biostudies-literatureUnknown12(7)An E<h4>Introduction</h4>Evaluating the quality of dying and death is essential to ensure high-quality end-of-life care. The Quality of Dying and Death (QODD) scale is the best-validated measure of the construct, but many items are not relevant to participants, particularly in low-resource settings. The aim of this multisite cross-sectional study is to develop and validate the QODD-Revised Global Version (QODD-RGV), to enhance ease of completion and relevance in higher-resource and lower-resource settings.<h4>Methods and analysis</h4>This study will be a two-arm, multisite evaluation of the cultural relevance, reliability and validity of the QODD-RGV across four participating North American hospices and a palliative care site in Malawi, Africa. Bereaved caregivers and healthcare providers of pBMJ opene064508https://www.ebi.ac.uk/biostudies/studies/S-EPMC9328109biostudies-literatureProtocol for the development and multisite validation of the Quality of Dying and Death-Revised Global Version scale.PMC9328109Ntizimira CZimmermann CChandrakumar MThambo LWolofsky KRodin GLewin WNamisango EAn EChikasema MMah KTilly ABaguio AGoombs MJaffer NHales SfalseProtocol for the development and multisite validation of the Quality of Dying and Death-Revised Global Version scale.<h4>Introduction</h4>Evaluating the quality of dying and death is essential to ensure high-quality end-of-life care. The Quality of Dying and Death (QODD) scale is the best-validated measure of the construct, but many items are not relevant to participants, particularly in low-resource settings. The aim of this multisite cross-sectional study is to develop and validate the QODD-Revised Global Version (QODD-RGV), to enhance ease of completion and relevance in higher-resource and lower-resource settings.<h4>Methods and analysis</h4>This study will be a two-arm, multisite evaluation of the cultural relevance, reliability and validity of the QODD-RGV across four participating North American hospices and a palliative care site in Malawi, Africa. Bereaved caregivers and healthcare providers of p2022-01-01T00:00:00Z2022 Jul2025-04-21T22:34:45.743Z2025-04-05T18:49:02.299ZS-EPMC93281093587900610.1136/bmjopen-2022-064508