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Psychometric evaluation of the anticipatory grief scale in a sample of family caregivers in the context of palliative care

Holm, Maja; Alvariza, Anette; Fürst, Carl Johan LU ; Öhlen, Joakim and Årestedt, Kristofer (2019) In Health and Quality of Life Outcomes 17(1).
Abstract

Introduction: In 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. Aim: The 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. Methods: The 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... (More)

Introduction: In 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. Aim: The 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. Methods: The 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. Results: The 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. Conclusions: This 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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anticipatory grief, Factor analysis, Family caregivers, Instrument development, Nursing, Palliative care
in
Health and Quality of Life Outcomes
volume
17
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85062522969
ISSN
1477-7525
DOI
10.1186/s12955-019-1110-4
language
English
LU publication?
yes
id
058f696d-1432-4d45-8faa-ce164199a625
date added to LUP
2019-03-15 10:49:27
date last changed
2019-09-17 04:50:21
@article{058f696d-1432-4d45-8faa-ce164199a625,
  abstract     = {<p>Introduction: In 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. Aim: The 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. Methods: The 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. Results: The 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. Conclusions: This 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.</p>},
  articleno    = {42},
  author       = {Holm, Maja and Alvariza, Anette and Fürst, Carl Johan and Öhlen, Joakim and Årestedt, Kristofer},
  issn         = {1477-7525},
  keyword      = {Anticipatory grief,Factor analysis,Family caregivers,Instrument development,Nursing,Palliative care},
  language     = {eng},
  month        = {03},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {Health and Quality of Life Outcomes},
  title        = {Psychometric evaluation of the anticipatory grief scale in a sample of family caregivers in the context of palliative care},
  url          = {http://dx.doi.org/10.1186/s12955-019-1110-4},
  volume       = {17},
  year         = {2019},
}