{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:45:33Z","timestamp":1754160333800,"version":"3.41.2"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["1711095164","2710019763"],"award-info":[{"award-number":["1711095164","2710019763"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Older People Nursing"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The Advance Care Planning (ACP) Engagement Survey, initially developed in English, was designed to assess behaviour related to the ACP process. Although ACP is widely recognised globally, its adoption and practice differ considerably among countries, primarily due to unique cultural and policy\u2010related factors. Therefore, ensuring appropriate translation and cultural validation of the tool is critical for its effective use in varied contexts. This study aimed to translate and culturally adapt the ACP Engagement Survey for use with Korean older people and to examine its psychometric properties.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study used a cross\u2010sectional survey design that was implemented in two phases. In phase 1, the ACP Engagement Survey underwent translation and cross\u2010cultural adaptation from English to Korean by: (1) forward and backward translation, (2) committee review and (3) pretesting. In phase 2, psychometric properties of the finalised Korean version were examined via factor analysis, assessment of construct validity and analysis of internal consistency. The study sample comprised 235 community\u2010dwelling older people with a mean age of 71.1\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final Korean version of the ACP Engagement Survey (K\u2010ACP\u2010ES 12) was composed of 12 items across three factors: readiness, contemplation and self\u2010efficacy. Hypothesis testing demonstrated construct validity of the K\u2010ACP\u2010ES 12 by a statistically significant correlation with the AD Knowledge Scale (<jats:italic>r<\/jats:italic>\u2009=\u20090.26, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). In addition, the Korean version showed acceptable reliability, with a Cronbach's alpha of 0.93.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The K\u2010ACP\u2010ES 12 demonstrated good reliability, acceptable structural validity and supported hypothesis\u2010testing construct validity. Evaluating a patient's engagement in ACP is essential for assessing ACP quality, which constitutes a principal outcome of the ACP process. The findings highlight the necessity of tailoring and validating measurement tools within specific cultural and policy contexts to ensure accurate assessment of ACP outcomes and enhance the instrument's utility across varied populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>The findings underscore the importance of tailoring and validating measurement tools within specific cultural and policy contexts to ensure accurate assessment of ACP outcomes and to enhance the instrument's applicability in both research and practice across diverse population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/opn.70039","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T03:49:15Z","timestamp":1751514555000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Translation, Cultural Adaptation and Validation of the Advance Care Planning Engagement Survey for Korean Older People"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1101-4008","authenticated-orcid":false,"given":"Minjeong","family":"Jo","sequence":"first","affiliation":[{"name":"College of Nursing The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3656-7642","authenticated-orcid":false,"given":"Heejin","family":"Chung","sequence":"additional","affiliation":[{"name":"Graduate School The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8952-5134","authenticated-orcid":false,"given":"Mihyun","family":"Park","sequence":"additional","affiliation":[{"name":"College of Nursing The Catholic University of Korea  Seoul Republic of Korea"},{"name":"Research Institute for Hospice\/Palliative Care  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632\u2010200012150\u201000014"},{"volume-title":"Scale Development: Theory and Applications","year":"2021","author":"DeVellis R. F.","key":"e_1_2_11_3_1"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.11.021"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/002224378101800104"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18287"},{"key":"e_1_2_11_7_1","unstructured":"2016.\u201cAct on Decisions on Life\u2010Sustaining Treatment for Patients in Hospice and Palliative Care of at the End of Life.\u201dhttps:\/\/law.go.kr\/LSW\/main.html."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.05.016"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000762"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4143\/crt.2021.131"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010021\u201000759\u20106"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.14475\/jhpc.2024.27.4.107"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000829"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.06.007"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16694"},{"key":"e_1_2_11_16_1","unstructured":"National Agency for Management of Life\u2010Sustaining Treatment. n.d.\u201cSystem for Decison to Forgo Life\u2010Sustaining Treatment.\u201dhttps:\/\/lst.go.kr\/main\/main.do."},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33676"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm\u201021\u20102161"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951520001108"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12397"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.01.018"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(17)30582\u2010X"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.9734\/ajeba\/2024\/v24i71430"},{"key":"e_1_2_11_24_1","unstructured":"Seo S.\u2010Y.2019.\u201cThe Knowledge and Attitude About the Advance Directives: Focused on the Home\u2010Based Cancer Patients Registered in Community Health Centers.\u201dMaster thesis Catholic University of Busan.http:\/\/www.riss.kr\/search\/detail\/DetailView.do?p_mat_type=be54d9b8bc7cdb09&control_no=a24eccf5a5546f78ffe0bdc3ef48d419&keyword=%EC%84%9C%EC%88%98%EC%97%B0."},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010021\u201000796\u20101"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.367"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0072465"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.34.4.414"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010021\u201001389\u20105"},{"volume-title":"Understanding Structural Equation Modeling: A Manual for Researchers","year":"2023","author":"Verma J.","key":"e_1_2_11_30_1"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/08258597211051208"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.07.032"}],"container-title":["International Journal of Older People Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/opn.70039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T08:37:28Z","timestamp":1753519048000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/opn.70039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1111\/opn.70039"],"URL":"https:\/\/doi.org\/10.1111\/opn.70039","archive":["Portico"],"relation":{},"ISSN":["1748-3735","1748-3743"],"issn-type":[{"type":"print","value":"1748-3735"},{"type":"electronic","value":"1748-3743"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2024-10-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70039"}}