Transtheoretical Model Measures for Health Care Proxy Completion

2.50
Hdl Handle:
http://hdl.handle.net/10755/147341
Type:
Presentation
Title:
Transtheoretical Model Measures for Health Care Proxy Completion
Abstract:
Transtheoretical Model Measures for Health Care Proxy Completion
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Finnell, Deborah, DNS, APRN, BC, NPP, CARN, AP
P.I. Institution Name:University at Buffalo
Title:Assistant Professor
Co-Authors:Mary Ann Jezewski, PhD, RN; Mary Ann Meeker, DNS, RN; Yow-Wu Wu, PhD; Loralee Sessanna, MS, RN
A health care proxy (HCP) is a document a person can complete that appoints another person to make health care decisions for them when they can no longer make decisions for themselves. Despite the fact that state laws and federal legislation have been in place for more than ten years, low rates of health care proxy completion persist. This paper describes the application of the transtheoretical model (TTM) to health care proxy completion. The study was undertaken to develop a model to help us understand when people are ready to make a decision about completing a HCP (stages of change), how they weigh the pros and cons of that decision (decisional balance), what strategies help them make that decision (processes of change), and their confidence in their decision (self-efficacy). Classic test theory was used to guide the development of the respective scales, beginning with the critical step of defining the target behavior, health care proxy completion, then designing the scales and obtaining expert review. Preliminary measures were tested on a convenience sample of the target population. The results were used to revise the measures before conducting psychometric testing in a sample of 500 individuals, 18-years and older who were members of a large managed health care organization. The findings from this study will be used to develop stage-based interventions for use by nurses and other health professionals for increasing the rate of health care proxy completion.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTranstheoretical Model Measures for Health Care Proxy Completionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147341-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Transtheoretical Model Measures for Health Care Proxy Completion</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Finnell, Deborah, DNS, APRN, BC, NPP, CARN, AP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University at Buffalo</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">finnell@buffalo.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Ann Jezewski, PhD, RN; Mary Ann Meeker, DNS, RN; Yow-Wu Wu, PhD; Loralee Sessanna, MS, RN</td></tr><tr><td colspan="2" class="item-abstract">A health care proxy (HCP) is a document a person can complete that appoints another person to make health care decisions for them when they can no longer make decisions for themselves. Despite the fact that state laws and federal legislation have been in place for more than ten years, low rates of health care proxy completion persist. This paper describes the application of the transtheoretical model (TTM) to health care proxy completion. The study was undertaken to develop a model to help us understand when people are ready to make a decision about completing a HCP (stages of change), how they weigh the pros and cons of that decision (decisional balance), what strategies help them make that decision (processes of change), and their confidence in their decision (self-efficacy). Classic test theory was used to guide the development of the respective scales, beginning with the critical step of defining the target behavior, health care proxy completion, then designing the scales and obtaining expert review. Preliminary measures were tested on a convenience sample of the target population. The results were used to revise the measures before conducting psychometric testing in a sample of 500 individuals, 18-years and older who were members of a large managed health care organization. The findings from this study will be used to develop stage-based interventions for use by nurses and other health professionals for increasing the rate of health care proxy completion.</td></tr></table>en_GB
dc.date.available2011-10-26T09:31:25Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:31:25Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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