scholarly journals Cultural adaptation and psychometric evaluation of the Swedish version of the Reproductive Concerns After Cancer (RCAC) scale

2020 ◽  
Author(s):  
Poorna Anandavadivelan ◽  
Maria Wiklander ◽  
Lars E. Eriksson ◽  
Lena Wettergren ◽  
Claudia Lampic
Keyword(s):  
Cancer Survivors ◽  
Psychometric Properties ◽  
Cultural Adaptation ◽  
Convergent Validity ◽  
Breast Cancer Survivors ◽  
Psychometric Evaluation ◽  
Confirmatory Factor ◽  
Reproductive Concerns ◽  
After Cancer ◽  
Child Wish

Abstract Background Reproductive concerns are common among young cancer survivors and include worries related to different aspects of fertility and parenthood. The Reproductive Concerns After Cancer (RCAC) scale is an 18-item scale with six dimensions, developed to capture a variety of such concerns. The aim of the present study was to culturally adapt the RCAC scale into Swedish and evaluate its psychometric properties among young women with cancer experience. Methods The RCAC was forward-translated from English into Swedish and assessed for cultural adaptation based on a two-panel approach followed by cognitive interviews with representatives of the target group. For the psychometric evaluation, a Swedish cohort of 181 young adult breast cancer survivors completed a survey including the RCAC scale approximately 1.5 years post-diagnosis. Investigation of the psychometric properties included analyses of construct validity (confirmatory factor analysis and convergent validity), data quality (score distribution, floor and ceiling effects), reliability (Cronbach’s α) and known-groups validity based on current child wish. Results The breast cancer survivors had a mean age of 36.5 (SD 4.1) years and a third of them expressed a current wish for (additional) children. The confirmatory factor analysis yielded a satisfactory fit (RMSEA 0.08, SRMR 0.09, CFI 0.92). Convergent validity was demonstrated by a negative correlation with moderate effect size (-0.361) between the RCAC total score and the emotional functional scale of EORTC QLQ-C30. Reliability was in the acceptable range (α= 0.78-0.92) for four of the dimensions, nearly acceptable for Personal health (α, 0.68) and poor for Becoming pregnant (α= 0.54). Known-groups validity was indicated by significantly higher RCAC mean score differences (MD), reflecting more concerns, among women with a certain (MD 4.56 [95% CI 3.13 to 5.99]) or uncertain (MD 3.41 [95% CI 1.68 to 5.14]) child wish, compared to those with no wish for (additional) children. Conclusion The Swedish RCAC scale demonstrated satisfactory reproducibility of the original RCAC scale with acceptable convergent and known-groups validity, but satisfactory reliability was not achieved for all dimensions. The Swedish RCAC scale exhibits adequate psychometric properties and could be useful for assessment of reproductive concerns in young adult female cancer survivors in Sweden.

scholarly journals Cultural adaptation and psychometric evaluation of the Swedish version of the Reproductive Concerns After Cancer (RCAC) scale

2020 ◽  
Author(s):  
Poorna Anandavadivelan ◽  
Maria Wiklander ◽  
Lars E. Eriksson ◽  
Lena Wettergren ◽  
Claudia Lampic
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Young Women ◽  
Cultural Adaptation ◽  
Convergent Validity ◽  
Psychometric Evaluation ◽  
Confirmatory Factor ◽  
Reproductive Concerns ◽  
After Cancer

Abstract Background Reproductive concerns are common among young cancer survivors and include worries related to different aspects of fertility and parenthood. The Reproductive Concerns After Cancer (RCAC) scale is an 18-item scale with six dimensions, developed to capture a variety of such concerns. The aim of the present study was to describe the cultural adaptation of the RCAC scale into Swedish and evaluate its psychometric properties among young women who have undergone treatment for cancer.Methods The RCAC was forward translated from English into Swedish and assessed for cultural adaptation based on a two-panel approach followed by cognitive interviews with the target group. For the psychometric evaluation, a Swedish cohort of 181 female young adult breast cancer survivors completed a survey including the RCAC scale approximately 1.5 years post-diagnosis. Psychometric properties were examined by analyses of construct validity (confirmatory factor analysis and convergent validity), data quality (score distribution, floor and ceiling effects), reliability and known-groups validity. Results The confirmatory factor analysis yielded an acceptable fit (RMSEA 0.08, SRMR 0.09, CFI 0.92). Convergent validity was demonstrated by a negative correlation of moderate size (-0.36) between the RCAC total score and the emotional functional scale of the EORTC QLQ-C30. Reliability measured with Revelle Ω total was satisfactory (0.73-0.92) for five of the dimensions, and poor for the dimension Becoming pregnant (Revelle Ω total = 0.60); Cronbach’s alpha showed a similar pattern. Known-groups validity was indicated by significantly higher RCAC mean score differences (MD), reflecting more concerns, among women with a certain (MD 4.56 [95% CI 3.13 to 5.99]) or uncertain (MD 3.41 [95% CI 1.68 to 5.14]) child wish, compared to those with no wish for (additional) children. Conclusion The translation and cultural adaptation of the Swedish RCAC has resulted in a scale demonstrating construct and known-groups validity, and satisfactory reliability for five of six dimensions. The dimension Becoming pregnant showed non-optimal internal consistency and should undergo further evaluation. The Swedish RCAC is recommended to be used in research settings for measurement of concerns related to fertility and parenthood in young women with cancer.

scholarly journals Cultural adaptation and psychometric evaluation of the Swedish version of the Reproductive Concerns After Cancer (RCAC) scale

2020 ◽  
Author(s):  
Poorna Anandavadivelan ◽  
Maria Wiklander ◽  
Lars E. Eriksson ◽  
Lena Wettergren ◽  
Claudia Lampic
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Young Women ◽  
Cultural Adaptation ◽  
Convergent Validity ◽  
Psychometric Evaluation ◽  
Confirmatory Factor ◽  
Reproductive Concerns ◽  
After Cancer

Abstract Background: Reproductive concerns are common among young cancer survivors and include worries related to different aspects of fertility and parenthood. The Reproductive Concerns After Cancer (RCAC) scale is an 18-item scale with six dimensions, developed to capture a variety of such concerns. The aim of the present study was to describe the cultural adaptation of the RCAC scale into Swedish and evaluate its psychometric properties among young women who have undergone treatment for cancer.Methods: The RCAC was forward translated from English into Swedish and assessed for cultural adaptation based on a two-panel approach followed by cognitive interviews with the target group. For the psychometric evaluation, a Swedish cohort of 181 female young adult breast cancer survivors completed a survey including the RCAC scale approximately 1.5 years post-diagnosis. Psychometric properties were examined by analyses of construct validity (confirmatory factor analysis and convergent validity), data quality (score distribution, floor and ceiling effects), reliability and known-groups validity. Results: The confirmatory factor analysis yielded an acceptable fit (RMSEA 0.08, SRMR 0.09, CFI 0.92). Convergent validity was demonstrated by a negative correlation of moderate size (-0.36) between the RCAC total score and the emotional functional scale of the EORTC QLQ-C30. Reliability measured with Revelle Ω total was satisfactory (0.73-0.92) for five of the dimensions, and poor for the dimension Becoming pregnant (Revelle Ω total = 0.60); Cronbach’s alpha showed a similar pattern. Known-groups validity was indicated by significantly higher RCAC mean score differences (MD), reflecting more concerns, among women with a certain (MD 4.56 [95% CI 3.13 to 5.99]) or uncertain (MD 3.41 [95% CI 1.68 to 5.14]) child wish, compared to those with no wish for (additional) children. Conclusion: The translation and cultural adaptation of the Swedish RCAC has resulted in a scale demonstrating construct and known-groups validity, and satisfactory reliability for five of six dimensions. The dimension Becoming pregnant showed non-optimal internal consistency and should undergo further evaluation. The Swedish RCAC is recommended to be used in research settings for measurement of concerns related to fertility and parenthood in young women with cancer.

scholarly journals Body Image after Breast Cancer Questionnaire: psychometric properties of the Persian version

2019 ◽  
Author(s):  
Mojgan Firouzbakht ◽  
Seyed- Javad Rekabpour ◽  
Majedeh Nabavian ◽  
Maryam Nikpour ◽  
Hamid Sharif Nia
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Factor Analysis ◽  
Cancer Survivors ◽  
Psychometric Properties ◽  
Breast Cancer Survivors ◽  
Five Factor Model ◽  
Persian Version ◽  
Confirmatory Factor ◽  
Composite Reliability

Abstract Background: Assessing body image among breast cancer survivors is essential to the development of good treatment and rehabilitation plans. Culturally-appropriate methods and instruments are needed for body image assessment. The aim of this study was to assess the psychometric properties of the Persian version of Body Image after Breast Cancer Questionnaire. Methods: In this methodological study, the Body Image after Breast Cancer Questionnaire was translated into Persian through forward-backward translation. Then, its content validity was assessed by twelve experts, and 400 women with breast cancer completed the questionnaire. The construct validity of the questionnaire was evaluated through exploratory and confirmatory factor analyses and its convergent and discriminant validity were evaluated using Fornell and Larcker’s approach. The reliability of the questionnaire was also evaluated through Cronbach’s alpha, McDonald’s omega, and composite reliability. Results: In exploratory factor analysis, five factors were extracted, namely vulnerability, body stigma, body-related shame, body satisfaction, and physical disability stigma. Confirmatory factor analysis also confirmed the fit of the five-factor model (χ2 = 466.95; N = 241; P < 0.001; PCFI = 0.728; PNFI = 0.624; CMIN/DF = 1.938; RMSEA = 0.068; AGFI = 0.808; IFI = 0.838). Second-order factor analysis also revealed that the subscales of the questionnaire measured an overarching concept which was labeled “Body image stigma”. The questionnaire had acceptable content and convergent validity and composite reliability. Conclusion: The Persian version of Body Image after Breast Cancer Questionnaire measures the broad concept of “Body image stigma”. The Persian BIBCQ has acceptable validity and reliability and hence, can be used for assessing body image among breast cancer survivors. Keyword: Body image, Breast cancer, Psychometric evaluation, Validity, Reliability

scholarly journals Psychometric evaluation of the Questionnaire about the Process of Recovery (QPR)

2015 ◽  
Vol 207 (6) ◽  
pp. 551-555 ◽  
Author(s):  
Julie Williams ◽  
Mary Leamy ◽  
Francesca Pesola ◽  
Victoria Bird ◽  
Clair Le Boutillier ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Convergent Validity ◽  
Mental Health Policy ◽  
Psychometric Evaluation ◽  
Data Set ◽  
Two Samples ◽  
Confirmatory Factor ◽  
National Mental Health ◽  
Test Retest Reliability

BackgroundSupporting recovery is the aim of national mental health policy in many countries. However, only one measure of recovery has been developed in England: the Questionnaire about the Process of Recovery (QPR), which measures recovery from the perspective of adult mental health service users with a psychosis diagnosis.AimsTo independently evaluate the psychometric properties of the 15- and 22-item versions of the QPR.MethodTwo samples were used: data-set 1 (n = 88) involved assessment of the QPR at baseline, 2 weeks and 3 months. Data-set 2 (n = 399; trial registration: ISRCTN02507940) involved assessment of the QPR at baseline and 1 year.ResultsFor the 15-item version, internal consistency was 0.89, convergent validity was 0.73, test–retest reliability was 0.74 and sensitivity to change was 0.40. Confirmatory factor analysis showed the 15-item version offered a good fit. For the 22-item version, the interpersonal subscale was found to underperform and the intrapersonal subscale overlaps substantially with the 15-item version.ConclusionsBoth the 15-item and the intrapersonal subscale of the 22-item versions of the QPR demonstrated satisfactory psychometric properties. The 15-item version is slightly more robust and also less burdensome, so it can be recommended for use in research and clinical practice.

scholarly journals Patient-reported anxiety and depression measures for use in Indian head and neck cancer populations: a psychometric evaluation

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Chindhu Shunmugasundaram ◽  
Haryana M. Dhillon ◽  
Phyllis N. Butow ◽  
Puma Sundaresan ◽  
Mahati Chittem ◽  
...  
Keyword(s):  
Head And Neck ◽  
Convergent Validity ◽  
Psychometric Evaluation ◽  
Measurement Properties ◽  
Anxiety And Depression ◽  
Factor Analyses ◽  
Factor Solution ◽  
Confirmatory Factor Analyses ◽  
Culturally Adapted ◽  
Confirmatory Factor

Abstract Background Head and neck cancers (HNC) are one of the most traumatic forms of cancer because they affect essential aspects of life such as speech, swallowing, eating and disfigurement. HNCs are common in India, with over 100,000 cases being registered each year. HNC and treatment are both associated with considerable anxiety and depression. With increasing multinational research, no suitable measures in Indian languages are available to assess anxiety and depression in Indian HNC patients. This study evaluated the psychometric properties of cross-culturally adapted versions of Zung’s self-rating Anxiety Scale (SAS) and the Patient health questionnaire – 9 (PHQ-9) in Tamil, Telugu and Hindi speaking Indian HNC populations. Methods HNC patients were recruited from three tertiary cancer centres in India. Patients completed the cross-culturally adapted versions of SAS and PHQ-9. We assessed targeting, scaling assumptions, construct validity (exploratory and confirmatory factor analyses), convergent validity, and internal consistency reliability. Results The study sample included 205 Tamil, 216 Telugu and 200 Hindi speaking HNC patients. Exploratory and confirmatory factor analyses indicated a two-factor solution for PHQ-9 and four-factor solution for SAS in all three languages. Cronbach’s alpha coefficients ranged between 0.717 and 0.890 for PHQ-9 and between 0.803 and 0.868 for SAS, indicating good reliability. Correlations between hypothesized scales were as expected providing evidence towards convergent validity. Conclusions This first psychometric evaluation of the measurement properties of Tamil, Telugu and Hindi versions of the SAS and PHQ-9 in large, Indian HNC populations supported their use as severity and outcome measures across the disease and treatment continuum.

Psychometric Properties of the Modified Social Environment Questionnaire in Chinese Older Adults

2018 ◽  
Vol 26 (4) ◽  
pp. 530-536 ◽  
Author(s):  
Ka-Man Leung ◽  
Pak-Kwong Chung ◽  
Tin-Lok Yuen ◽  
Jing Dong Liu ◽  
Donggen Wang
Keyword(s):  
Older Adults ◽  
Factor Analysis ◽  
Hong Kong ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Measurement Invariance ◽  
Social Environment ◽  
Convergent Validity ◽  
Confirmatory Factor ◽  
Test Retest Reliability

This study evaluated the psychometric properties of a Chinese version of the 24-item Social Environment Questionnaire (SEQ-C). Confirmatory factor analysis was used to examine the factor validity and measurement invariance (Purpose 1) of the SEQ-C in 453 older adults in Hong Kong. Convergent validity (Purpose 2) and test–retest reliability (Purpose 3) were also measured. The results of the confirmatory factor analysis and measurement invariance supported the four-factor structure (representing companionship, encouragement, neighborhood social cohesion, and role models) of the SEQ-C, in a 15-item model that closely fitted the data. The SEQ-C was also found to have acceptable to satisfactory internal consistency, test–retest reliability, composite reliability, and moderate convergent validity in correlating perceived social support. This study showed that the SEQ-C is a suitable means of measuring the social environments of older adults in Hong Kong.

Kansas City Cardiomyopathy Questionnaire Administered to Hospitalized Patients With Heart Failure

2016 ◽  
Vol 24 (2) ◽  
pp. 245-257
Author(s):  
Rebecca Tucker ◽  
Jill R. Quinn ◽  
Ding-Geng (Din) Chen ◽  
Leway Chen
Keyword(s):  
Heart Failure ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Convergent Validity ◽  
Kansas City ◽  
Community Dwelling ◽  
Kansas City Cardiomyopathy Questionnaire ◽  
Patients With Heart Failure ◽  
Confirmatory Factor

Background and Purpose: The psychometric properties of the Kansas City Cardiomyopathy Questionnaire (KCCQ) have been examined primarily in community-dwelling patients with heart failure (HF). The objective of this research was to examine the properties of the KCCQ administered to patients hospitalized with HF (N = 233). Methods: Confirmatory factor analysis, Cronbach’s alphas, and correlations were performed to examine the scale’s dimensions, reliability, and validity. Results: Confirmatory factor analysis indicated a 5-factor solution (63.6% of the variance). The Cronbach’s alpha levels were greater than .70, except for the self-efficacy dimension (.60). Convergent validity was not verified between the KCCQ and several illness severity measures. Conclusions: The psychometric properties of the KCCQ may be different based on the population in which the KCCQ is administered, which may have clinical implications.

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