scholarly journals Development and Psychometric Analysis of Supportive Care Needs scale for Pulmonary Tuberculosis Patients

2020 ◽  
Author(s):  
Jing Ren ◽  
Dongfang Han ◽  
Jingjun Zhang ◽  
Yingli Wang ◽  
Qiaoqiao Huang ◽  
...  

Abstract Background Providing integrated patient-centred care based on the patient’s needs has emerged as the first pillar of tuberculosis prevention and control strategies. However, a reliable and valid instrument is still lacking. Hence, the aim of this study was to develop and psychometrically test a new scale for assessing the supportive care needs of patients with pulmonary tuberculosis. Methods A methodological study involving item generation and psychometric evaluation was used. Based on the Supportive Care Needs Framework, the item-pool was drafted from a systematic review of the literature, expert consultations and feedback from a pilot study. A convenience sample of 518 patients was recruited from four hospitals in Shaan’xi Province from September 10, 2019, to January 20, 2020. Item reduction and scale validation were assessed for content validity, construct validity, Cronbach’s alpha coefficient, half-split reliability, and test-retest reliability. Results The final scale encompasses 25 items in five domains: practical, psycho-emotional, social, information and physical. The item level content validity index ranged from 0.80 to 1.00, and the scale level content validity was 0.925. Five factors that explained 80% of the total variance were also identified in exploratory factor analysis and confirmed in confirmatory factor analysis. The CFA model fit indices were x2/df = 2.229 (p < 0.001), GFI = 0.853, AGFI = 0.820, RMSEA = 0.069. All items had acceptable convergent and discriminant validity. Cronbach’s α coefficient, the split-half reliability coefficient and the test-retest reliability coefficient were 0.884, 0.883 and 0.854, respectively. Conclusions This newly developed scale demonstrated acceptable reliability and validity, and it could be used to assess the supportive care needs of pulmonary tuberculosis patients in clinical settings.

2019 ◽  
Vol 106 (2) ◽  
pp. 101-108
Author(s):  
Marco Miniotti ◽  
Anita Zeneli ◽  
Stefania Bassino ◽  
Sara Pavan ◽  
Simone Ribero ◽  
...  

Introduction: This study examines the validity and the reliability of the translated-into-Italian version of the SCNS-SF34 melanoma module (SCNS-M12-Ita) for a sample of patients with melanoma ( n = 268). Methods: Content validity was analyzed by examining the redundancy of items. Floor/ceiling effects were investigated via frequency tables. Factor structure was studied through principal component analysis. Internal consistency was evaluated with Cronbach α. Test–retest reliability was analyzed using intraclass correlation coefficients (ICCs). Convergent–discriminant validity was studied by calculating Pearson correlations. Construct validity was investigated by comparing subgroups of patients through multivariate analysis of variance. Results: Content validity of the SCNS-M12-Ita was satisfactory. The floor effect ranged from 24.3% to 82.5%. The 2-factor solution explained 61.4% of the total variance. Internal consistency was excellent for component 1 (α = 0.92) and questionable (α = 0.58) for component 2. Test–retest reliability was excellent for component 1 (ICC = 0.92) and poor for component 2 (ICC = 0.58). Except for component 2, item-total correlations were greater than 0.60. Construct validity was confirmed, as the expected correlations ( r < 0.40) were observed and 60% of the postulated hypotheses about between-group differences were confirmed. Conclusions: The study demonstrated that the SCNS-M12-Ita is a valid and reliable instrument for assessing the supportive care needs of patients with melanoma.


2020 ◽  
Author(s):  
Jianxia LYU ◽  
Li Yin ◽  
Ping Cheng ◽  
Bin Li ◽  
Shanshan Peng ◽  
...  

Abstract Background: This study aimed to translate the English version of the supportive care needs scale of head and neck cancer patients (SCNS-HNC) questionnaire into Mandarin and to test its reliability and validity.Methods: The Mandarin version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and SCNS-HNC scales were used to assess 206 patients with head and neck cancer in Chengdu, China. Among them, 51 patients were re-tested 2 or 3 days after the first survey. The internal consistency of the scale was evaluated by Cronbach's alpha coefficient, the retest reliability of the scale was evaluated by retest correlation coefficient r, the structural validity of the scale was evaluated by exploratory factor analysis, and the ceiling and floor effects of the scale were evaluated.Results: The Mandarin version of the SCNS-HNC had Cronbach's alpha coefficients greater than 0.700 (0.737 ≤ 0.962) for all of the domains. Except for the psychological demand dimension (r=0.674) of the SCNS-SF34 scale, the retest reliability of the other domains was greater than 0.8. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 64.39%. Conclusions: The Mandarin version of the SCNS-HNC demonstrated satisfactory reliability and validity and is able to measure the supportive care needs of Chinese patients with head and neck cancer.Clinical registration number: ChiCTR1900026635


2020 ◽  
Author(s):  
Jianxia LYU ◽  
Li Yin ◽  
Ping Cheng ◽  
Bin Li ◽  
Shanshan Peng ◽  
...  

Abstract Background: This study aimed to translate the English version of the supportive care needs scale of head and neck cancer patients (SCNS-HNC) questionnaire into Mandarin and to test its reliability and validity.Methods: The Mandarin version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and SCNS-HNC scales were used to assess 206 patients with head and neck cancer in Chengdu, China. Among them, 51 patients were re-tested 2 or 3 days after the first survey. The internal consistency of the scale was evaluated by Cronbach's alpha coefficient, the retest reliability of the scale was evaluated by retest correlation coefficient r, the structural validity of the scale was evaluated by exploratory factor analysis, and the ceiling and floor effects of the scale were evaluated.Results: The Mandarin version of the SCNS-HNC had Cronbach's alpha coefficients greater than 0.700 (0.737 ≤ 0.962) for all of the domains. Except for the psychological demand dimension (r=0.674) of the SCNS-SF34 scale, the retest reliability of the other domains was greater than 0.8. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 64.39%. Conclusions: The Mandarin version of the SCNS-HNC demonstrated satisfactory reliability and validity and is able to measure the supportive care needs of Chinese patients with head and neck cancer.Clinical registration number: ChiCTR1900026635


2020 ◽  
Author(s):  
Jianxia LYU ◽  
Li Yin ◽  
Ping Cheng ◽  
Bin Li ◽  
Shanshan Peng ◽  
...  

Abstract Background: This Please include the affiliation of each author, including the department, institution, city, state (if applicable), country, postal code here. Study aimed to translate the English version of the supportive care needs scale of head and neck cancer patients (SCNS-HNC) questionnaire into Mandarin and to test its reliability and validity.Methods: The Mandarin version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and SCNS-HNC scales were used to assess 206 patients with head and neck cancer in Chengdu, China. Among them, 51 patients were re-tested 2 or 3 days after the first survey. The internal consistency of the scale was evaluated by Cronbach's alpha coefficient, the retest reliability of the scale was evaluated by retest correlation coefficient r, the structural validity of the scale was evaluated by exploratory factor analysis, and the ceiling and floor effects of the scale were evaluated.Results: The Mandarin (Simplified) version of the SCNS-HNC had Cronbach's alpha coefficients greater than 0.700 (0.737 ≤ 0.962) for all of the domains. Except for the psychological demand dimension (r=0.674) of the SCNS-SF34 scale, the retest reliability of the other domains was greater than 0.8. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 64.39%. Conclusions: The Mandarin version of the SCNS-HNC demonstrated satisfactory reliability and validity and is able to measure the supportive care needs of Chinese patients with head and neck cancer.Clinical registration number: ChiCTR1900026635


2020 ◽  
Author(s):  
Ping Feng ◽  
Huili Yang ◽  
Lan Xu ◽  
Ojo Omorogieva ◽  
Xiao-yan Lu ◽  
...  

Abstract Background: Enteral nutrition (EN) therapy is widely used in clinical practice to provide artificial nutrition to patients, while the incidence of adverse events are relatively highly. In the clinical setting, the occurrence of adverse events is associated with the nurse’s risk perception. Thus, using tool to evaluate nurse’s risk perception of enteral nutrition is necessary. Methods: The draft questionnaire with 37-items was formed by comprehensive literature reviews and semi-structured in-depth interviews with eleven nurses. Two iterations of expert consultations were used to evaluate the content validity, and 4 items were deleted in this phrase. A 33-items questionnaire was used to survey 352 nurses from five tertiary hospitals in China from May to July 2019 with convenience sampling. Content validity, construct validity and known-groups validity were evaluated by content validity index (CVI), exploratory factor analysis, and the comparisons of the different EN risk perception levels of nurses at different working departments and different educational backgrounds, respectively. Reliability was tested by internal consistency, test-retest reliability, and split-half reliability.Results: After the exploratory factor analysis, four items were excluded. Finally, the newly developed questionnaire included 29 items explaining 71.356% of the total variance. It consisted of three factors: Risks of operation (15 items); Risks of EN-related adverse events (11 items), and Risks of EN solution selection (3 items). The CVI of the questionnaire was 0.95 and the CVI of items ranged from 0.875-1.0. The results of known-groups validity showed that the nurses with different educational backgrounds had a statistically significant difference of EN risk perception (z = -3.024, p = 0.002), whereas there was not significantly different between EN risk perception of nurses working in different departments (z = -1.644, p = 0.100). The Cronbach’s α, test-retest reliability, and split-half reliability of the questionnaire were 0.967, 0.818, and 0.815, respectively. Conclusions: The newly developed questionnaire for assessing nurse’s EN risk perception showed good reliability and validity. It can be used as a tool for nursing managers to assess Chinese nurses’ EN risk perception ability, so as to help to reduce the occurrence of adverse events during EN implementation.


2020 ◽  
Author(s):  
Ping Feng ◽  
Huili Yang ◽  
Lan Xu ◽  
Ojo Omorogieva ◽  
Xiao-yan Lu ◽  
...  

Abstract Background: Enteral nutrition (EN) therapy is widely used in clinical practice to provide artificial nutrition to patients, while the incidence of adverse events are relatively highly. In the clinical setting, the occurrence of adverse events is associated with the nurse’s risk perception. Thus, using tool to evaluate nurse’s risk perception of enteral nutrition is necessary. Methods: The draft questionnaire with 37-items was formed by comprehensive literature reviews and semi-structured in-depth interviews with eleven nurses. Two iterations of expert consultations were used to evaluate the content validity, and 4 items were deleted in this phrase. A 33-items questionnaire was used to survey 352 nurses from five tertiary hospitals in China from May to July 2019 with convenience sampling. Content validity, construct validity and known-groups validity were evaluated by content validity index (CVI), exploratory factor analysis, and the comparisons of the different EN risk perception levels of nurses at different working departments and different educational backgrounds, respectively. Reliability was tested by internal consistency, test-retest reliability, and split-half reliability.Results: After the exploratory factor analysis, four items were excluded. Finally, the newly developed questionnaire included 29 items explaining 71.356% of the total variance. It consisted of three factors: Risks of operation (15 items); Risks of EN-related adverse events (11 items), and Risks of EN solution selection (3 items). The CVI of the questionnaire was 0.95 and the CVI of items ranged from 0.875-1.0. The results of known-groups validity showed that the nurses with different educational backgrounds had a statistically significant difference of EN risk perception (z = -3.024, p = 0.002), whereas there was not significantly different between EN risk perception of nurses working in different departments (z = -1.644, p = 0.100). The Cronbach’s α, test-retest reliability, and split-half reliability of the questionnaire were 0.967, 0.818, and 0.815, respectively. Conclusions: The newly developed questionnaire for assessing nurse’s EN risk perception showed good reliability and validity. It can be used as a tool for nursing managers to assess Chinese nurses’ EN risk perception ability, so as to help to reduce the occurrence of adverse events during EN implementation.


2021 ◽  
Author(s):  
Kamala Dhakal ◽  
Panpan Wang ◽  
Joanes Faustine Mboineki ◽  
Mikiyas Amare Getu ◽  
Changying Chen ◽  
...  

Abstract PurposeSupportive Care Needs Survey (SCNS) is one of the strongest and complete tools to assess the perceived supportive care needs of cancer patients. SCNS –SF34 has been translated into various other culture based languages, validated and established its psychometric properties. Till now no Nepali version, so we planned to assess the linguistic and cultural validity of Nepali version of the SCNS-SF34 in Nepali population.MethodsTranslation of Supportive Care Need Survey – Short Form 34 (SCNS-SF 34) was done by following Beaton’s guidelines in collaboration with a research team. Cultural adaptation was established through content validity assessment, clarity assessment of questionnaire and pretest. Content validity in terms of semantic, cultural and conceptual was assessed by 10 experts by using Likert scale and clarity of questionnaire was assessed among 15 cervical cancer patients by using Likert scale. The pretest was done among 34 cervical cancer patients to assess the feasibility and practicality of the tool. For reliability of tool test –retest method was used among 50 cervical cancer patients. ResultsThe Nepali version SCNS-SF 34 maintained the content validity (Item Content validity index (I-CVI) >0.78 in semantic, cultural and conceptual aspects and S-CVI (Scale Content Validity Index) was found,89.00% (0.89) 91.88 % (0.91) 90.00%(0.90) in semantic, cultural and conceptual aspects respectively. Content validity ratio (CVR) - 0.9 to 1) and construct validity (0.902) with 91.29 % clarity of questionnaire. This version had good internal consistency, with Cronbach’s alpha coefficients ranging from 0.89 to 0.91 with Composite Cronbach's Alpha 0.90. Correlation significant at the 0.01 level (2-tailed). More simple Nepali words were chosen as suggested by participants in items no 2,3,7, 9,10, 12, 18,19, 25, 27and 30 than the preliminary Nepali version along with the acceptance of all original items.ConclusionsThis finding shows that the SCNS-SF34 was translated and culturally adapted for use in Nepal with high practicality. This translated instrument can be used to assess the supportive care need and correlation between supportive care need and health related quality of life among cervical cancer patients.


2020 ◽  
Author(s):  
Jianxia LYU ◽  
Li Yin ◽  
Ping Cheng ◽  
Bin Li ◽  
Shanshan Peng ◽  
...  

Abstract Background: This study aimed to translate the English version of the supportive care needs scale of head and neck cancer patients (SCNS-HNC) questionnaire into Mandarin and to test the reliability and validity of the SCNS-SF34 and SCNS-HNC module in head and neck cancer patients. Methods: The Mandarin version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and SCNS-HNC scales were used to assess 206 patients with head and neck cancer in Chengdu, China. Among them, 51 patients were re-tested 2 or 3 days after the first survey. The internal consistency of the scale was evaluated by Cronbach's alpha coefficient, the retest reliability of the scale was evaluated by retest correlation coefficient r, the structural validity of the scale was evaluated by exploratory factor analysis, and the ceiling and floor effects of the scale were evaluated. Results: The Mandarin version of the SCNS-HNC had Cronbach's alpha coefficients greater than 0.700 (0.737 ≤ 0.962) for all of the domains. Except for the psychological demand dimension (r=0.674) of the SCNS-SF34 scale, the retest reliability of the other domains was greater than 0.8. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 64.39%. Conclusions: The Mandarin version of the SCNS-SF34 and SCNS-HNC demonstrated satisfactory reliability and validity and is able to measure the supportive care needs of Chinese patients with head and neck cancer.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jianxia Lyu ◽  
Li Yin ◽  
Ping Cheng ◽  
Bin Li ◽  
Shanshan Peng ◽  
...  

Abstract Background This study aimed to translate the English version of the supportive care needs scale of head and neck cancer patients (SCNS-HNC) questionnaire into Mandarin and to test the reliability and validity of the SCNS-SF34 and SCNS-HNC module in head and neck cancer patients. Methods The Mandarin version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and SCNS-HNC scales were used to assess 206 patients with head and neck cancer in Chengdu, China. Among them, 51 patients were re-tested 2 or 3 days after the first survey. The internal consistency of the scale was evaluated by Cronbach’s alpha coefficient, the retest reliability of the scale was evaluated by retest correlation coefficient r, the structural validity of the scale was evaluated by exploratory factor analysis, and the ceiling and floor effects of the scale were evaluated. Results The Mandarin version of the SCNS-HNC had Cronbach’s alpha coefficients greater than 0.700 (0.737 ≤ 0.962) for all of the domains. Except for the psychological demand dimension (r = 0.674) of the SCNS-SF34 scale, the retest reliability of the other domains was greater than 0.8. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 64.39%. Conclusions The Mandarin version of the SCNS-SF34 and SCNS-HNC demonstrated satisfactory reliability and validity and is able to measure the supportive care needs of Chinese patients with head and neck cancer. Trial registration ChiCTR, ChiCTR1900026635. Registered 16 October 2019- Retrospectively registered.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ping Feng ◽  
Hui-Li Yang ◽  
Lan Xu ◽  
Omorogieva Ojo ◽  
Xiao-Yan Lu ◽  
...  

Abstract Background Enteral nutrition (EN) therapy is widely used in clinical practice to provide artificial nutrition to patients, while the incidence of adverse events are relatively highly. In the clinical setting, the occurrence of adverse events is associated with the nurse’s risk perception. Thus, using tool to evaluate nurse’s risk perception of enteral nutrition is necessary. Methods The draft questionnaire with 37-items was formed by comprehensive literature reviews and semi-structured in-depth interviews with 11 nurses. Two iterations of expert consultations were used to evaluate the content validity, and 4 items were deleted in this phrase. A 33-items questionnaire was used to survey 352 nurses from five tertiary hospitals in China from May to July 2019 with convenience sampling. Content validity, construct validity and known-groups validity were evaluated by content validity index (CVI), exploratory factor analysis, and the comparisons of the different EN risk perception levels of nurses at different working departments and different educational backgrounds, respectively. Reliability was tested by internal consistency, test-retest reliability, and split-half reliability. Results After the exploratory factor analysis, four items were excluded. Finally, the newly developed questionnaire included 29 items explaining 71.356% of the total variance. It consisted of three factors: Risks of operation (15 items); Risks of EN-related adverse events (11 items), and Risks of EN solution selection (3 items). The CVI of the questionnaire was 0.95 and the CVI of items ranged from 0.875–1.0. The results of known-groups validity showed that the nurses with different educational backgrounds had a statistically significant difference of EN risk perception (z = − 3.024, p = 0.002), whereas there was not significantly different between EN risk perception of nurses working in different departments (z = − 1.644, p = 0.100). The Cronbach’s α, test-retest reliability, and split-half reliability of the questionnaire were 0.967, 0.818, and 0.815, respectively. Conclusions The newly developed questionnaire for assessing nurse’s EN risk perception showed good reliability and validity. It can be used as a tool for nursing managers to assess Chinese nurses’ EN risk perception ability, so as to help to reduce the occurrence of adverse events during EN implementation.


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