Abstract:Objective To translate the Advance Care Planning Engagement Survey for Surrogate Decision Makers (ACPES-SDM) and test its reliability and validity. Methods The English version of the ACPES-SDM was translated and culturally adjusted to form a Chinese version scale, which was then used to investigate 415 family members of community elderly patients with chronic diseases by convenience sampling, to test its reliability and validity. Results The item-level content validity index of the Chinese version of the ACPES-SDM ranged from 0.830 to 1.000, and the scale-level content validity index was 0.970. Exploratory factor analysis extracted four factors (the role cognition of surrogate decision-maker, contemplation, self-efficacy and readiness), and the cumulative variance contribution rate of which was 83.906%.Confirmatory factor analysis showed that the four-factor model fitted well (χ2/df=2.307、CFI=0.949、GFI=0.880、NFI=0.913、IFI=0.949、TLI=0.937、RMSEA=0.078). The total Cronbach′s α coefficient of the scale was 0.925, and the subscale Cronbach′s α coefficient ranged from 0.706 to 0.940. The test-retest reliability of the scale was 0.944, and the subscale test-retest reliability ranged from 0.778 to 0.948. Conclusion The Chinese version of the ACPES-SDM has good reliability and validity, which can be used as a tool assessing advance care planning engagement for family members of community elderly patients with chronic diseases in China.