Promoting advance care planning as health behavior change: Development of scales to assess Decisional Balance, Medical and Religious Beliefs, and Processes of Change
Abstract Objective To develop measures representing key constructs of the Transtheoretical Model (TTM) of behavior change as applied to advance care planning (ACP) and to examine whether associations between these measures replicate the relationships posited by the TTM. Methods Sequential scale deve...
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| Veröffentlicht in: | Patient education and counseling 2012-01, Vol.86 (1), p.25-32 |
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| creator | Fried, Terri R Redding, Colleen A Robbins, Mark L Paiva, Andrea O’Leary, John R Iannone, Lynne |
| description | Abstract Objective To develop measures representing key constructs of the Transtheoretical Model (TTM) of behavior change as applied to advance care planning (ACP) and to examine whether associations between these measures replicate the relationships posited by the TTM. Methods Sequential scale development techniques were used to develop measures for Decisional Balance (Pros and Cons of behavior change), ACP Values/Beliefs (religious beliefs and medical misconceptions serving as barriers to participation), Processes of Change (behavioral and cognitive processes used to foster participation) based on responses of 304 persons age ≥ 65 years. Results Items for each scale/subscale demonstrated high factor loading (>.5) and good to excellent internal consistency (Cronbach α .76–.93). Results of MANOVA examining scores on the Pros, Cons, ACP Values/Beliefs, and POC subscales by stage of change for each of the six behaviors were significant, Wilks’ λ = .555–.809, η2 = .068–.178, p ≤ .001 for all models. Conclusion Core constructs of the TTM as applied to ACP can be measured with high reliability and validity. Practice implications Cross-sectional relationships between these constructs and stage of behavior change support the use of TTM-tailored interventions to change perceptions of the Pros and Cons of participation in ACP and promote the use of certain Processes of Change in order to promote older persons’ engagement in ACP. |
| doi_str_mv | 10.1016/j.pec.2011.04.035 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3192927</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0738399111002230</els_id><sourcerecordid>925741029</sourcerecordid><originalsourceid>FETCH-LOGICAL-c600t-2530a55295d4b12d293c35206cb96101470b652b804d104345d8703e59d488c93</originalsourceid><addsrcrecordid>eNqFkttuEzEQhlcIRNPCA3CDfIPoRRPGhz24SJVoOEpFIA7Xltc7SRw262BvIvWBeE9mk1AOF-XKlv3N7_k9f5Y94jDhwItny8ka3UQA5xNQE5D5nWzEq1KOcy7V3WwEpazGUmt-lB2ntASAolD8fnYkeKk412qU_fgYwyr0vpsz22xt55A5G5GtW9t1u9PEFmjbfsFqXNitD5G5he3meM5e4hbbsF5h17MwY8nZFhPrA9UkTInunU8-dLZll7YdtM_Ye2w8ccx2DfuErZ_7sEnsknY4S2e7Y-rI4aAwiE53bz3I7s1sm_DhYT3Jvr5-9WX6dnz14c276YursSsA-rHIJdg8FzpvVM1FI7R0MhdQuFoX9GOqhLrIRV2BajgoqfKmKkFirhtVVU7Lk-xir7ve1CtsHDmLtjXr6Fc2Xptgvfn7pvMLMw9bI7kWWpQk8PQgEMP3DaberHxy2JJ7JKNGi5x-HoT-P8kFh1IBJ_L0VpLklAAtq4JQvkddDClFnN20zsEMkTFLQ5ExQ2QMKEORoZrHf3q-qfiVEQKeHAA7jHgWaZI-_eYqgCFvxD3fc0gT2nqMJjmPNPXGR3S9aYK_tY2Lf6pd67shK9_wGtMybCIFidyaJAyYz0O2h2hzDiCEBPkT3lHzXw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1024209386</pqid></control><display><type>article</type><title>Promoting advance care planning as health behavior change: Development of scales to assess Decisional Balance, Medical and Religious Beliefs, and Processes of Change</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Fried, Terri R ; Redding, Colleen A ; Robbins, Mark L ; Paiva, Andrea ; O’Leary, John R ; Iannone, Lynne</creator><creatorcontrib>Fried, Terri R ; Redding, Colleen A ; Robbins, Mark L ; Paiva, Andrea ; O’Leary, John R ; Iannone, Lynne</creatorcontrib><description>Abstract Objective To develop measures representing key constructs of the Transtheoretical Model (TTM) of behavior change as applied to advance care planning (ACP) and to examine whether associations between these measures replicate the relationships posited by the TTM. Methods Sequential scale development techniques were used to develop measures for Decisional Balance (Pros and Cons of behavior change), ACP Values/Beliefs (religious beliefs and medical misconceptions serving as barriers to participation), Processes of Change (behavioral and cognitive processes used to foster participation) based on responses of 304 persons age ≥ 65 years. Results Items for each scale/subscale demonstrated high factor loading (>.5) and good to excellent internal consistency (Cronbach α .76–.93). Results of MANOVA examining scores on the Pros, Cons, ACP Values/Beliefs, and POC subscales by stage of change for each of the six behaviors were significant, Wilks’ λ = .555–.809, η2 = .068–.178, p ≤ .001 for all models. Conclusion Core constructs of the TTM as applied to ACP can be measured with high reliability and validity. Practice implications Cross-sectional relationships between these constructs and stage of behavior change support the use of TTM-tailored interventions to change perceptions of the Pros and Cons of participation in ACP and promote the use of certain Processes of Change in order to promote older persons’ engagement in ACP.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2011.04.035</identifier><identifier>PMID: 21741194</identifier><language>eng</language><publisher>Oxford: Elsevier Ireland Ltd</publisher><subject>Advance Care Planning ; Aged ; Analysis of Variance ; Attitude to Death ; Behavioural changes ; Biological and medical sciences ; Care management ; Cognitive processes ; Cross-Sectional Studies ; Decision Making ; Female ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Health Promotion ; Humans ; Internal Medicine ; Male ; Medical sciences ; Miscellaneous ; Models, Psychological ; Nursing ; Pilot Projects ; Principal Component Analysis ; Psychometrics - methods ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Reliability ; Religion ; Religious beliefs ; Transtheoretical model</subject><ispartof>Patient education and counseling, 2012-01, Vol.86 (1), p.25-32</ispartof><rights>2011</rights><rights>Published by Elsevier Ireland Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c600t-2530a55295d4b12d293c35206cb96101470b652b804d104345d8703e59d488c93</citedby><cites>FETCH-LOGICAL-c600t-2530a55295d4b12d293c35206cb96101470b652b804d104345d8703e59d488c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0738399111002230$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,30977,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28005134$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21741194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fried, Terri R</creatorcontrib><creatorcontrib>Redding, Colleen A</creatorcontrib><creatorcontrib>Robbins, Mark L</creatorcontrib><creatorcontrib>Paiva, Andrea</creatorcontrib><creatorcontrib>O’Leary, John R</creatorcontrib><creatorcontrib>Iannone, Lynne</creatorcontrib><title>Promoting advance care planning as health behavior change: Development of scales to assess Decisional Balance, Medical and Religious Beliefs, and Processes of Change</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>Abstract Objective To develop measures representing key constructs of the Transtheoretical Model (TTM) of behavior change as applied to advance care planning (ACP) and to examine whether associations between these measures replicate the relationships posited by the TTM. Methods Sequential scale development techniques were used to develop measures for Decisional Balance (Pros and Cons of behavior change), ACP Values/Beliefs (religious beliefs and medical misconceptions serving as barriers to participation), Processes of Change (behavioral and cognitive processes used to foster participation) based on responses of 304 persons age ≥ 65 years. Results Items for each scale/subscale demonstrated high factor loading (>.5) and good to excellent internal consistency (Cronbach α .76–.93). Results of MANOVA examining scores on the Pros, Cons, ACP Values/Beliefs, and POC subscales by stage of change for each of the six behaviors were significant, Wilks’ λ = .555–.809, η2 = .068–.178, p ≤ .001 for all models. Conclusion Core constructs of the TTM as applied to ACP can be measured with high reliability and validity. Practice implications Cross-sectional relationships between these constructs and stage of behavior change support the use of TTM-tailored interventions to change perceptions of the Pros and Cons of participation in ACP and promote the use of certain Processes of Change in order to promote older persons’ engagement in ACP.</description><subject>Advance Care Planning</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Attitude to Death</subject><subject>Behavioural changes</subject><subject>Biological and medical sciences</subject><subject>Care management</subject><subject>Cognitive processes</subject><subject>Cross-Sectional Studies</subject><subject>Decision Making</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Models, Psychological</subject><subject>Nursing</subject><subject>Pilot Projects</subject><subject>Principal Component Analysis</subject><subject>Psychometrics - methods</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Reliability</subject><subject>Religion</subject><subject>Religious beliefs</subject><subject>Transtheoretical model</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkttuEzEQhlcIRNPCA3CDfIPoRRPGhz24SJVoOEpFIA7Xltc7SRw262BvIvWBeE9mk1AOF-XKlv3N7_k9f5Y94jDhwItny8ka3UQA5xNQE5D5nWzEq1KOcy7V3WwEpazGUmt-lB2ntASAolD8fnYkeKk412qU_fgYwyr0vpsz22xt55A5G5GtW9t1u9PEFmjbfsFqXNitD5G5he3meM5e4hbbsF5h17MwY8nZFhPrA9UkTInunU8-dLZll7YdtM_Ye2w8ccx2DfuErZ_7sEnsknY4S2e7Y-rI4aAwiE53bz3I7s1sm_DhYT3Jvr5-9WX6dnz14c276YursSsA-rHIJdg8FzpvVM1FI7R0MhdQuFoX9GOqhLrIRV2BajgoqfKmKkFirhtVVU7Lk-xir7ve1CtsHDmLtjXr6Fc2Xptgvfn7pvMLMw9bI7kWWpQk8PQgEMP3DaberHxy2JJ7JKNGi5x-HoT-P8kFh1IBJ_L0VpLklAAtq4JQvkddDClFnN20zsEMkTFLQ5ExQ2QMKEORoZrHf3q-qfiVEQKeHAA7jHgWaZI-_eYqgCFvxD3fc0gT2nqMJjmPNPXGR3S9aYK_tY2Lf6pd67shK9_wGtMybCIFidyaJAyYz0O2h2hzDiCEBPkT3lHzXw</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Fried, Terri R</creator><creator>Redding, Colleen A</creator><creator>Robbins, Mark L</creator><creator>Paiva, Andrea</creator><creator>O’Leary, John R</creator><creator>Iannone, Lynne</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7X8</scope><scope>7QJ</scope><scope>5PM</scope></search><sort><creationdate>20120101</creationdate><title>Promoting advance care planning as health behavior change: Development of scales to assess Decisional Balance, Medical and Religious Beliefs, and Processes of Change</title><author>Fried, Terri R ; Redding, Colleen A ; Robbins, Mark L ; Paiva, Andrea ; O’Leary, John R ; Iannone, Lynne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c600t-2530a55295d4b12d293c35206cb96101470b652b804d104345d8703e59d488c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Advance Care Planning</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Attitude to Death</topic><topic>Behavioural changes</topic><topic>Biological and medical sciences</topic><topic>Care management</topic><topic>Cognitive processes</topic><topic>Cross-Sectional Studies</topic><topic>Decision Making</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Promotion</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Models, Psychological</topic><topic>Nursing</topic><topic>Pilot Projects</topic><topic>Principal Component Analysis</topic><topic>Psychometrics - methods</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Reliability</topic><topic>Religion</topic><topic>Religious beliefs</topic><topic>Transtheoretical model</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fried, Terri R</creatorcontrib><creatorcontrib>Redding, Colleen A</creatorcontrib><creatorcontrib>Robbins, Mark L</creatorcontrib><creatorcontrib>Paiva, Andrea</creatorcontrib><creatorcontrib>O’Leary, John R</creatorcontrib><creatorcontrib>Iannone, Lynne</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fried, Terri R</au><au>Redding, Colleen A</au><au>Robbins, Mark L</au><au>Paiva, Andrea</au><au>O’Leary, John R</au><au>Iannone, Lynne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Promoting advance care planning as health behavior change: Development of scales to assess Decisional Balance, Medical and Religious Beliefs, and Processes of Change</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>86</volume><issue>1</issue><spage>25</spage><epage>32</epage><pages>25-32</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>Abstract Objective To develop measures representing key constructs of the Transtheoretical Model (TTM) of behavior change as applied to advance care planning (ACP) and to examine whether associations between these measures replicate the relationships posited by the TTM. Methods Sequential scale development techniques were used to develop measures for Decisional Balance (Pros and Cons of behavior change), ACP Values/Beliefs (religious beliefs and medical misconceptions serving as barriers to participation), Processes of Change (behavioral and cognitive processes used to foster participation) based on responses of 304 persons age ≥ 65 years. Results Items for each scale/subscale demonstrated high factor loading (>.5) and good to excellent internal consistency (Cronbach α .76–.93). Results of MANOVA examining scores on the Pros, Cons, ACP Values/Beliefs, and POC subscales by stage of change for each of the six behaviors were significant, Wilks’ λ = .555–.809, η2 = .068–.178, p ≤ .001 for all models. Conclusion Core constructs of the TTM as applied to ACP can be measured with high reliability and validity. Practice implications Cross-sectional relationships between these constructs and stage of behavior change support the use of TTM-tailored interventions to change perceptions of the Pros and Cons of participation in ACP and promote the use of certain Processes of Change in order to promote older persons’ engagement in ACP.</abstract><cop>Oxford</cop><pub>Elsevier Ireland Ltd</pub><pmid>21741194</pmid><doi>10.1016/j.pec.2011.04.035</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Advance Care Planning Aged Analysis of Variance Attitude to Death Behavioural changes Biological and medical sciences Care management Cognitive processes Cross-Sectional Studies Decision Making Female Health Behavior Health Knowledge, Attitudes, Practice Health Promotion Humans Internal Medicine Male Medical sciences Miscellaneous Models, Psychological Nursing Pilot Projects Principal Component Analysis Psychometrics - methods Public health. Hygiene Public health. Hygiene-occupational medicine Reliability Religion Religious beliefs Transtheoretical model |
| title | Promoting advance care planning as health behavior change: Development of scales to assess Decisional Balance, Medical and Religious Beliefs, and Processes of Change |
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