Psychometric Testing of the Korean Version of the Attitudes toward the Advance Directives in Low-Income Chronically Ill Older Adults

• Main Authors: JinShil Kim, Seongkum Heo, Sun Woo Hong, HeeRyang Kim, Ahrang Jung, Minjeong An, JaeLan Shim
• Format: Article
• Language: English
• Published: MDPI AG 2020-03-01
• Series: Healthcare
• Subjects: advance directives; attitude; factor analysis; psychometrics; older adults; poor; chronic diseases; community
• Online Access: https://www.mdpi.com/2227-9032/8/1/62

The purpose of this study was to examine the psychometric properties of the Advance Directive Attitude Survey in Korean (K-ADAS), a measure of attitudes toward advance directives (ADs). A total of 118 low-income, community-dwelling older adults (mean age, 75.09 years) participated. An exploratory factor analysis (EFA) was conducted to determine the factor structure of the K-ADAS. Validity was further assessed by known associations of the K-ADAS with perceived susceptibility and severity using part of the Advance Care Planning surveys. Its reliability was examined by calculating alpha coefficients. EFA determined a three-factor structure model with good model fit. Validity was further supported with significant correlations between the K-ADAS and susceptibility and severity. Reliability was supported by adequate level of Cronbach’s alpha. The K-ADAS was a valid and reliable measure for assessment of AD attitudes with a sound model fit. Thus, the K-ADAS can be used to assess AD attitudes among community-dwelling elders.