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Measuring relatives’ perceptions of end-of-life communication with physicians in five countries: a psychometric analysis

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Measuring relatives’ perceptions of end-of-life communication with physicians in five countries: a psychometric analysis. / Koniewski, M.; Barańska, I.; Kijowska, V. et al.
In: European Journal of Ageing, Vol. 19, No. 4, 31.12.2022, p. 1561-1570.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Koniewski, M, Barańska, I, Kijowska, V, van der Steen, JT, Wichmann, AB, Payne, S, Gambassi, G, Van Den Noortgate, N, Finne-Soveri, H, Smets, T, Van den Block, L, Szczerbińska, K & project, PACE 2022, 'Measuring relatives’ perceptions of end-of-life communication with physicians in five countries: a psychometric analysis', European Journal of Ageing, vol. 19, no. 4, pp. 1561-1570. https://doi.org/10.1007/s10433-022-00742-x

APA

Koniewski, M., Barańska, I., Kijowska, V., van der Steen, J. T., Wichmann, A. B., Payne, S., Gambassi, G., Van Den Noortgate, N., Finne-Soveri, H., Smets, T., Van den Block, L., Szczerbińska, K., & project, PACE. (2022). Measuring relatives’ perceptions of end-of-life communication with physicians in five countries: a psychometric analysis. European Journal of Ageing, 19(4), 1561-1570. https://doi.org/10.1007/s10433-022-00742-x

Vancouver

Koniewski M, Barańska I, Kijowska V, van der Steen JT, Wichmann AB, Payne S et al. Measuring relatives’ perceptions of end-of-life communication with physicians in five countries: a psychometric analysis. European Journal of Ageing. 2022 Dec 31;19(4):1561-1570. Epub 2022 Nov 13. doi: 10.1007/s10433-022-00742-x

Author

Koniewski, M. ; Barańska, I. ; Kijowska, V. et al. / Measuring relatives’ perceptions of end-of-life communication with physicians in five countries : a psychometric analysis. In: European Journal of Ageing. 2022 ; Vol. 19, No. 4. pp. 1561-1570.

Bibtex

@article{45ce001375804129b59f1f203bf90fcf,
title = "Measuring relatives{\textquoteright} perceptions of end-of-life communication with physicians in five countries: a psychometric analysis",
abstract = "The Family Perceptions of Physician-Family Caregiver Communication scale (FPPFC) was developed to assess quality of physician-family end-of-life communication in nursing homes. However, its validity has been tested only in the USA and the Netherlands. The aim of this paper is to evaluate the FPPFC construct validity and its reliability, as well as the psychometric characteristics of the items comprising the scale. Data were collected in cross-sectional study in Belgium, Finland, Italy, the Netherlands and Poland. The factorial structure was tested in confirmatory factor analysis. Item parameters were obtained using an item response theory model. Participants were 737 relatives of nursing home residents who died up to 3 months prior to the study. In general, the FPPFC scale proved to be a unidimensional and reliable measure of the perceived quality of physician-family communication in nursing home settings in all five countries. Nevertheless, we found unsatisfactory fit to the data with a confirmatory model. An item that referred to advance care planning performed less well in Poland and Italy than in the Northern European countries. In the item analysis, we found that with no loss of reliability and with increased coherency of the item content across countries, the full 7-item version can be shortened to a 4-item version, which may be more appropriate for international studies. Therefore, we recommend use of the brief 4-item FPPFC version by nursing home managers and professionals as an evaluation tool, and by researchers for their studies as these four items confer the same meaning across countries.",
keywords = "Cross-sectional Study, Family caregivers, Nursing home, Physician–patient relation, Terminal care, Validation study",
author = "M. Koniewski and I. Bara{\'n}ska and V. Kijowska and {van der Steen}, J.T. and A.B. Wichmann and S. Payne and G. Gambassi and {Van Den Noortgate}, N. and H. Finne-Soveri and T. Smets and {Van den Block}, L. and K. Szczerbi{\'n}ska and PACE project",
year = "2022",
month = dec,
day = "31",
doi = "10.1007/s10433-022-00742-x",
language = "English",
volume = "19",
pages = "1561--1570",
journal = "European Journal of Ageing",
number = "4",

}

RIS

TY - JOUR

T1 - Measuring relatives’ perceptions of end-of-life communication with physicians in five countries

T2 - a psychometric analysis

AU - Koniewski, M.

AU - Barańska, I.

AU - Kijowska, V.

AU - van der Steen, J.T.

AU - Wichmann, A.B.

AU - Payne, S.

AU - Gambassi, G.

AU - Van Den Noortgate, N.

AU - Finne-Soveri, H.

AU - Smets, T.

AU - Van den Block, L.

AU - Szczerbińska, K.

AU - project, PACE

PY - 2022/12/31

Y1 - 2022/12/31

N2 - The Family Perceptions of Physician-Family Caregiver Communication scale (FPPFC) was developed to assess quality of physician-family end-of-life communication in nursing homes. However, its validity has been tested only in the USA and the Netherlands. The aim of this paper is to evaluate the FPPFC construct validity and its reliability, as well as the psychometric characteristics of the items comprising the scale. Data were collected in cross-sectional study in Belgium, Finland, Italy, the Netherlands and Poland. The factorial structure was tested in confirmatory factor analysis. Item parameters were obtained using an item response theory model. Participants were 737 relatives of nursing home residents who died up to 3 months prior to the study. In general, the FPPFC scale proved to be a unidimensional and reliable measure of the perceived quality of physician-family communication in nursing home settings in all five countries. Nevertheless, we found unsatisfactory fit to the data with a confirmatory model. An item that referred to advance care planning performed less well in Poland and Italy than in the Northern European countries. In the item analysis, we found that with no loss of reliability and with increased coherency of the item content across countries, the full 7-item version can be shortened to a 4-item version, which may be more appropriate for international studies. Therefore, we recommend use of the brief 4-item FPPFC version by nursing home managers and professionals as an evaluation tool, and by researchers for their studies as these four items confer the same meaning across countries.

AB - The Family Perceptions of Physician-Family Caregiver Communication scale (FPPFC) was developed to assess quality of physician-family end-of-life communication in nursing homes. However, its validity has been tested only in the USA and the Netherlands. The aim of this paper is to evaluate the FPPFC construct validity and its reliability, as well as the psychometric characteristics of the items comprising the scale. Data were collected in cross-sectional study in Belgium, Finland, Italy, the Netherlands and Poland. The factorial structure was tested in confirmatory factor analysis. Item parameters were obtained using an item response theory model. Participants were 737 relatives of nursing home residents who died up to 3 months prior to the study. In general, the FPPFC scale proved to be a unidimensional and reliable measure of the perceived quality of physician-family communication in nursing home settings in all five countries. Nevertheless, we found unsatisfactory fit to the data with a confirmatory model. An item that referred to advance care planning performed less well in Poland and Italy than in the Northern European countries. In the item analysis, we found that with no loss of reliability and with increased coherency of the item content across countries, the full 7-item version can be shortened to a 4-item version, which may be more appropriate for international studies. Therefore, we recommend use of the brief 4-item FPPFC version by nursing home managers and professionals as an evaluation tool, and by researchers for their studies as these four items confer the same meaning across countries.

KW - Cross-sectional Study

KW - Family caregivers

KW - Nursing home

KW - Physician–patient relation

KW - Terminal care

KW - Validation study

U2 - 10.1007/s10433-022-00742-x

DO - 10.1007/s10433-022-00742-x

M3 - Journal article

C2 - 36506660

VL - 19

SP - 1561

EP - 1570

JO - European Journal of Ageing

JF - European Journal of Ageing

IS - 4

ER -