• Stella Di Gennaro, Julia Fila, Verónica Veloso, Cristina Lasmarías, Vilma A Tripodoro, and GRUPO PCA-ARGENTINA Y RED-IN-PAL (PALLIUM LATINOAMÉRICA).
• RED-In-Pal - Instituto Pallium Latinoamérica, Buenos Aires, Argentina.
• Medicina (B Aires). 2024 Jan 1; 84 (4): 619628619-628.

IntroductionShared care planning (ACP) is a reflective, deliberative and structured process involving the sick person and his or her caring environment. Health professionals recognize barriers to initiating ACP.Perceived self-efficacy is one of the main predictors of success in learning processes.Objectives1) To crossculturally adapt the ACP self-efficacy scale in Spanish for Argentina (ACP-SEs); 2) To explore the reliability and validity of the scale; and 3) To explore self-efficacy in ACP in Argentinean professionals.MethodExploratory instrumental study carried out on health professionals who assist patients with advanced chronic diseases, interdisciplinary through a comprehension test of the ACP-SEs instrument and psychometric validation in a purposive sample of professionals. Sociodemographic variables and previous experience were analyzed.ResultsAfter the comprehension test and linguistic adaptation of the scale through cognitive testing with eight professionals with experience with advanced chronic patients, the ACP-SEs Ar version of the scale was achieved. 236 professionals participated in the exploration, 83% attended patients with advanced chronic disease, 52.9 % were physicians, 52% received informal training in ACP, and 11% had a personal advance directive document. The scale's internal consistency was high (Cronbach's alpha = 0.89). Questions about prognosis, treatment options, goals, treatment preferences, and reassessment of goals of care showed significant differences between physicians and nonphysicians.ConclusionWe explored PCA self-efficacy in health professionals with the ACP-SEs Ar scale validated for the first time in Argentina.

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