Table 1.
The initial version of the Advance Care Planning Questionnaire
| Section | Description | No. of items | Domain | Type of data |
|---|---|---|---|---|
| A | Demographic information | 9 | NA | Nominal scale |
| B | Health information | 2 | NA | Nominal scale |
| C | Knowledge on advance care planning | 9 | Knowledge | Nominal scale |
| D | Issues regarding advance care planning | 2 | Awareness | Nominal scale |
| 5 | Previous experiences in the last 5 years | Nominal scale | ||
| 5 | Feelings regarding advance care planninga | 5 point likert-like scale (strongly agree to strongly disagree) | ||
| 7 | Justifications for advance care planninga | 5 point likert-like scale (strongly agree to strongly disagree) | ||
| 10 | Justifications for not having an advance care plana | 5 point likert-like scale (strongly agree to strongly disagree) | ||
| 2 | Intention to plan their advance care planning in advance | Nominal scale | ||
| 10 | Topics they would like to discuss during advance care planning | 5 point likert-like scale (strongly agree to strongly disagree)b | ||
| 4 | How you would like to record your advance care planning wishes | 5 point likert-like scale (strongly agree to strongly disagree)b | ||
| 1 | Person to appoint as a decision maker | Nominal | ||
| Total | 66 |
aOnly items in these domains were tested for construct validity
bAlthough the response provided were of a 5 point likert-like scale, items in these domains were not tested for construct validity as the responses provided were descriptive
NA Not applicable