ArticleFrontiers in public health2023
The Death Literacy Index: translation, cultural adaptation, and validation of the Chinese version.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- Community participation and consultation in palliative and end-of-life care: Building death literacy through a participatory theory of change.Palliative care and social practice · 2026Article
- Identifying the pathways to increased death literacy: Building a conceptual causal model through a mixed-methods pragmatic ESC-DAGs approach.Palliative care and social practice · 2026Article
- Associations between sociodemographic factors, experience of death and dying, and death literacy: A nationally representative cross-sectional study.Palliative care and social practice · 2026Article
- Investigating effect versus impact in a participatory action research project: Building end-of-life communication competence in residential care facilities for older people.Palliative care and social practice · 2026Article
- Patient characteristics associated with death literacy in advanced non-small-cell lung cancer: A preliminary single-centre cross-sectional study.Palliative care and social practice · 2026Article
- Translation and validation of the revised and short forms of the Death Literacy Index in the Chinese population.Frontiers in public health · 2026Article
- Death literacy: Tensions between theory and practice.Palliative care and social practice · 2026Article
- Strengthening death literacy in multicultural communities: Community-led interventions and cross-cultural validation of the Death Literacy Index.Palliative care and social practice · 2026Article
- Mapping death literacy in the East of England: A cross-sectional survey with qualitative insights to inform public health strategy.Palliative care and social practice · 2026Article
- Exploring death literacy with allied health professionals: A cross-sectional survey in Australia.Palliative care and social practice · 2026Article
- Development and validation of the Japanese version of the Death Literacy Index (DLI-J) and its short form (DLI-J-9).PCN reports : psychiatry and clinical neurosciences · 2025Article
- Palliative Care in Shanghai Communities: Needs, Influencing Factors and Preferences Among Older Adults with Chronic Diseases.Healthcare (Basel, Switzerland) · 2025Article
- The impact of death literacy on self-management behaviors in gastric cancer patients: the chain mediating role of psychological adaptation and cognitive reappraisal.Frontiers in public health · 2025Article
- Psychological capital and death anxiety in pancreatic cancer patients: a latent profile analysis.Frontiers in psychiatry · 2025Article
- The mediating effects of death reflection on death literacy and death anxiety among Chinese nurses: a cross-sectional study.Scientific reports · 2024Article
- Association of filial attitude, filial behavior and death literacy: implications for development of death system in Guangdong-Hong Kong-Macao Greater Bay Area of China.BMC public health · 2024Article
- Progressing the Death Literacy Index: the development of a revised version (DLI-R) and a short format (DLI-9).Palliative care and social practice · 2024Article
- Validation of a culturally adapted Swedish-language version of the Death Literacy Index.PloS one · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Applying public health approaches to address palliative care allows for a broader perspective. The Death Literacy Index (DLI) is a novel instrument designed to assess the knowledge and skills required to access, comprehend, and make informed decisions regarding end-of-life care. Translation of the DLI could strengthen the capacity to build desirable services and policies regarding dying and death. It could also help to identify the barriers to services and future advocacy efforts. Methods: The DLI was forward translated into Chinese and backward translated through two panels. Two rounds of cognitive interviews and a pilot test were conducted before the survey. A sample of 3,221 participants was recruited via an online survey in five cities in southern China (Guangzhou, Zhuhai, Jiangmen, Hong Kong and Macao) to evaluate the factor structure, validity and reliability of the translated DLI. Additionally, multi-group confirmatory factor analyses (MGCFA) were performed to examine measurement invariance across genders and the experiences of parental death. Results: Exploratory factor analysis showed a six-factor structure for the translated DLI, and confirmatory factor analysis confirmed the structure. The overall scale and subscales had high internal consistency and satisfactory validity. The results from MGCFA showed that death literacy was adequately invariant for different genders and experiences of parental death. Conclusion: The Chinese DLI is a reliable and valid instrument for measuring death literacy among people in southern China, and therefore can be used for both research and community practice.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.