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http://dx.doi.org/10.14475/kjhpc.2013.16.1.020

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

Kim, Shin Mi (Department of Nursing, Changwon National University)
Hong, Young Sun (The Catholic University of Korea School of Medicine)
Hong, Sun Woo (Department of Emergency Medical Technology, Daejeon University)
Kim, Jin Shil (Department of Nursing, Suncheon National University)
Kim, Ki Sook (Department of Nursing, Changwon National University)
Publication Information
Journal of Hospice and Palliative Care / v.16, no.1, 2013 , pp. 20-32 More about this Journal
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.
Keywords
Advance directives; Interview as topic; Cognition; Life support care;
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