Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes Puente Fernández, Daniel Roldán López Del Hierro, Concepción Beatriz Montoya Juárez, Rafael Terminal care Nursing homes Long term care Palliative care Quality of health care Quality indicators Background: There is a need for instruments that can evaluate the psychosocial quality of dying in nursing homes. The aim of this study was to adapt and validate the Quality of Dying in Long-Term Care scale (QoD-LTC) to the Spanish context. Methods: Descriptive cross-sectional study. Fourteen nurses from 7 facilities in southern Spain assessed 153 residents who died in the centers; validity, reliability, and feasibility were evaluated. Results: The Spanish version consists of 11 items with acceptable reliability (α = 0.681). Three factors model was validated by principal components analysis. A mean of 180.62 (SD = 86.66) seconds is needed to fill it in. An inter-observer 0.753 (95% CI: 0.391–0.900, p< 0.001) and intra-observer 0.855 (95% CI: 0.568–0.951 p = 0.001) reliability were observed. Weak correlation was observed; positive with mono-item question (0.322) and negative with Eastern Cooperative Oncology Group (ECOG) with a value of (−0.321) and Integrated Palliative outcome scale (IPOS) with a value of (−0.252). Conclusions: The QoD-LTC scale presents an adequate factorial structure, internal consistency, and feasibility to evaluate psychosocial quality of dying in nursing homes. It can be used as a quality indicator. 2021-05-18T11:06:20Z 2021-05-18T11:06:20Z 2021 journal article Puente-Fernández, D.; Jimeno-Ucles, R.; Mota-Romero, E.; Roldán, C.; Froggatt, K.; Montoya-Juárez, R. Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes. Int. J. Environ. Res. Public Health 2021, 18, 5287. https:// doi.org/10.3390/ijerph18105287 http://hdl.handle.net/10481/68551 10.3390/ijerph18105287 eng An error occurred getting the license - uri. open access An error occurred on the license name. MDPI