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Translation, cultural adaptation, and validation of the mindful self-care scale among Brazilian palliative care providers

Published online by Cambridge University Press:  23 November 2021

Ana Cláudia Mesquita Garcia Open the ORCID record for Ana Cláudia Mesquita Garcia [Opens in a new window] ,
Laura Soares Rodrigues Silva ,
Ana Cristina Gonçalves Ferreira ,
Vander Monteiro da Conceição Open the ORCID record for Vander Monteiro da Conceição [Opens in a new window] ,
Everson Meireles  and
Jason Mills
Ana Cláudia Mesquita Garcia*
Affiliation:
Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
Laura Soares Rodrigues Silva
Affiliation:
Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
Ana Cristina Gonçalves Ferreira
Affiliation:
Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
Vander Monteiro da Conceição
Affiliation:
Nursing Department, Federal University of Southern Border, Chapecó, Sana Catarina, Brazil
Everson Meireles
Affiliation:
Health Sciences Center, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil
Jason Mills
Affiliation:
School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
*
Author for correspondence: Ana Cláudia Mesquita Garcia, Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil. E-mail: [email protected]
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Abstract

Objective

This study aimed to translate, culturally adapt, and validate the Mindful Self-Care Scale (MSCS, 33-item) in a Brazilian hospice and palliative care context.

Method

This was a cross-sectional study with a sample of 336 Brazilian hospice and palliative care providers. The European Organisation for Research and Treatment of Cancer — Quality of Life Group Translation Procedure protocol was used for the translation and the cultural adaptation process. Psychometric properties supporting the use of the MSCS were examined through confirmatory factor analysis (CFA) and correlation analysis with other instruments to assess congruence to related constructs (resilience and self-compassion). The reliability of the Brazilian-Portuguese version of the MSCS was assessed using Cronbach's α and composite reliability coefficients.

Results

The six-factor (33-item) model showed a good fit to the data, with satisfactory reliability indices and adequate representation of the scale's internal structure. Further validity is evidenced in the significant, positive correlations found between the MSCS, and similar well-being constructs, namely the Self-Compassion and Resilience scales.

Significance of results

The findings reveal that the MSCS (33-item) is a valid, reliable, and culturally appropriate instrument to examine the practice of mindful self-care by hospice and palliative care providers in Brazil. More broadly, it represents a promising instrument for future research into self-care practices and well-being among Brazilian healthcare providers.

Keywords

HealthcareMindfulnessPalliative careSelf-careValidation and psychometrics
Type
Original Article
Information
Palliative & Supportive Care , Volume 20 , Issue 6 , December 2022 , pp. 839 - 845
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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References

REFERENCES

Adams, M, Chase, J, Doyle, C, et al. (2020) Self-care planning supports clinical care: Putting total care into practice. Progress in Palliative Care 28(5), 305–307.CrossRefGoogle Scholar
American Educational Research Association, American Psychological Association, National Council on Measurement in Education (2014) Standards for Educational and Psychological Testing. Washington, DC: American Psychological Association.Google Scholar
Babić, R, Babić, M, Rastović, P, et al. (2020) Resilience in health and illness. Psychiatr Danub 32(Suppl 2), 226–232.Google ScholarPubMed
Back, AL, Steinhauser, KE, Kamal, AH, et al. (2016) Building resilience for palliative care clinicians: An approach to burnout prevention based on individual skills and workplace factors. Journal of Pain and Symptom Management 52(2), 284–291. doi:10.1016/j.jpainsymman.2016.02.002CrossRefGoogle ScholarPubMed
Beng, TS, Chin, LE, Guan, NC, et al. (2015) The experiences of stress of palliative care providers in Malaysia: A thematic analysis. American Journal of Hospice and Palliative Medicine 32(1), 15–28. doi:10.1177/1049909113503395CrossRefGoogle ScholarPubMed
Burton, A, Burgess, C, Dean, S, et al. (2017) How effective are mindfulness-based interventions for reducing stress among healthcare professionals? A systematic review and meta-analysis: Mindfulness interventions for stress reduction. Stress and Health 33(1), 3–13. doi:10.1002/smi.2673CrossRefGoogle Scholar
Coelho, GLH, Cavalcanti, TM, Rezende, AT, et al. (2016) Brief resilience scale: Testing its factorial structure and invariance in Brazil. Universitas Psychologica 15(2), 397–408. doi:10.11144/Javeriana.upsy15-2.brstCrossRefGoogle Scholar
Connor, KM and Davidson, JR (2003) Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety 18(2), 76–82. doi:10.1002/da.10113CrossRefGoogle Scholar
Cook-Cottone, CP (2015) Incorporating positive body image into the treatment of eating disorders: A model for attunement and mindful self-care. Body Image 14, 158–167. doi:158.10.1016/j.bodyim.2015.03.004CrossRefGoogle Scholar
Cook-Cottone, CP and Guyker, WM (2018) The development and validation of the mindful self-care scale (MSCS): An assessment of practices that support positive embodiment. Mindfulness 9, 161–175. doi:10.1007/s12671-017-0759-1CrossRefGoogle Scholar
Galiana, L, Sansó, N, Muñoz-Martínez, I, et al. (2021) Palliative care professionals’ inner life: Exploring the mediating role of self-compassion in the prediction of compassion satisfaction, compassion fatigue, burnout and wellbeing. Journal of Pain and Symptom Management. doi:10.1016/j.jpainsymman.2021.07.004Google ScholarPubMed
Garcia, ACM, Spineli, VMCD, Eduardo, AHA, et al. (2019) Translation, cultural adaptation, and validation of the Brazilian Portuguese version of the end-of-life professional caregiver survey. Palliative and Supportive Care 18(5), 569–574. doi:10.1017/S1478951519000993CrossRefGoogle Scholar
Garcia, ACM, Domingues Silva, B, Oliveira da Silva, LC, et al. (2021) Self-compassion In hospice and palliative care: A systematic integrative review. Journal of Hospice and Palliative Nursing 23(2), 145–154. doi:10.1097/NJH.0000000000000727CrossRefGoogle Scholar
Hair, JF, Black, WC, Babin, BJ, et al. (2010) Multivariate Data Analysis, 6th ed. Porto Alegre: Bookman.Google Scholar
Hartogh, GD (2017) Suffering and dying well: On the proper aim of palliative care. Medicine, Health Care and Philosophy: A European Journal 20(3), 413–424.CrossRefGoogle ScholarPubMed
Hotchkiss, JT and Cook-Cottone, CP (2019) Validation of the mindful self-care scale (MSCS) and development of the brief-MSCS among hospice and healthcare professionals: A confirmatory factor analysis approach to validation. Palliative & Supportive Care 17(6), 628–636. doi:10.1017/S1478951519000269CrossRefGoogle ScholarPubMed
Kline, RB (2011) Principles and Practice of Structural Equation Modeling, 3rd ed. New York: The Guilford Press.Google Scholar
Kulis, D, Bottomley, A, Velikova, G, et al. (2017). EORTC Quality of Life Group – Translation Procedure, 4th ed. Brussels: EORTC Quality of Life Group. Available at: https://www.eortc.org/app/uploads/sites/2/2018/02/translation_manual_2017.pdf.Google Scholar
Lomas, T, Medina, J, Ivtzan, I, et al. (2017) The impact of mindfulness on the wellbeing and performance of educators: A systematic review of the empirical literature. Teaching and Teacher Education 61, 132–141. doi:10.1016/j.tate.2016.10.008CrossRefGoogle Scholar
Mills, J (2021) Theoretical foundations for self-care practice. Progress in Palliative Care 29(4), 183–185.CrossRefGoogle Scholar
Mills, J, Wand, T and Fraser, JA (2018a) Examining self-care, self-compassion and compassion for others: A cross-sectional survey of palliative care nurses and doctors. International Journal of Palliative Nursing 24(1), 4–11.CrossRefGoogle Scholar
Mills, J, Wand, T and Fraser, JA (2018b) Exploring the meaning and practice of self-care among palliative care nurses and doctors: A qualitative study. BMC Palliative Care 17, 63. doi:10.1186/s12904-018-0318-0CrossRefGoogle Scholar
Mills, J, Ramachenderan, J, Chapman, M, et al. (2020) Prioritising workforce wellbeing and resilience: What COVID-19 is reminding us about self-care and staff support. Palliative Medicine 34(9), 1137–1139.CrossRefGoogle ScholarPubMed
Muthén, LK and Muthén, BO (1998-2017) Mplus User's Guide, 8th ed. Los Angeles: Muthén & Muthén.Google Scholar
Neff, KD (2003) The development and validation of a scale to measure self-compassion. Self and Identity 2, 223–250. doi:10.1080/15298860309027CrossRefGoogle Scholar
Neff, KD (2016) The self-compassion scale is a valid and theoretically coherent measure of self-compassion. Mindfulness 7, 264–274. doi:10.1007/s12671-015-0479-3CrossRefGoogle Scholar
Raes, F, Pommier, E, Neff, KD, et al. (2011) Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology and Psychotherapy 18, 250–255. doi:10.1002/cpp.702CrossRefGoogle Scholar
Rios, J and Wells, C (2014) Validity evidence based on internal structure. Psicothema (Oviedo) 26(1), 108–116. doi:10.7334/psicothema2013.260Google ScholarPubMed
Sadler, GR, Lee, HC, Lim, RS, et al. (2010) Recruitment of hard-to-reach population subgroups via adaptations of the snowball sampling strategy. Nursing & Health Sciences 12(3), 369–374. doi:10.1111/j.1442-2018.2010.00541.xCrossRefGoogle ScholarPubMed
Sansó, N, Galiana, L, Oliver, A, et al. (2015) Palliative care professionals’ inner life: Exploring the relationships among awareness, self-care, and compassion satisfaction and fatigue, burnout, and coping with death. Journal of Pain and Symptom Management 50(2), 200–207. doi:10.1016/j.jpainsymman.2015.02.013CrossRefGoogle ScholarPubMed
Smith, BW, Dalen, J, Wiggins, K, et al. (2008) The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine 15(3), 194–200. doi:10.1080/10705500802222972CrossRefGoogle ScholarPubMed
Souza, LK and Hutz, CS (2016) Adaptation of the self-compassion scale for use in Brazil: Evidences of construct validity. Trends in Psychology 24(1), 159–172. doi:10.9788/TP2016.1-11Google Scholar
Terwee, CB, Bot, SD, de Boer, MR, et al. (2007) Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology 60(1), 34–42. doi:10.1016/j.jclinepi.2006.03.012CrossRefGoogle ScholarPubMed
Valentini, F and Damásio, BF (2016) Average variance extracted and composite reliability: Reliability coefficients. Psicologia: Teoria e Pesquisa 32(2), doi:10.1590/0102-3772e322225Google Scholar
White, KB, Murphy, PE, Jeuland, J, et al. (2019) Distress and selfcare among chaplains working in palliative care. Palliative and Supportive Care 17, 542–549. doi:10.1017/S1478951518001062CrossRefGoogle ScholarPubMed
World Health Organization (2020). Palliative Care. Available at: https://www.who.int/news-room/fact-sheets/detail/palliative-care.Google Scholar
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