Development and testing of a new instrument for measuring concerns about dying in health care providers

UMMS Affiliation

Meyers Primary Care Institute



Document Type


Medical Subject Headings

Adult; *Attitude of Health Personnel; *Attitude to Death; Factor Analysis, Statistical; Female; *Health Personnel; Humans; Male; Middle Aged; Psychometrics; *Questionnaires; Reproducibility of Results


Health Services Research | Primary Care


A new measure of concerns about dying was investigated in this psychometric study. The Concerns About Dying instrument (CAD) was administered to medical students, nursing students, hospice nurses, and life sciences graduate students (N = 207) on two occasions; on one occasion they also completed three related measures. Analyses included descriptive statistics, factor analysis, Cronbach's alpha, test-retest correlations, t tests, and correlations with other measures. Results suggest the CAD measures three distinct but related areas: general concern about death, spirituality, and patient-related concern about death. Reliability estimates were good, and correlations with related measures were strong. Between-group differences suggest scores are related to actual differences in level of concern and beliefs about death and dying. The CAD has the advantage of being very brief and of explicitly assessing concerns about working with patients who are dying.

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Citation: Assessment. 2004 Sep;11(3):230-7. Link to article on publisher's site

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