Validation of the German version of the Schedule of Attitudes Toward Hastened Death (SAHD–D) with patients in palliative care

Galushko, Maren; Strupp, Julia; Walisko-Waniek, Johanna; Hahn, Moritz; Löffert, Sabine; Ernstmann, Nicole; Pfaff, Holger; Radbruch, Lukas; Nauck, Friedemann; Ostgathe, Christoph; Voltz, Raymond

doi:10.1017/s1478951514000492

Cited by 26 publications

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References 37 publications

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“…For example, the task of responding to 20 items may be exhausting for some patients [10, 12, 13]. Furthermore, while a clinically defined cut-off score for “high” desire to die has been proposed previously [13], a score for predicting the risk of a WTHD has yet to be established.…”

Section: Introductionmentioning

confidence: 99%

Development of a short form of the Spanish schedule of attitudes toward hastened death in a palliative care population

et al. 2016

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PurposeThe schedule of attitudes toward hastened death (SAHD) is widely used to assess the wish to hasten death (WTHD) among patients with life-threatening conditions. A short form of the SAHD would increase its clinical applicability in this population.MethodRasch analysis of data from 101 Spanish palliative inpatients. Item reduction involved selecting items with a high discrimination index (point-biserials ≥0.70), removing items with inadequate fit statistics, and assessing unidimensionality and local dependency. We examined the test probability function to establish an empirical risk score for suffering a WTHD and tested convergence between the original and the reduced set of items.ResultsA set of five items met all quality criteria. In this sample, 20.8 % of participants had a higher risk of a WTHD (p > 50 %) at a score of 3. Correlation analysis confirmed convergent validity between the original and reduced forms. Concurrent validity was confirmed by the similar correlations shown by both versions of the SAHD (5 and 20 items) with other measures.ConclusionThis 5-item Spanish form of the SAHD could be a suitable alternative to the full instrument. The cut-off score derived from the Rasch analysis may be able to detect patients at risk of a WTHD.

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Section: Introductionmentioning

confidence: 99%

Development of a short form of the Spanish schedule of attitudes toward hastened death in a palliative care population

et al. 2016

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“…24 Transcultural adaptations and validations of the SAHD have since been conducted in Greece, 25 South Korea, 13 Spain 15 and Germany. 26 The instrument has also been used in a sample of patients in Taiwan, 27 although this Taiwanese version has yet to be formally validated. The different versions of the SAHD have shown adequate internal consistency (Table 3).…”

Section: Resultsmentioning

confidence: 99%

“…The different versions of the SAHD have shown adequate internal consistency (Table 3). To date, the instrument has been used in a total of 32 studies: 15 in the United States, 6,8,16,21,24,35,41,48–55 8 in Greece, 11,17,19,25,56–59 3 in Canada, 7,12,60 2 in Germany 26,61 and 1 in Australia, 62 South Korea, 13 Spain 15 and Taiwan. 27 In 10 studies, 6,7,12,13,15,16,24,26,41,51 the authors applied a cut-off ⩾10 as indicating a high WTHD.…”

Section: Resultsmentioning

confidence: 99%

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Assessment of the wish to hasten death in patients with advanced disease: A systematic review of measurement instruments

et al. 2016

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Background:Patients with advanced conditions may present a wish to hasten death. Assessing this wish is complex due to the nature of the phenomenon and the difficulty of conceptualising it.Aim:To identify and analyse existing instruments for assessing the wish to hasten death and to rate their reported psychometric properties.Design:Systematic review based on PRISMA guidelines. The COnsensus-based Standards for the selection of health Measurement INstruments checklist was used to evaluate the methodological quality of validation studies and the measurement properties of the instrument described.Data sources:The CINAHL, PsycINFO, Pubmed and Web of Science databases were searched from inception to November 2015.Results:A total of 50 articles involving assessment of the wish to hasten death were included. Eight concerned instrument validation and were evaluated using COnsensus-based Standards for the selection of health Measurement INstruments criteria. They reported data for between two and seven measurement properties, with ratings between fair and excellent. Of the seven instruments identified, the Desire for Death Rating Scale or the Schedule of Attitudes toward Hastened Death feature in 48 of the 50 articles. The Schedule of Attitudes toward Hastened Death is the most widely used and is the instrument whose psychometric properties have been most often analysed. Versions of the Schedule of Attitudes toward Hastened Death are available in five languages other than the original English.Conclusion:This systematic review has analysed existing instruments for assessing the wish to hasten death. It has also explored the methodological quality of studies that have examined the measurement properties of these instruments and offers ratings of the reported properties. These results will be useful to clinicians and researchers with an interest in a phenomenon of considerable relevance to advanced patients.

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“…At our department, we have performed quite a few research projects in recent years on the wish towards hastened death. [14][15][16][17] We have validated the Schedule of Attitude toward Has ten Death (SAHD), we have looked for the con nection between the wish towards hasten death and the will to live, we have asked professionals regarding their reaction towards patients ask ing for this, and, currently, we are establishing a training program for professionals.…”

Section: Take a Desire To Die As A Differentiated Syndromementioning

confidence: 99%

Whether and how can the doctor help the patient who asks for death?

Voltz¹

2016

Polish Archives of Internal Medicine

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Validation of the German version of the Schedule of Attitudes Toward Hastened Death (SAHD–D) with patients in palliative care

Cited by 26 publications

References 37 publications

Development of a short form of the Spanish schedule of attitudes toward hastened death in a palliative care population

Development of a short form of the Spanish schedule of attitudes toward hastened death in a palliative care population

Assessment of the wish to hasten death in patients with advanced disease: A systematic review of measurement instruments

Whether and how can the doctor help the patient who asks for death?

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