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Table 1 The initial version of the Advance Care Planning Questionnaire

From: The development and validation of the advance care planning questionnaire in Malaysia

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

  
  1. aOnly items in these domains were tested for construct validity
  2. 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
  3. NA Not applicable