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Table 3 Outcome measures of the primary and secondary endpoints of the BOOST pACP program

From: Advance care planning for adolescents with cancer and their parents: study protocol of the BOOST pACP multi-centre randomised controlled trial and process evaluation

Outcomes

Measurement instrument

No. of items

Unit of analysis

Timepoint

T0

T1

T2

Primary endpoint

1. Quality of Parent-Adolescent Communication

Parent-Adolescent Communication Scale (PACS) [32]

20 items

Adolescent

 

x

 

Secondary endpoints

2. Quality of Parent-Adolescent Communication

PACS

20 items

Adolescent

x

 

x

3. Attitude on talking with the other (parent(s)/ their child) about what the adolescent finds important regarding his/her care and treatment

Created by the research teama

8 items

Adolescent

x

x

x

7 items

Parent(s)

x

x

x

4. Self-efficacy towards talking with the other (parent(s)/ their child) about different ACP themes

Created by the research teama

9 items

Adolescent

x

x

x

4a. if the child initiates the conversation

Created by the research teama

9 items

Parent(s)

x

x

x

4b. to initiate the conversation his/herself

Created by the research teama

9 items

Parent(s)

x

x

x

5. Self-efficacy towards talking with their child and letting their child talk in different situations

Created by the research teama

6 items

Parent(s)

x

x

x

6. Behaviour: talking with the other (parent(s)/ their child) about different ACP themes

Created by the research teama

9 items

Adolescent

x

x

x

9 items

Parent(s)

x

x

x

7. Intention to talk with the other (parent(s)/ their child) parent(s) about different ACP themes

Created by the research teama

9 items

Adolescent

x

x

x

9 items

Parent(s)

x

x

x

8. Behaviour: talking with paediatric oncologist about different ACP themes

Created by the research teama

9 items

Adolescent

x

x

x

9. Intention to talk with paediatric oncologist about different ACP themes

Created by the research teama

9 items

Adolescent

x

x

x

10. Anxiety

PROMIS Anxiety 8a Short version [33]b

8 items

Adolescent

x

x

x

PROMIS 7a Short version [34]b

7 items

Parent(s)

x

x

x

11. Level of shared decision making

CollaboRATE Scale [35, 36]c

3 items

Parent(s)

x

x

x

12. Satisfaction items for the intervention group

Created by the research team

14 items

Adolescent and parent(s)

 

x

x

13. Behaviour & intention to discuss ACP with the family

Created by the research team

3 items

Oncologist

x

x

x

14. Quality of Life

EQ-5D-Y [37]

6 items

Adolescent

x

x

x

Background characteristics

15. Demographic and background information

Created by the research team

3 items

Adolescent

x

  

14 items

Parent(s)

x

  

16. Disease & treatment information about adolescent

Created by the research team

7–10 items

Oncologist

x

x

x

  1. aThe following procedure was followed: 1) The Theory of Planned Behaviour instructed ways items were formulated regarding the four key constructs operationalizing ACP as a health behaviour: attitude, self-efficacy, intention and actual behaviour; 2) the prototype instrument was linguistically improved and made age appropriate by a literacy expert agency; 3) cognitive interviews with adolescents who were diagnosed with cancer (n = 4) and parents (n = 6) were then performed; 4) feedback using thematic analysis and discussions with the researchers informed refinements. Response categories: ‘Strongly Disagree’, ‘Disagree’, ‘Neither Agree Nor Disagree’, ‘Agree’ or ‘Strongly Agree’
  2. bResponse categories: ‘Never’, ‘Rarely’, ‘Sometimes’, ‘Often’, or ‘Always’.
  3. cResponse categories: 10 – point Likert scale, ranging from ‘No effort was made’ (=0) to ‘Every effort was made’ (=10)