The palliative care knowledge test: reliability and validity of an instrument to measure palliative care knowledge among health professionals

Nakazawa, Yasuo; Miyashita, Mitsunori; Morita, Tatsuya; Umeda, Megumi; Oyagi, Yasuko; Ogasawara, Toshie

doi:10.1177/0269216309106871

Cited by 104 publications

(115 citation statements)

References 24 publications

(26 reference statements)

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“…Several communication tools are used for medical student education, 11 adult palliative care, 12 interdisciplinary education, 13 and knowledge of adult pain and palliative concepts, [14][15][16] but no standard tool with reliability and validity statistics could be found for postgraduate education in pediatric palliative care.…”

Section: Pediatric Palliative Care Questionnaire Developmentmentioning

confidence: 99%

Reliability and Validity of the Pediatric Palliative Care Questionnaire for Measuring Self-Efficacy, Knowledge, and Adequacy of Prior Medical Education among Pediatric Fellows

Brock

Cohen

Popat

et al. 2015

Journal of Palliative Medicine

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Background: Interventions to improve pediatric trainee education in palliative care have been limited by a lack of reliable and valid tools for measuring effectiveness. Objective: We developed a questionnaire to measure pediatric fellows' self-efficacy (comfort), knowledge, and perceived adequacy of prior medical education. We measured the questionnaire's reliability and validity. Methods: The questionnaire contains questions regarding self-efficacy (23), knowledge (10), fellow's perceived adequacy of prior medical education (6), and demographics. The survey was developed with palliative care experts, and sent to fellows in U.S. pediatric cardiology, critical care, hematology/ oncology, and neonatalperinatal medicine programs. Measures of reliability, internal consistency, and validity were calculated. Results: One hundred forty-seven fellows completed the survey at test and retest. The self-efficacy and medical education questionnaires showed high internal consistency of 0.95 and 0.84. The test-retest reliability for the Self-Efficacy Summary Score, measured by intraclass correlation coefficient (ICC) and weighted kappa, was 0.78 (item range 0.44-0.81) and 0.61 (item range 0.36-0.70), respectively. For the Adequacy of Medical Education Summary Score, ICC was 0.85 (item range 0.6-0.78) and weighted kappa was 0.63 (item range 0.47-0.62). Validity coefficients for these two questionnaires were 0.88 and 0.92. Fellows answered a mean of 8.8/10 knowledge questions correctly; percentage agreement ranged from 65% to 99%. Conclusions: This questionnaire is capable of assessing self-efficacy and fellow-perceived adequacy of their prior palliative care training. We recommend use of this tool for fellowship programs seeking to evaluate fellow education in palliative care, or for research studies assessing the effectiveness of a palliative care educational intervention.

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Section: Pediatric Palliative Care Questionnaire Developmentmentioning

confidence: 99%

Reliability and Validity of the Pediatric Palliative Care Questionnaire for Measuring Self-Efficacy, Knowledge, and Adequacy of Prior Medical Education among Pediatric Fellows

Brock

Cohen

Popat

et al. 2015

Journal of Palliative Medicine

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“…[8][9][10][11][12][13][14][15] This study can be considered as one of the first pilot study in any of the government medical colleges in Maharashtra teaching hospitals. Study results are comparable to the results obtained by above studies.…”

Section: Discussionmentioning

confidence: 99%

Awareness of palliative care medicine among medical and health care students

Kulkarni

2017

Int J Adv Med

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Background: A study was conducted in B. J. Medical College and Sassoon General Hospitals SGH, a tertiary government hospital among III-year Undergraduate UG, Nursing and Physiotherapy students, thirty each regarding awareness of palliative care.Methods: A questionnaire incorporating various drugs and its side effects used in palliative care was circulated to test their knowledge.Results: A lecture about various aspects of palliative care was taken for them after which the same questionnaire was circulated which showed improvement in their knowledge.Conclusions: It was indicated that students perceived good awareness and perception level about awareness of medicine used in palliative care.

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“…Because of a lack of validated tools and the exploratory nature of this study, the questionnaire for this survey was developed through literature review and discussions among the authors (11)(12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Measurements and Questionnairementioning

confidence: 99%

Regional Medical Professionals' Confidence in Providing Palliative Care, Associated Difficulties and Availability of Specialized Palliative Care Services in Japan

Hirooka

Miyashita

Morita

et al. 2014

Japanese Journal of Clinical Oncology

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Background: Although confidence in providing palliative care services is an essential component of providing such care, factors relating to this have not been investigated in Japan. Objective: This study aimed to explore confidence in the ability to provide palliative care and associated difficulties and to explore correlations between these variables. Design: A cross-sectional mail survey of medical doctors and registered nurses in Japan was performed as part of a regional intervention trial: the Outreach Palliative Care Trial of Integrated Regional Model study. Subjects: Questionnaires were sent to 7905 medical professionals, and 409 hospital doctors, 235 general practitioners, 2160 hospital nurses and 115 home visiting nurses completed them. Results: Confidence in providing palliative care was low and difficulties frequent for all types of medical professionals assessed. In particular, only 8 -24% of them, depending on category, agreed to 'having adequate knowledge and skills regarding cancer pain management'. In particular, 55 -80% of medical professionals acknowledged difficulty with 'alleviation of cancer pain'. Multiple regression analysis revealed that confidence was positively correlated with the amount of relevant experience and, for medical doctors, with 'prescriptions of opioids (per year)'. Moreover, difficulties were negatively correlated with the amount of relevant clinical experience. Conclusions: Effective strategies for developing regional palliative care programs include basic education of medical professionals on management of cancer-related pain (especially regarding opioids) and other symptoms.

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The palliative care knowledge test: reliability and validity of an instrument to measure palliative care knowledge among health professionals

Cited by 104 publications

References 24 publications

Reliability and Validity of the Pediatric Palliative Care Questionnaire for Measuring Self-Efficacy, Knowledge, and Adequacy of Prior Medical Education among Pediatric Fellows

Reliability and Validity of the Pediatric Palliative Care Questionnaire for Measuring Self-Efficacy, Knowledge, and Adequacy of Prior Medical Education among Pediatric Fellows

Awareness of palliative care medicine among medical and health care students

Regional Medical Professionals' Confidence in Providing Palliative Care, Associated Difficulties and Availability of Specialized Palliative Care Services in Japan

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