@article{f04bf9c3d04e40eca696764aa3eb7728,
title = "Reliability and Validity of the Traditional Chinese Version of the Advance Care Planning Engagement Survey: A Pilot Evaluation in Taiwanese Outpatients",
abstract = "Objective: The Advance Care Planning Engagement Survey (ACP-ES) has proven effective in evaluating individuals{\textquoteright} engagement in advance care planning (ACP). However, a Traditional Chinese version of ACP-ES (ACPES-TC) has not yet been developed. Therefore, this study aimed to translate and preliminarily validate the ACPES-TC in the Taiwanese context. Material and Methods: A forward and backward translation process was conducted. The translated questionnaire was confirmed by clinical and academic experts. The ACPES-TC was then evaluated for its reliability and validity with participants in the community and from an outpatient clinic in a medical center in Northern Taiwan. The participants comprised healthy people aged 20 to 30 years and patients ≥55 years old, recruited from September 17 to October 28, 2019. Results: Seventy people were recruited, including 20 people aged 20 to 30 years in the community and 50 patients ≥ 55 years old from clinics. The ACPES-TC scores are significantly higher among those of older age, having financial independence, and under long-term medication (p <.05). The patients{\textquoteright} preference for health-related decision-making is significantly correlated with the ACPES-TC score; the point-biserial correlation coefficient is 0.46 (p <.001). The discriminant and criterion-related validities are verified. The ACPES-TC demonstrated a good internal consistency (Cronbach's α.97), acceptable one-week test-retest reliability (overall intraclass correlation coefficient 0.86), and low practice effect between the test and retest (Cohen's d.43). Conclusion: The overall reliability and validity of the ACPES-TC are fair, which could be used to evaluate the patients{\textquoteright} engagement in ACP in Taiwan. However, further studies with a full-scale psychometric evaluation are needed.",
keywords = "advance care planning, cross-cultural, patients{\textquoteright} autonomy, patients{\textquoteright} right to autonomy act, reliability, survey development, Taiwan, validity",
author = "Wei, {Fang Chun} and Hsu, {Chieh Kuan} and Wu, {Yu Lin} and Liao, {Jung Yu} and Huang, {Chi Hsien} and Hsiung, {Chao Agnes} and Yu, {Sang Ju} and Lin, {Cheng Pei} and Chen, {Ping Jen}",
note = "Publisher Copyright: {\textcopyright} The Author(s) 2021.",
year = "2022",
month = jul,
doi = "10.1177/08258597211051208",
language = "English",
volume = "37",
pages = "273--279",
journal = "Journal of Palliative Care",
issn = "0825-8597",
publisher = "SAGE Publications Inc.",
number = "3",
}