion of Advance Care Planning Among Older Adults: Application of the Andersen Model of Health Care Utilization

Examining Racial Differences in the Informal Discussion of Advance Care Planning Among Older Adults: Application of the Andersen Model of Health Care Utilization

Veteran’s Attitudes and Knowledge of End-of-Life Care: A Pilot Study Using a Mixed Methods Approach

Knowledge and Attitudes Toward Hospice and Palliative Care: Instrument Validation Among Emergency Providers

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