Validity and reliability of the Palliative Care Transition Measure for Caregivers (PCTM-C)

Roberto Latina, Maria Grazia De Marinis, Michela Piredda, Roberto Latina, Valentina Biagioli, Marco Artico, Michela Guarda, Daniela D'Angelo, Chiara Mastroianni

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Objective. Patients suffering from advanced disease face different care transitions. The transition from acute to palliative care is challenging and may lead to the discontinuity of care.Family caregivers become important sources of information, as patients begin to experience difficulties in coping with emotional transition events. The Care Transition Measure wasdeveloped to evaluate care transitions as experienced by the elderly. It has never been used in palliative care. The aim of this study was to test the validity and reliability of a modifiedversion of the Palliative Care Transition Measure, specifically the Palliative Care Transition Measure for Caregivers (PCTM-C). Method. The study included two main phases. Phase I focused on the construction of a modified version of the Palliative Care Transition Measure through two focus groups andby computing the content validity index. Phase II focused on testing the psychometricproperties of the PCTM-C on 272 family caregivers through confirmatory factor analysis.Result. The content validity index for each of the items was higher than 0.80, whereas that forthe scale was 0.95. The model tested with confirmatory factor analysis fitted the data well andconfirmed that the transition measures referred to communication, integrated care and atrusting-relationship, and therefore the core dimensions of continuity according to existingconceptual models. The internal consistency was high (Cronbach’s alpha = 0.94).Significance of results. The PCTM-C proved to be a suitable measure of the quality of suchtransitions. It may be used in clinical practice as a continuity quality indicator and has thepotential to guide interventions to enhance family caregivers’ experience of care continuity
Original languageItalian
Pages (from-to)1-6
Number of pages6
Publication statusPublished - 2018

All Science Journal Classification (ASJC) codes

  • General Nursing
  • Clinical Psychology
  • Psychiatry and Mental health

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