The purpose of this research was to develop and evaluate psychometrically an abbreviated instrument to assess hope in adults in clinical settings the herth hope index hhi, a 12. Herth hope index the herth hope index hhi is a clin icalsetting adaptation of the herth hope scale hhs herth, 1992. Tilburg university hope as a determinant of mental health. Provide targeted services to families with a desire to take action, changing life trajectories and increasing hope. Pdf the herth hope indexa psychometric study among. Dignity therapy is a brief psychotherapy that can enhance a sense of legacy while addressing the emotional and existential needs of patients receiving hospice or palliative care. The results confirmed reliability of the scale with cronbach alpha of 0. University of birmingham the hope and adaptation scale has. Artigo original cultural adaptation and validation of the. Herth hope index listed below are a number of statements. Conceptual and measurement model does the scale represent a single domain or do model scales measure distinct domains.
Artigo original cultural adaptation and validation of. Therefore, an instrument to measure hope could be useful for clinical settings and research. Herth hope scale hhs is a measure that attempts to. Read each statement and place an x in the box that describes how much you agree with that statement right now strongly disagree disagree agree strongly agree 1. An instrument for the objective assessment of hope. Research article open access feasibility, acceptability and. Hhi herth hope index hqli hospice quality of life index hrcaql hebrew rehabilitation center for aged quality of life hrqol health related quality of life icps integrated care pathways itg inventory of traumatic grief kps karnofsky performance scale lcp liverpool care pathway of the dying mbi maslach burnout inventory.
Building on the clinical foundation of dignity therapy, together with the empirical understanding of dignityrelated concerns of asian families. The purpose of this study was to gather validity evidence for an innovative experience of hope scale, the hope differentialshort hds, and evaluate its clinical utility for assessing hope in advanced cancer patients. We have now constructed the hope index scale, a testing instrument for the measurement of this. Inperson debriefing held for program leadership and group facilitators, once all sessions are completed. The herth hope index hhi and related factors in the. Different outcomes were evaluated at the baseline and 1 and 4 weeks after the generativity document was delivered. A controlled trial of a hope fostering treatment called the living with hope program comprising of a hope video plus performance of a hoperelated activity had been shown to increase the hope score and quality of life score in the treatment group. Preliminary data from this research were presented at the society of general internal medicine 34th annual meeting.
One scale to measure hope, herth hope index hhi, is based on this definition of hope herth, 1992. A consecutive sampling approach was used to recruit 96 patients from an inpatient tertiary palliative care unit and three hospice settings. Research article open access feasibility, acceptability. The herth hope index was found to be a reliable and valid instrument for. Permission to use this tool and a copy of scoring instructions must be obtained directly from the author. Retrieved from the walden library using the sage journals database. The suicide risk assessment pocket card was developed to assist clinicians in all areas but especially in primary care and the emergency roomtriage area to make an assessment and care decisions regarding patients who present with suicidal ideation or provide reason to believe that there is cause for concern.
Advance care planning does not adversely affect hope or. Each participant completed an inperson survey interview, consisting of the following measures. The aim of this study was to validate the hope herth index hhi questionnaire in the italian popu. The availability of a valid and reliable instrument that accurately measures the level of hope in patients with heart failure is crucial before any hope. The hope and adaptation scale was developed and tested across three stages.
Hds nine items, herth hope index hhi, hope visual analog scale hope vas and edmonton symptom assessment system esas. Hope was measured by the herth hope index hhi, at intake and every 3 mo. Pdf hope is seen as the act by which the temptation of despair is actively. The purpose of this research was to develop and evaluate psychometrically an abbreviated instrument to assess hope in adults in clinical settings the herth hope index hhi, a 12item adapted version of the herth hope scale hhs, was tested with a convenience sample of 172 ill adults alpha coefficient was 0 97 with a 2week testretest. Herths 1990a study explored hope in a convenience sample of 30 patients receiving hospice care.
Herth hope index conducted at the beginning and end of their involvement in the education sessions. Please find information below on how to view the sessions of the 2019 annual caring for the human spirit conference. Herth hope index hhi score, general urban population, demographic attribute, stressful experience. Hope, mood states and quality of life in female heart. This article is a report on psychometric testing of the chinese version of the herth hope index. Hope is seen as the act by which the temptation of despair is actively overcome and has thus been interpreted as an inner strength and an available resource for living in the present. Outcome measure herth hope scale hhs moving ahead cre.
Previous clinical tools that consider hope have several items for instance the herth hope index has 12 items. Regarding the quality of the scales assessed with the cosmin checklist, only four of them, the facitsp spiritual wellbeing scale, 15, 27 the herth hope index, 28 the nursing home adjustment scale nhas 38, 79 and the dqol scale 11, 40 scored extremely well on internal consistency, structural validity, and hypothesis testing. There is a need to understand better the measurement of hope within a variety of crosscultural contexts and older population. A psychometric study among cognitively intact nursing home patients. Dec 29, 2015 dignity therapy is a short psychotherapeutic intervention that uses a trained therapist to take the person with dementia through a guided interview process, producing a generativity document that creates a lasting, written legacy during a time when they are still able to communicate well. The hh index comprises 12 items using a 4point likert response format from. In this methodological study participated 1 individuals. A 12item herth hope index is established for assessment of hope in clinical care and research. The availability of a valid and reliable instrument that accurately measures the level of hope in. A control group is not being utilized due to 1 the small mnd population available in western australia 2 access issues to people with mnd, and 3 the fact that dignity therapy nor any other psychosocial intervention has yet to be tried with this palliative care. Sabrina kiser, msw national pathway of hope coordinator the. This document offers a brief summary of what were doing now. As you complete the index, reflect on what the potential answers to the assessment items might reveal about an individuals ability to hope when experiencing challenging situations.
School nurses view of schoolchildrens health and their attitudes to document it in the school health record a pilot study. Impact of condition specific camps on resiliency and. Kaye does research in nursing science focused on hope and therapeutic humor. In dignity therapy, patients create a formalized legacy document that records their most cherished memories, their lessons learned in life, as well as their hopes and dreams for loved ones in the future. Scores can assist the caseworker in determining strategies that may foster. Previous clinical tools that consider hope have several items for instance the herth hope index has 12 items 24, or are based on particularised hopes specific hopes, linked to goals that include agency and pathways 25 rather than generalised hopes. The herth hope index hhi was the instrument chosen from among other hope indexes to measure hope because it was based on the multidimensionality of hope. Previous studies have demonstrated that conditionspecific camps designed for children with epilepsy can increase adaptive coping skills including social interactions, cooperation, initiative, and communication in participants over a threeyear period 1. To develop and test the face and content validity of a scale that assesses an individuals adaptation and expression of hope to a life changing events, disease or trauma. This exploratory study was done to describe levels of hope, mood states and qol. University of birmingham the hope and adaptation scale. Although hope is a widely used term, the experience of hope in patients with chronic or even lifethreatening diseases is often disregarded due to the scarcity of carefully designed and validated assessment tools. May 7, 2011, phoenix, az and at the international conference on communication in healthcare, october 18, 2011, chicago, il. The lack of a holistic approach to palliative care can lead to a fractured sense of dignity at the end of life, resulting in depression, hopelessness, feelings of being a burden to others, and the loss of the will to live among terminally ill patients.
During the intake phase the participant completes a 12item questionnaire independently. Hhi was developed in 1989 to make a scale that was shorter and specifically designed for use in clinical settings herth, 1992. United way driving the dream coactionnet user guide. Criterionrelated validity was established by correlating the hhi with the parent hhs r 0 92, the existential wellbeing scale r.
Crosscultural adaptation and psychometric evaluation of. Bring all the armys internal resources to bear, aligning them to the needs of clients and focused on outcomes. Culture shift from from from to to to serving outputs solving outcomes local. The herth hope index hhi, a 12item adapted version of the herth hope scale hhs, was tested with a convenience sample of 172 ill adults. Advance care planning does not adversely affect hope or anxiety among patients with advanced cancer. Upon testing control and experimental subjects, it was found that score distribution on the hope index scale correlates negatively with becks hopelessness scale pearson r 88, p herth is currently dean emerita, college of allied health and nursing, minnesota state university, mankato. Hope herth hope index listed below are a number of statements. Journal of the national medical association, 748, 761765. Sabrina kiser, msw national pathway of hope coordinator.
The availability of a valid and reliable instrument that accurately measures the level of hope in patients with heart failure is crucial before any hopeenhancing interventions can be appropriately planned and evaluated. Read each statement and place an x in the box that describes how. Herth hope index, psychometrics, hope, older people, iran abstract. The patients words have been tape recorded, written, edited, and finally the generativity document created and has been shared with the patients intimates. The hhi is based on a definition of hope that describes it as a multidimensional life force characterized by a confident yet uncertain expectation of. Promoting excellence in endoflife care was a national program of the robert wood johnson foundation dedicated to longterm changes in health care institutions to substantially improve care for dying people and their families.
Development and psychometric by kaye herth journal of. The history, its application, and how to regain it. The role of hope on mood states and quality of life qol in heart transplant recipients has not been examined previously. This study aims the cultural adaptation and validation of the herth hope index, an instrument to measure hope. This is a crosssectional study utilizing a single treatment group and a repeated measures prepost test design. Cultural adaptation and validation of the herth hope index. They define hope as a multidimensional dynamic life force that is characterized by a confident yet uncertain expectation of achieving good, which is realistically possible and personally significant. Rasch analysis of the herth hope index in cancer patients ncbi. Hope level of patients studied before and 1month after the intervention by the herths hope index questionnaire and the collected data has been analyzed by spss software. Increased hope herth hope index client survey positive intergenerational impact self sufficiency matrix income post poh survey reduction in number of visits pathway of hope client tracking. A validation study within a sample of iranian patients with heart disease.
Hope is an optimistic state of mind that is based on an expectation of positive outcomes with respect to events and circumstances in ones life or the world at large. Read each statement and place an x in the box that describes how much you agree with that. Although many clinical observations suggest that hope influences the onset, duration, prognosis, and recovery from mental and physical illnesses, a lack of direct scientific proof persists because no method exists for the objective assessment of hope. Dignity therapy is a short psychotherapeutic intervention that uses a trained therapist to take the person with dementia through a guided interview process, producing a generativity document that creates a lasting, written legacy during a time when. This study replicates herths 1990a study, which until now is the only published study to use a longitudinal design combined with method triangulation to research the terminally ill patient population. A controlled trial of a hope fostering treatment called the living with hope program comprising of a hope video plus performance of a hope related activity had been shown to increase the hope score and quality of life score in the treatment group. Crosscultural adaptation and psychometric evaluation of the. Resilience is the ability to adapt in stressful situations and overcome adversity through the use of effective coping strategies. The hhi is an adaptation of the herth hope scale herth, 1991. Hope is a motivationalcognitive attribute that is theoretically necessary to initiate and sustain action toward goal attainment. The herth hope index might be used to assess hope and changes in the hope. The norwegian version of the herth hope index hhin. The core elements of pathway of hope are as follows.
An instrument for the objective assessment of hope by alphonsus o. Listed below are a number of statements regarding hope. Wilson journal of the national medical association volume 74, issue 8, pp. The herth hope indexa psychometric study among cognitively intact nursing home patients article pdf available in journal of nursing measurement 2.
Read each statement and place an x in the box that describes how much you agree with that statement right now. Dignity therapy, a promising intervention in palliative. Pdi, the herth hope index hhi for measuring sense of hope, hads, eq5d and a satisfaction questionnaire for measuring healthrelated quality of life and satisfaction with quality of life. The objective of this study was to examine the psychometric characteristics of the persian translation of the herth hope index hhipersian. The herth hope indexa psychometric study among cognitively intact nursing home patients.