Treffer: Care of the dying evaluation (CODE) questionnaire: psychometric appraisal for application in Persian-speaking populations.

Title:
Care of the dying evaluation (CODE) questionnaire: psychometric appraisal for application in Persian-speaking populations.
Authors:
Dashti S; Health Education and Promotion Department, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Nursing, Ardabil Branch, Islamic Azad University, Ardabil, Iran., Sarbakhsh P; Professor of Biostatistics, Department of Epidemiology and Biostatistics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran., Mayland CR; Consultant at the University of Sheffield, Division of Clinical Medicine, School of Medicine & Population Health University of Sheffield, UK. Electronic address: C.R.Mayland@sheffield.ac.uk., Shaghaghi A; Professor of Community Health, Health Education and Promotion Department, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: ar.shaghaghi@gmail.com.
Source:
Geriatric nursing (New York, N.Y.) [Geriatr Nurs] 2026 Mar; Vol. 68, pp. 103774. Date of Electronic Publication: 2025 Dec 22.
Publication Type:
Journal Article; Validation Study
Language:
English
Journal Info:
Publisher: Mosby-Yearbook Country of Publication: United States NLM ID: 8309633 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-3984 (Electronic) Linking ISSN: 01974572 NLM ISO Abbreviation: Geriatr Nurs Subsets: MEDLINE
Imprint Name(s):
Publication: St Louis Mo : Mosby-Yearbook
Original Publication: [New York : American Journal of Nursing Co.
Contributed Indexing:
Keywords: Bereavement; End of life care; Hospital care; Palliative care; Psychometric; Questionnaire
Entry Date(s):
Date Created: 20251223 Date Completed: 20260227 Latest Revision: 20260227
Update Code:
20260227
DOI:
10.1016/j.gerinurse.2025.103774
PMID:
41435808
Database:
MEDLINE

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Objectives: To appraise the psychometric properties of the CODE-P<sup>1</sup> for its application to assess quality of end-stage care among Iranian patients.
Method: A forward/backward translation procedure was performed to prepare a preliminary draft of CODE-P and its face and content validity were tested by an experts' panel. The CODE-P was completed in this cross-sectional study by 280 bereaved family members in several hospitals in Ardabil, Iran. Construct validity, internal consistency and reliability were checked.
Results: CODE-P had good face and content validity (mean impact score = 4.01 and CVI = 0.92). EFA identified five factors which worked well in terms of construct validity (factor loadings range from 0.31 to 0.84) and internal consistency (Cronbach's Alpha = 0.91).
Conclusion: The findings supported psychometric properties of the CODE-P for assessing end-stage care quality in Persian-speaking patients. Its application for end-of-life care quality assessment could provide a base for planning evidence-informed interventions.
(Copyright © 2025 Elsevier Inc. All rights reserved.)

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.