Korean J Hosp Palliat Care.  2013 Mar;16(1):20-32. 10.14475/kjhpc.2013.16.1.020.

Development of a Korean Version of an Advance Directive Model via Cognitive Interview

Affiliations
  • 1Department of Nursing, Changwon National University, Changwon, Korea. kskim2011@changwon.ac.kr
  • 2The Catholic University of Korea School of Medicine, Seoul, Korea.
  • 3Department of Emergency Medical Technology, Daejeon University, Daejeon, Korea.
  • 4Department of Nursing, Suncheon National University, Suncheon, Korea.

Abstract

PURPOSE
The purpose of the study was to develop a feasible form of a Korean version of advance directives (K-AD).
METHODS
Sixteen adults participated in this study: 10 aged 20~50 years and nine aged 65 years or older. Using a draft version of the K-AD, cognitive interview was conducted on the participants to establish a culturally acceptable form of advance directives whose directions can be understood and responded accordingly by the general population.
RESULTS
Cognitive interviews revealed areas of concerns for the draft version of K-AD: lack of instructions or clarity for technical and medical terms, context complexity and inadequate response categories. The draft version was revised by rewording, offering examples and rearranging the context. Editorial style was added with appropriate uses of bold fonts, bullet-points and underlines to facilitate interviewees' cognitive responses.
CONCLUSION
Study results feasibility of the revised version of the K-AD. Further study should be performed with a larger number of participants to develop a K-AD with an acceptable level of reliability and validity.

Keyword

Advance directives; Interview as topic; Cognition; Life support care

MeSH Terms

Adult
Advance Directives
Aged
Cognition
Humans
Life Support Care
Reproducibility of Results
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