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Psychometric evaluation of the anticipatory grief scale in a sample of family caregivers in the context of palliative care
Sophiahemmet University.
Ersta Sköndal University College;Dalen Hospital.
Lund University.
University of Gothenburg.
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2019 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 17, p. 1-11, article id 42Article in journal (Refereed) Published
Abstract [en]

IntroductionIn palliative care, family caregivers are often faced with experiences of grief in anticipation of the loss of a close person. An instrument designed to measure this form of grief is the Anticipatory Grief Scale, which includes 27 items and has been used in several studies in various contexts. However, the instrument has not been validated.AimThe aim was to evaluate the psychometric properties, focusing on the factor structure, of the Anticipatory Grief Scale in a sample of family caregivers in palliative care.MethodsThe study had a cross-sectional design. Data were collected from an intervention study in palliative home care that took place between 2013 and 2014. In total, 270 family caregivers in palliative care completed a baseline questionnaire, including the Anticipatory Grief Scale. The factor structure of the scale was evaluated using exploratory factor analysis.ResultsThe initial factor analysis suggested a four-factor solution, but, due to weak communalities, extensive crossloadings, and item inconsistencies, the model was problematic. Further analysis supported that the scale should be reduced to 13 items and two factors. The two subscales captured the behavioral and emotional reactions of grief in family caregivers in palliative care and were named Behavioral reactions and Emotional reactions. This modified version will hereafter be named AGS-13.ConclusionsThis validation study of the Anticipatory Grief Scale resulted in a revised two-factor model, AGS-13, that appears to be promising for use in palliative care but needs to be tested further.

Place, publisher, year, edition, pages
BioMed Central, 2019. Vol. 17, p. 1-11, article id 42
Keywords [en]
Anticipatory grief, Palliative care, Family caregivers, Instrument development, Factor analysis, Nursing
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-81223DOI: 10.1186/s12955-019-1110-4ISI: 000460443300001PubMedID: 30837000Scopus ID: 2-s2.0-85062522969OAI: oai:DiVA.org:lnu-81223DiVA, id: diva2:1298091
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2019-08-29Bibliographically approved

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Årestedt, Kristofer

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CiteExportLink to record
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