Who are the participants that will be evaluated? Patients evaluated by a qualified physician with a certified terminal illness with a determination

1. Who are the participants that will be evaluated?

Patients evaluated by a qualified physician with a certified terminal illness with a determination of life ending in 6 months or as a hospice patient with unmanageable pain.

1. Who are the staff who will be administering the evaluations? 

Licensed staff employed by and assigned to Empath's Home Health team and patients are LPN, RN, home health aid, medical social workers, physical, occupational, and speech therapists/mental health.

Pros- reliable, trained, experienced, licensed individuals.

Cons- Biased information and prior patient knowledge may sway evaluation answers as it is based on perception.

1. How many participants will be evaluated? 

There will be 100 participants evaluated over a day of treatment.

Pro—The demographic area has a senior population, and at this time of year, most individuals who come to this area are older.

Cons – Participants may not complete treatment due to death, self or family choice, or preference.

1. What is the assessment schedule? (In other words, how often/when will the participants be evaluated?

Each participant will receive one hour of Cognitive Behavioral Therapy by the Medical Social Worker twice a week individually, prior to treatment, and after the end of the second treatment or twice a week, resulting in 60 treatments over a 30-day period by the MSW. Additional daily visits will be continued as scheduled by LPN, RN, PT, OT, ST, and Mental Health but not evaluated.

1. What is the evidence of the instruments' validity? (Provide sources) 

The evaluation will be measured using the CSES Coping Self-Efficacy Scale.  This 12-minute assessment consists of 26 items answered on a sliding scale of 0-10, focusing on coping with problems, emotions, and social support (Chesney, 2003). The measurement is based on perception assessment, and research-based coping mechanisms reduce stress perceiving prosperity (Chesney et al., 2006). The CSES is based on perception and will require statistical analysis for the pre-and post-test to be analyzed differently. The scale will have to be reversed scored, and data will be input differently as there will be a perception of stress.

Pros- Answers are on a Sliding Scale

Cons- Answers are on a Sliding Scale

References

Chesney, M.A. (2003). Coping self-efficacy scale instrument and scoring guide. Mind Garden, Inc. w