Translation, Cultural Adaptation and Validation of the Advance Care Planning Engagement Survey for Korean Older People.
Minjeong Jo, Heejin Chung, Mihyun Park
PMID 40605586WHAT IT FOUND
A 12-item Korean survey identified three ways older people engage with advance care planning: thinking about it, readiness and confidence.
It was adapted by removing decision-maker questions and rewording life-not-worth-living questions after pretest discomfort.
Key findings
01The final Korean ACP Engagement Survey had 12 items, and its items worked well together (alpha = 0.93).
02Scores were higher in participants who had made a will or funeral arrangements, but not in those who had completed an advance directive.
03The phrase about life not worth living was distressing and was reworded for cultural acceptability.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited from churches, one volunteer centre and one senior welfare facility, so the sample may not represent all older Koreans. Responses with missing values were excluded, leaving 235 analysed of 287 collected. The survey was shortened and culturally revised, so it may not measure the same range of behaviours as the original 82-item English version. The study did not test whether scores stay stable over time or change after an ACP conversation. Advance directive completion was not associated with scores, which may reflect low familiarity with advance directives in this sample.
Declared interests
The authors declared no conflicts of interest. The study was funded by the National Research Foundation of Korea.
The easy way to misread this
Do not read this as evidence that using the survey improves advance care planning or end-of-life care. It only tested whether the adapted items measure engagement in a convenience sample, and it did not show that scores change after an ACP conversation.