Assessing prioritization of a good death across Brazil, Italy, Japan, and the United States: A psychometric evaluation.

Empirically vetted measures capturing individual priorities for a good death are lacking. This study assessed the measurement properties, measurement invariance, and internal consistency reliability of a prospective measure, Prioritization of a Good Death Index. We used data from a probability sampl...

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Detalles Bibliográficos
Publicado en:Death Studies Vol. 50; no. 9; pp. 1915 - 1926
Autores principales: Clem, Sarah E., Becker, Todd D., Sacco, Paul, Cagle, John G.
Formato: Artículo
Publicado: Taylor & Francis Ltd 2026
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Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Empirically vetted measures capturing individual priorities for a good death are lacking. This study assessed the measurement properties, measurement invariance, and internal consistency reliability of a prospective measure, Prioritization of a Good Death Index. We used data from a probability sample (N = 4,239) of the general public in Brazil (n = 1,233), Italy (n = 1,000), Japan (n = 1,000), and the United States (n = 1,006). We assessed aims through confirmatory factor analysis (CFA), multi-group CFA, and composite reliability, coefficient H, and average variance extracted. CFA results indicated adequate fit for the full sample, χ(14) = 174.41, p<.001 (CFI =.96, TLI =.94, RMSEA =.05, SRMR =.93), and within each country subsample. Multi-group CFA results did not support scalar invariance, indicating differing end-of-life values across country subsamples. Sufficient internal consistency reliability was achieved within each country. These initial results support the use of the Prioritization of a Good Death Index as a valid and reliable measure to assess end-of-life preferences in practice and research.