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Development of a Modified Instrument to Measure Anticipatory Grieving in Jordanian Parents of Children Diagnosed With Cancer: The Marwit and Meuser Caregiver Inventory Childhood Cancer

Al-Gamal, Ekhlas BSc, MSc, RN; Long, Tony BSc, MA, PhD, RN; Livesley, Joan BSc, MA, RN

doi: 10.1097/NCC.0b013e31819a2ae4

The purpose of this article is to report on the development and field testing for validity and reliability of a modified version of the Marwit and Meuser Caregiver Inventory (MM-CGI) for the assessment of anticipatory grief among Jordanian parents of children with cancer (the MM-CGI Childhood Cancer). In 2006, a 50-item MM-CGI Childhood Cancer was administered to 140 Jordanian parents living with a child with cancer. The Cronbach α coefficient for the total instrument was .95, and Cronbach α coefficients for each of the 3 subscales was .91 for personal sacrifice burden, .90 for heartfelt sadness and longing, and .86 for worry and felt isolation. The construct validity of this instrument was supported by demonstrating a significant and positive correlation with the Anticipatory Grief Scale. The MM-CGI Childhood Cancer demonstrated strong convergent validity and excellent internal consistency reliability. However, further testing with a larger sample to facilitate factor analysis is needed to complete the validation process.

Authors' Affiliations: School of Nursing, University of Jordan, Amman, Jordan (Ms Al-Garmal); University of Salford, England (Ms Al-Gamal, Prof Long, and Ms Livesley).

Corresponding author: Ekhlas Al-Gamal, BSc, MSc, RN, School of Nursing, University of Salford, Allerton Bldg, Salford, M6 6PU, England ( OR

Accepted for publication December 25, 2008.

© 2009 Lippincott Williams & Wilkins, Inc.