Psychometric Properties of the Spanish Version of Breast Cancer and Lymphedema Symptom Experience Index.
Abstract This study was designed to adapt the Breast Cancer and Lymphedema Symptoms Experience Index (BCLE-SEI) to the Spanish language (BCLE-SEI-Es) and to assess its psychometric properties in Spanish-speaking women diagnosed with breast cancer. 286 breast cancer survivors were recruited. Study measured demographic and medical data and the BCLE-SEI. Reliability was measured using Cronbach’s alpha and test-retest reliability (n = 29) after an interval of two weeks. A robust principal components analysis was conducted to explore the dimensions of each BCLE-SEI-Es subtest. Discriminant power of the BCLE-SEI was assessed through a non-parametric test evaluating score differences between non-lymphedema and lymphedema patients. A cut-off point was established via a ROC curve. Cronbach’s alpha: all scales had a value above 0.9. Test-retest reliability: Correlations between questionnaire administrations were above 0.7. The first and second subtests showed a good fit to a unidimensional and two-factor structure, respectively. Lymphedema patients score significantly higher in all BCLE-SEI scales (p < 0.001). A cut-off point was established to predict a possible lymphedema case. The BCLE-SEI-Es is a valid, reliable tool for assessing and identifying the presence of lymphedema among breast cancer survivors and assessing its impact on the physical, functional, psychological and emotional aspects.