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To detect any problems with completion of the Functional Assessment of Chronic Illness Therapy Spiritual Well-being Scale (FACIT-Sp-12), to analyse the causes of such problems and to propose solutions to overcome them.
We audio-recorded face-to-face interviews with 17 older people living in one of three nursing homes in London, UK, while they completed FACIT-Sp-12. We used cognitive interviewing methods to explore residents’ responses. Our analysis was based on the Framework approach to qualitative analysis. We developed the framework of themes a priori. These comprised: comprehension of the question; retrieval from memory of relevant information; decision processes; and response processes.
Ten residents completed the FACIT-Sp-12 with no missing data. Most problems involved comprehension and/or selecting response options. Twelve residents had problems with comprehension of at least one question, particularly with abstract concepts (e.g. harmony, productivity), or where there were assumptions inherent in the questions (e.g. they had an illness). When residents had problems comprehending the question, they also found it difficult to select a response. Thirteen residents had difficulties selecting responses (e.g. categories did not reflect their views or were not meaningful in the context of the statement). Some chose not to respond, others responded to the question as they understood it.
The FACIT-Sp-12 could provide valuable insights into the spiritual concerns of nursing home residents; however, data may be neither valid nor reliable if they do not comprehend the questions as intended and respond appropriately. Providing clear and detailed instructions, including definitions of abstract concepts, may improve the validity of this measure for this population.
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Nolan, S., Saltmarsh, P., & Leget, C. (2011). Spiritual care in palliative care: Working towards an EAPC Task Force. European Journal of Palliative Care, 18(2), 86–89.
Pargament, K. I., Smith, B. W., Koenig, H. G., & Perez, L. M. (1998). Patterns of positive and negative religious coping with major life stressors. Journal for the Scientific Study of Religion, 37(4), 710–724. CrossRef
Weaver, A. J., Pargament, K. I., Flannelly, K. J., & Oppenheimer, J. E. (2006). Trends in the scientific study of religion, spirituality, and health: 1965–2000. Journal of Religion and Health, 45, 208–214. CrossRef
Bredle, J. M., Salsman, J. M., Debb, S. M., Arnold, B. J., & Cella, D. (2011). Spiritual well-being as a component of health-related quality of life: The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp). Religions, 2, 77–94. CrossRef
MacKinlay, E. (2006). Spiritual growth and care in the fourth age of life. London: Jessica Kingsley.
Cella, D., Tulsky, D., Gray, G., Sarafian, B., Linn, E., & Bonami, P. (1993). The functional Assessment of Cancer Therapy Scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579. PubMed
Tanur, J. M. (1992). Questions about questions. Inquiries into the cognitive bases of surveys. New York: Russell Sage.
Paterson, C. (2012). Seeking the patient’s perspective: A qualitative assessment of EuroQoL, COOP–WONCA charts and MYMOP. Quality of Life Research, 13, 871–881. CrossRef
Willis, G. B. (2005). Cognitive interviewing: A tool for improving questionnaire design. Thousand Oaks, CA: Sage.
Ritchie, J., & Spencer, L. (1993). Qualitative data analysis for applied policy and research. In A. Bryman & R. Burgess (Eds.), Researching social life. London: Routledge.
Katzman, R., Brown, T., Fuld, P., Peck, A., Schechter, R., & Schimmel, H. (1983). Validation of a short Orientation–Memory–Concentration Test of cognitive impairment. American Journal of Psychiatry, 140, 734–739. PubMed
Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel index. Maryland State Medical Journal, 14, 61–65. PubMed
Tourangeau, R. (1984). Cognitive sciences and survey methods. In T. B. Jabine, M. L. Straf, J. M. Tanur, & R. Tourangeau (Eds.), Cognitive aspects of survey methodology: Building a bridge between disciplines (pp. 73–101). Washington, DC: National Academy Press.
Hales, S., Gagliese, L., Nissim, R., Zimmermann, C., & Rodin, G. (2012). Understanding bereaved caregiver evaluations of the quality of dying and death: An application of cognitive interviewing methodology to the Quality of Dying and Death Questionnaire. Journal of Pain and Symptom Management, 43, 195–204. PubMedCrossRef
Orchard, H., & Clark, D. (2012). Tending the soul as well as the body: Spiritual care in nursing and residential homes. International Journal of Palliative Nursing, 7(11), 541–546. CrossRef
- Assessing spiritual well-being in residents of nursing homes for older people using the FACIT-Sp-12: a cognitive interviewing study
- Springer International Publishing