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    Death anxiety and death literacy among Turkish patients with chronic diseases: a cross-sectional study
    (Bmc, 2025) Semerci Cakmak, Vahide; Seven, Ahmet; Sonmez Sari, Ebru
    Background Death anxiety is common in patients with chronic diseases. Death literacy is a novel theoretical framework that enables patients to discuss death, accept it as a natural aspect of life, and get a deeper comprehension of it. However, it is unclear whether there is a relationship between death literacy and death anxiety. Furthermore, death literacy has not been sufficiently researched in Turkish society. This study investigated the levels of death anxiety and death literacy among Turkish patients with chronic diseases and the factors affecting death anxiety. Methods This was a cross-sectional study. The sample consisted of Turkish patients with chronic diseases (n = 225). The data were collected with the Turkish Death Anxiety Scale and the Death Literacy Index. Pearson correlation, independent samples t test, One-Way ANOVA, and multiple linear regression were employed to analyse the data. Results There exists a negative moderate correlation between death anxiety and death literacy. It has been determined that the factors that most influence patients' fear of death are their level of death literacy and gender. These factors explained 12.8% of the variance in death anxiety (R2 = 0.128, F = 3.153, p < 0.001). Conclusions The results suggest that death literacy level and gender were found to be factors affecting death anxiety of patients. Women have higher death anxiety scores. While the level of death literacy of Turkish patients with chronic diseases increases, their death anxiety decreases. The findings of the study were believed to offer a comprehensive information for healthcare practitioners in the management of such patients.
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    Death Literacy Index Short Form: Cultural Adaptation and Psychometric Evaluation of the Turkish Version
    (Sage Publications Inc, 2025) Semerci Cakmak, Vahide; Sonmez Sari, Ebru; Seven, Ahmet
    The aim of this study was to adapt the short form of Death Literacy Index (DLI-9) into Turkish and to examine its psychometric properties. This study has a methodological cross-sectional design. The study was conducted with a sample of 400 adults across T & uuml;rkiye during October-November. Content Validity Index, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Convergent and Discriminant Validity Analyses, test-retest reliability, Cronbach's alpha-coefficient, item-total-score correlation, 27% upper-lower-group item analysis and Hotelling-T2 test were used in data analysis. In the EFA analysis, the scale consisted of 2 factors. The original two-factor structure of the scale was confirmed by CFA. CFA model fit values were found as CMIN/DF = 2.078, RMSEA = 0.074, RMR = 0.077, SRMR = 0.0455, CFI = 0.960, NFI = 0.927, TLI = 0.945, GFI = 0.946, and AGFI = 0.906. The total Cronbach's alpha reliability coefficient of the DLI-9 was found to be 0.84. This study indicates that scale is a reliable tool for evaluating death literacy in the Turkish population.