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Validity and Reliability of a Chinese-Tailored Scale for the Evaluation of End-of-Life Care in Dementia Patients
Linbing Chen, Yadan Ouyang, Chunyu Cheng, Zhenfei Chen, Liping Wang. British Journal of Hospital Medicine, 2025-07-22
Topic: Risk, prevention and care in population studies
Aims/Background Highly valid and reliable instruments for evaluating end-of-life care for dementia patients and caregivers are lacking in clinical settings, hampering the progress of pertinent research on palliative care in China. Therefore, the present work focused on assessing the adaptability and reliability of the Chinese version of the End-of-Life Care in Dementia (EOLD) scale in evaluating nursing home caregivers who have cared for advanced dementia patients. Methods A convenience sample of 170 caregivers was recruited from five nursing homes. The data collection instruments included a demographic form and the Chinese version of the EOLD scale. The Chinese version of the EOLD scale comprises three subscales: Satisfaction with Care at the End of Life in Dementia (SWC-EOLD); Symptom Management at the End of Life in Dementia (SM-EOLD), which includes further scales for psychological symptoms and physical symptoms; and the Comfort Assessment in Dying with Dementia (CAD-EOLD), which encompasses further evaluation scales for physical distress, dying symptoms, well-being, and emotional distress. Results The reliability of all the scales ranged from satisfactory to good, with SWC-EOLD’s α = 0.806, SM-EOLD’s α = 0.879, and CAD-EOLD’s α = 0.827. Conclusion In this study, a preliminary reliability assessment on the Chinese version of the EOLD scale was conducted, revealing that the three subscales exhibit strong internal consistency in reliability and structural validity. These results further confirm the applicability of the EOLD scale in dementia research within the context of palliative care.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Chen, L., Ouyang, Y., Cheng, C., Chen, Z., & Wang, L. (2025). Validity and Reliability of a Chinese-Tailored Scale for the Evaluation of End-of-Life Care in Dementia Patients. British Journal of Hospital Medicine. https://doi.org/10.12968/hmed.2025.0129
Vancouver
Chen L, Ouyang Y, Cheng C, Chen Z, Wang L. Validity and Reliability of a Chinese-Tailored Scale for the Evaluation of End-of-Life Care in Dementia Patients. British Journal of Hospital Medicine. 2025. doi:10.12968/hmed.2025.0129. PMID: 40705542.
BibTeX
@article{chen2025-40705542,
author = {Chen, Linbing and Ouyang, Yadan and Cheng, Chunyu and Chen, Zhenfei and Wang, Liping},
title = {{Validity and Reliability of a Chinese-Tailored Scale for the Evaluation of End-of-Life Care in Dementia Patients}},
journal = {British Journal of Hospital Medicine},
year = {2025},
doi = {10.12968/hmed.2025.0129},
pmid = {40705542},
url = {https://doi.org/10.12968/hmed.2025.0129}
}
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Key findings
- Results The reliability of all the scales ranged from satisfactory to good, with SWC-EOLD’s α = 0.806, SM-EOLD’s α = 0.879, and CAD-EOLD’s α = 0.827.
- These results further confirm the applicability of the EOLD scale in dementia research within the context of palliative care.
Why it matters
This study tested a Chinese version of the End-of-Life Care in Dementia scale with 170 caregivers from five nursing homes and found satisfactory to good reliability for its subscales. It is a preliminary reliability assessment of a measurement tool for palliative care research, not a treatment for dementia.
Study details
- Evidence strengthLow
How this study scored 26/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (British Journal of Hospital Medicine) |
| Journal's citation record | 0 / 4 | British Journal of Hospital Medicine: journal h-index 45 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 0 / 4 | Last-listed author Liping Wang: h-index 3 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Guangdong Medical College: institution h-index 266 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40705542) |
| Free to read | 2 / 2 | Free to read |
| Total | 26 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.12968/hmed.2025.0129
- PubMed: 40705542
- Original source →
- Free full text: British Journal of Hospital Medicine →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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