Development of a Scale to Assess Physician Advance Care Planning Self-Efficacy

The American Journal of Hospice & Palliative Care
Kristin R BaughmanDenise Kropp

Abstract

Although patients prefer that physicians initiate advance care planning (ACP) conversations, few physicians regularly do so. Physicians may be reluctant to initiate ACP conversations because they lack self-efficacy in their skills. Yet, no validated scale on self-efficacy for ACP exists. Our objective was to develop a scale that measures physicians' ACP self-efficacy (ACP-SE) and to investigate the validity of the tool. Electronic questionnaires were administered to a random sample of family medicine physicians (n = 188). Exploratory factor analysis was performed to determine whether the scale was multidimensional. An initial assessment of the scale's validity was also conducted. The exploratory factor analysis indicated that a single factor was appropriate using all 17 items. A single, unidimensional scale was created by averaging the 17 items, yielding good internal consistency (Cronbach α = 0.95). The average scale score was 3.94 (standard deviation = 0.71) on a scale from 1 to 5. The scale was moderately correlated with a global single-item measure of self-efficacy for ACP ( r = .79, P < .001), and the scale differentiated between physician groups based on how much ACP they were doing, how recently they had an ACP conversat...Continue Reading

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Citations

Apr 6, 2019·The American Journal of Hospice & Palliative Care·Valerie T CotterEsther Oh
Aug 1, 2018·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Akemi Okumura-HiroshigeKaori Takamichi
Dec 10, 2020·The American Journal of Hospice & Palliative Care·Kristin R BaughmanDenise Kropp
Jan 29, 2021·The American Journal of Hospice & Palliative Care·Jung KwakAlbert Luu
Apr 6, 2021·Journal of Pain and Symptom Management·Sarah MillsSubha Ramani

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