Preliminary Development of a Postmortem Bodily Integrity Concerns Scale Among the University Students in Hong Kong

Abstract

The idea of keeping a body intact has been a major barrier that hinders people from making decision for posthumous organ donation or making consent for their deceased family member. The present research thus attempted to bridge the knowledge gap by conducting an exploratory study to identify the underlying beliefs, and a preliminary validation study to confirm the scale developed thereof. Nineteen university students participated in 5 semistructured focus groups; 115 participated in the exploratory factor analysis, while 96 in the confirmatory factor analysis. An 18-item scale, the Postmortem Bodily Integrity Concerns Scale was developed with 4 subscales: Filial Piety Beliefs, Worries of Organ Removal, Postmortem Mutilation Anxiety, and Detachment to Death. The corresponding measures were established and validated with acceptable psychometric properties and a model of good fit. The findings provided implications for the policymakers to devise plans in dealing with the postmortem bodily integrity issue.

Keywords

bodily integrity postmortem organ donation anxiety theory of reasoned action

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References

Afthanorhan

Ahmad

Mamat

(2014). Pooled Confirmatory Factor Analysis (PCFA) using structural equation modeling on volunteerism program: A step by step approach. International Journal of Asian Social Science, 4(5), 642–653.

Ajzen

(2006). Constructing a TpB questionnaire: Conceptual and methodological considerations. Retrieved from https://pdfs.semanticscholar.org/0574/b20bd58130dd5a961f1a2db10fd1fcbae95d.pdf

Arbuckle

J. L.

(2012). Amos (version 21.0) [computer program]. Chicago, IL: IBM SPSS.

Braun

K. L.

Nichols

(1997). Death and dying in four Asian American cultures: A descriptive study. Death Studies, 21(4), 327–359.

Brown

C. V. R.

Foulkrod

K. H.

Dworaczyk

Thompson

Elliot

Cooper

, … Coopwood

(2010). Barriers to obtaining family consent for potential organ donors. Journal of Trauma and Acute Care Surgery, 68(2), 447–451.

Cangur

Ercan

(2015). Comparison of model fit indices used in structural equation modeling under multivariate normality. Journal of Modern Applied Statistical Methods, 14(1), 152–167.

Charmaz

(1995). Grounded theory: Rethinking methods in psychology. London, England: SAGE.

Cheng

C. P.

Wong

(2005). An overview on attitudes towards organ donation in Hong Kong. Hong Kong Journal of Nephrology, 7(2), 77–81.

Cheung

C. Y.

Pong

M. L.

Au Yeung

S. F.

Chau

K. F.

(2016). Factors affecting the deceased organ donation rate in the Chinese community: An audit of hospital medical records in Hong Kong. Hong Kong Medical Journal, 22(6), 570–575.

10.

Costello

Osborne

(2011). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10(1), 7.

11.

de Groot

Vernooij-Dassen

Hoedemaekers

Hoitsma

Smeets

van Leeuwen

(2012). Decision making by relatives about brain death organ donation: An integrative review. Transplantation, 93(12), 1196–1211.

12.

Edwards

T. M.

Essman

Thornton

J. D.

(2007). Assessing racial and ethnic differences in medical student knowledge, attitudes and behaviors regarding organ donation. Journal of the National Medical Association, 99(2), 131–137.

13.

Elliott

A. C.

Woodward

W. A.

(2007). Statistical analysis quick reference guidebook: With SPSS examples. Thousand Oaks, CA: SAGE

14.

Feeley

T. H.

(2007). College students’ knowledge, attitudes, and behaviors regarding organ donation: An integrated review of the literature. Journal of Applied Social Psychology, 37(2), 243–271.

15.

Field

(2009). Discovering statistics using SPSS. (3rd ed.). London, England: SAGE.

16.

Fishbein

Ajzen

(1975). Belief, attitude, intention and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.

17.

Floyd

F. J.

Widaman

K. F.

(1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment, 7(3), 286–299.

18.

Francis

J. J.

Eccles

M. P.

Johnston

Walker

Grimshaw

Foy

, … Bonetti

(2004). Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers. Newcastle upon Tyne, UK: Centre for Health Services Research, University of Newcastle upon Tyne.

19.

Greenberg

Solomon

Pyszczynski

(1997). Terror management theory of self-esteem and cultural worldviews: Empirical assessments and conceptual refinements. Advances in Experimental Social Psychology, 29, 61–139.

20.

Hyde

M. K.

White

K. M.

(2010). Are organ donation communication decisions reasoned or reactive? A test of the utility of an augmented theory of planned behaviour with the prototype/willingness model. British Journal of Health Psychology, 15(2), 435–452.

21.

IBM Corp. (2013). IBM SPSS statistics for windows, version 22.0. Armonk, NY: IBM Corp.

22.

Kenny

D. A.

Kaniskan

McCoach

D. B.

(2014). The performance of RMSEA in models with small degrees of freedom. Sociological Methods & Research, 44(3), 486–507.

23.

Leary

M. R.

Jongman-Sereno

K. P.

(2014). Chapter 20—Social anxiety as an early warning system: A refinement and extension of the self-presentation theory of social anxiety. In Hofmann

S. G.

DiBartolo

P. M.

(Eds.), Social anxiety: Clinical, developmental, and social perspectives (3rd ed., pp. 579–597). San Diego, CA: Academic Press.

24.

Legge

(2006–2020). Chinese text project: Xiao Jing (“The Classic of Filial Piety”): The Scope and Meaning of the Treatise. Retrieved from https://ctext.org/xiao-jing/scope-and-meaning-of-the-treatise

25.

MacCallum

R. C.

(1990). The need for alternative measures of fit in covariance structure modeling. Multivariate Behavioral Research, 25(2), 157–162.

26.

MacCallum

R. C.

Widaman

K. F.

Preacher

K. J.

Hong

(2001). Sample size in factor analysis: The role of model error. Multivariate Behavioral Research, 36(4), 611–637.

27.

Mackinnon

S. P.

Battista

S. R.

Sherry

S. B.

Stewart

S. H.

(2014). Perfectionistic self-presentation predicts social anxiety using daily diary methods. Personality and Individual Differences, 56, 143–148.

28.

Raubenheimer

(2004). An item selection procedure to maximise scale reliability and validity. SA Journal of Industrial Psychology, 30(4), 59–64.

29.

Reise

S. P.

Waller

N. G.

Comrey

A. L.

(2000). Factor analysis and scale revision. Psychological Assessment, 12(3), 287–297.

30.

Sque

Long

Payne

Allardyce

(2008). Why relatives do not donate organs for transplants: ‘Sacrifice’ or ‘gift of life’? Journal of Advanced Nursing, 61(2), 134–144.

31.

Symvoulakis

E. K.

Rachiotis

Papagiannis

Markaki

Dimitroglou

Morgan

, … Jones

(2014). Organ donation knowledge and attitudes among health science students in Greece: Emerging interprofessional needs. International Journal of Medical Sciences, 11(6), 634–640.

32.

Weber

Martin

M. M.

Corrigan

(2007). Real donors, real consent: Testing the theory of reasoned action on organ donor consent. Journal of Applied Social Psychology, 37(10), 2435–2450.

33.

Wilkinson

(1998). Focus group methodology: A review. International Journal of Social Research Methodology, 1(3), 181–203.

34.

Wong

S. H.

Chow

A. Y. M.

(2018a). A pilot study to validate measures of the theory of reasoned action for organ donation behavior. Death Studies, 42(4), 216–227.

35.

Wong

S. H.

Chow

A. Y. M.

(2018b). A validation study of the posthumous organ donation reasoned action scale. OMEGA—Journal of Death and Dying. Advance online publication. doi:10.1177/0030222818782332