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Volume 13 Issue 1
Jan.  2022
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CAI Siyu, GUO Qiaohong, NING Xiaohong, LU Guijun, GUO Yanru, LIU Yin, QIN Xinyan, WANG Xianjing, YAN Tianyi, WANG Ruixin, ZHOU Xuan, PENG Xiaoxia, Pediatric Palliative Care Subspecialty Group of the Pediatrics Society of the Chinese Medical Association. Cross-cultural Adaptation of the Document of Advance Care Planning for Chinese Adolescents and Young Adults: Voicing My CHOiCES[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(1): 96-103. DOI: 10.12290/xhyxzz.2021-0162
Citation: CAI Siyu, GUO Qiaohong, NING Xiaohong, LU Guijun, GUO Yanru, LIU Yin, QIN Xinyan, WANG Xianjing, YAN Tianyi, WANG Ruixin, ZHOU Xuan, PENG Xiaoxia, Pediatric Palliative Care Subspecialty Group of the Pediatrics Society of the Chinese Medical Association. Cross-cultural Adaptation of the Document of Advance Care Planning for Chinese Adolescents and Young Adults: Voicing My CHOiCES[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(1): 96-103. DOI: 10.12290/xhyxzz.2021-0162
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Cross-cultural Adaptation of the Document of Advance Care Planning for Chinese Adolescents and Young Adults: Voicing My CHOiCES

  • 1.

    Center for Clinical Epidemiology and Evidence-based Medicine, Beijing Key Laboratory of Pediatric Hematology Oncology, National Key Discipline of Pediatrics (Capital Medical University), Key Laboratory of Major Diseases in Children, Ministry of Education, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China

  • 2.

    School of Nursing, Capital Medical University, Beijing 100069, China

  • 3.

    Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 4.

    Department of Pain, Beijing Tsinghua Changgung Hospital, Beijing 102218, China

  • 5.

    Department of Palliative Care, Cangzhou People's Hospital, Cangzhou, Hebei 061000, China

  • 6.

    Department of Geriatrics (Palliative Care), Beijing Royal Integrative Medicine Hospital, Beijing 102209, China

  • 7.

    Internal Medicine Department, Beijing United Family Hospital, Beijing 100015, China

  • 8.

    Department of Hematology, The Third People's Hospital of Zhengzhou, Zhengzhou 450000, China

  • 9.

    Centre for the Humanities and Medicine, The University of Hong Kong, Hong Kong 999077, China

  • 10.

    Hematology Center, Beijing Key Laboratory of Pediatric Hematology Oncology, National Key Discipline of Pediatrics (Capital Medical University), Key Laboratory of Major Diseases in Children, Ministry of Education, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China

Funds: 

Children's Medicine Research Project of Beijing Children's Hospital, Capital Medical University YZQN202001

The Special Fund of the Pediatric Medical Coordinated Development Center of Beijing Municipal Administration of Hospitals XTCX201812

Management Research Project of Beijing Children's Hospital, Capital Medical University YGLQ202001

Cultivation Fund Project of the National Natural Science Foundation in Capital Medical University PYZ20043

More Information
  • Corresponding author:

    ZHOU Xuan, E-mail: bchppc@163.com

    PENG Xiaoxia, E-mail: pengxiaoxia@bch.com.cn

  • Received Date: February 03, 2021
  • Accepted Date: June 02, 2021
  • Available Online: August 22, 2021
  • Issue Publish Date: January 29, 2022
    Graphical Abstract
    • Abstract
  •   Objective  To describe the cross-cultural adaptation of the document of advance care planning (ACP) Voicing My CHOiCESTM in Chinese, and provide the basis for the practice of ACP in China.
      Methods  The process of cross-cultural adaptation involved document translation and synthesis, evaluation of healthcare providers, evaluation of patients, back translation, author revision of the original document, and finalization. The participants were all kinds of healthcare providers involved in ACP practice, including doctors, nurses, social workers, psychologists, hospice volunteers, anesthesiologists, nutritionists, and pharmacists. The heathcare providers were invited to answer a questionnaire about the document's structure, importance, appropriateness, and level of language localization. The evaluation of healthcare providers included three rounds of the process. We revised the document based on the feedback and developed the first draft. The first draft of the document was reviewed by young patients with fatal diseases and their families. They read each page of the document and rated the perceived appropriateness, helpfulness, and stressfulness of each item. After further revision, the final document was formed.
      Results  Due to the differences in language, culture, health, and legal system between China and the United States, the cross-cultural adaptations were made in some topics of the document. The Chinese version of the document included 13 topics, involving medical and nursing decision-making, daily life planning, funeral planning, and spiritual support, etc. In total, 91.67% of the patients and 80% of their parents considered all topics covered to be appropriate for age and culture. In total, 75% of patients and 70% of their parents found all the topics to be helpful. In the evaluation of stress, death-related topics brought pressure on patients.
      Conclusions  The Chinese version of Voicing My CHOiCESTM is the first ACP document applicable to adolescents and young adults in China. This document can help young Chinese patients to think and express their wishes and preferences, and guide patients, family members, and healthcare providers to fully and deeply communicate with each other about future planning.
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    • References (22)
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