Skip to main content
Erschienen in: Supportive Care in Cancer 5/2011

01.05.2011 | Original Article

Psychometric testing of the Chinese-version cancer needs questionnaire short form head and neck cancer-specific version in oral cavity cancer patients

verfasst von: Shu-Ching Chen, Yeur-Hur Lai, Sue-Yueh Cheng, Chun-Ta Liao, Joseph Tung-Chien Chang

Erschienen in: Supportive Care in Cancer | Ausgabe 5/2011

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purposes of this two-phase study were to (1) develop and examine the content validity and feasibility of the Chinese-version cancer needs questionnaire, short form, head and neck cancer-specific version (CNQ-SF-hn) (phase I), and (2) examine its psychometric characteristics as supported by reliability and construct validity (phase II) in oral cavity cancer patients in Taiwan.

Methods

Newly diagnosed oral cavity cancer patients (N = 206) were recruited from a medical center in northern Taiwan. Data were analyzed using descriptive statistics and psychometric analyses.

Results

The results showed that the CNQ-SF-hn (1) had good internal consistency reliability for the overall scale and subscales; (2) had good 1-week test–retest reliability (correlation = 0.80) for the overall scale; (3) had construct validity, supported by six clearly identified factors explaining 74.87% of the variance; and (4) had convergent validity, supported by correlations among its subscales and related scales, as well as by discriminating care needs according to undergoing versus not undergoing reconstructive surgery and cancer stage.

Conclusions

The Chinese-version CNQ-SF-hn is a psychometrically satisfactory instrument. Further validation is suggested for its factor structure and different head and neck cancers.
Literatur
1.
Zurück zum Zitat Bjordal K, de Graeff A, Fayers PM et al (2000) A 12 country field study of the EORTC QLQ-C30 (version 3.0) and the head and neck cancer specific module (EORTC QLQ-H&N35) in head and neck patients. EORTC quality of life group. Eur J Cancer 36:1796–1807PubMedCrossRef Bjordal K, de Graeff A, Fayers PM et al (2000) A 12 country field study of the EORTC QLQ-C30 (version 3.0) and the head and neck cancer specific module (EORTC QLQ-H&N35) in head and neck patients. EORTC quality of life group. Eur J Cancer 36:1796–1807PubMedCrossRef
2.
Zurück zum Zitat Bonevski B, Sanson-Fisher R, Girgis A et al (2000) Evaluation of an instrument to assess the needs of patients with cancer. Supportive Care Review Group. Cancer 88:217–225PubMedCrossRef Bonevski B, Sanson-Fisher R, Girgis A et al (2000) Evaluation of an instrument to assess the needs of patients with cancer. Supportive Care Review Group. Cancer 88:217–225PubMedCrossRef
3.
Zurück zum Zitat Bonevski B, Sanson-Fisher R, Hersey P, Paul C et al (1999) Assessing the perceived needs of patients attending an outpatient melanoma clinic. J Psychosoc Oncol 17:101–108CrossRef Bonevski B, Sanson-Fisher R, Hersey P, Paul C et al (1999) Assessing the perceived needs of patients attending an outpatient melanoma clinic. J Psychosoc Oncol 17:101–108CrossRef
4.
Zurück zum Zitat Carr ER (2008) Quality of life for our patients: how media images and messages influence their perceptions. Clin J Oncol Nurs 12:43–51PubMedCrossRef Carr ER (2008) Quality of life for our patients: how media images and messages influence their perceptions. Clin J Oncol Nurs 12:43–51PubMedCrossRef
5.
Zurück zum Zitat Chen MH (2005) Communication and quality of life in head and neck cancer patients. Thesis. Taipei Medical University, Taipei, Taiwan Chen MH (2005) Communication and quality of life in head and neck cancer patients. Thesis. Taipei Medical University, Taipei, Taiwan
6.
Zurück zum Zitat Chen YJ, Chang JTC, Liao CT, Wang HM, Yen TC, Chiu CC, Lu YC, Li HF, Cheng AJ (2008) Head and neck cancer in the betel quid chewing area: recent advances in molecular carcinogenesis. Cancer Sci 99:1507–1514PubMedCrossRef Chen YJ, Chang JTC, Liao CT, Wang HM, Yen TC, Chiu CC, Lu YC, Li HF, Cheng AJ (2008) Head and neck cancer in the betel quid chewing area: recent advances in molecular carcinogenesis. Cancer Sci 99:1507–1514PubMedCrossRef
7.
Zurück zum Zitat Chen ML, Chang HK, Yeh CH et al (2000) Anxiety and depression in Taiwanese cancer patients with without pain. J Adv Nurs 32:944–951PubMed Chen ML, Chang HK, Yeh CH et al (2000) Anxiety and depression in Taiwanese cancer patients with without pain. J Adv Nurs 32:944–951PubMed
8.
Zurück zum Zitat Chen MH, Lai YH (2007) Communication and quality of life in head and neck cancer patients. VGH Nursing (Chinese) 24:151–162 Chen MH, Lai YH (2007) Communication and quality of life in head and neck cancer patients. VGH Nursing (Chinese) 24:151–162
9.
Zurück zum Zitat Chen SC, Lai YH, Liao CT, Chang JTC, Lin CC (2009) Unmet information needs and preferences in newly diagnosed and surgically treated oral cavity cancer patients. Oral Oncol 45:946–952PubMedCrossRef Chen SC, Lai YH, Liao CT, Chang JTC, Lin CC (2009) Unmet information needs and preferences in newly diagnosed and surgically treated oral cavity cancer patients. Oral Oncol 45:946–952PubMedCrossRef
10.
Zurück zum Zitat Chen SC, Liao CT, Lin CC, Chang JTC, Lai YH (2009) Distress and care needs in newly diagnosed oral cavity cancer patients receiving surgery. Oral Oncol 45:815–820PubMedCrossRef Chen SC, Liao CT, Lin CC, Chang JTC, Lai YH (2009) Distress and care needs in newly diagnosed oral cavity cancer patients receiving surgery. Oral Oncol 45:815–820PubMedCrossRef
11.
Zurück zum Zitat Connelly ST, Schmidt BL (2004) Evaluation of pain in patients with oral squamous cell carcinoma. J Pain 5:505–510PubMedCrossRef Connelly ST, Schmidt BL (2004) Evaluation of pain in patients with oral squamous cell carcinoma. J Pain 5:505–510PubMedCrossRef
12.
Zurück zum Zitat Cossich T, Schofield P, McLachlan SA et al (2004) Validation of the cancer needs questionnaire (CNQ) short-form version in an ambulatory cancer setting. Qual Life Res 13:1225–1233PubMedCrossRef Cossich T, Schofield P, McLachlan SA et al (2004) Validation of the cancer needs questionnaire (CNQ) short-form version in an ambulatory cancer setting. Qual Life Res 13:1225–1233PubMedCrossRef
13.
Zurück zum Zitat Dropkin MJ (2001) Anxiety, coping strategies, and coping behaviors in patients undergoing head and neck cancer surgery. Cancer Nurs 24:143–148PubMedCrossRef Dropkin MJ (2001) Anxiety, coping strategies, and coping behaviors in patients undergoing head and neck cancer surgery. Cancer Nurs 24:143–148PubMedCrossRef
14.
Zurück zum Zitat Eades M, Chasen M, Bhargava R et al (2009) Rehabilitation: long-term physical and functional changes following treatment. Semin Oncol Nurs 25:222–230PubMedCrossRef Eades M, Chasen M, Bhargava R et al (2009) Rehabilitation: long-term physical and functional changes following treatment. Semin Oncol Nurs 25:222–230PubMedCrossRef
15.
Zurück zum Zitat Fayers P, Bottomley A, EORTC Quality of Life Group, Quality of Life Unit (2002) Quality of life research within the EORTC-the EORTC QLQ-C30. European Organisation for Research and Treatment of Cancer. Eur J Cancer 38:S125–S133PubMedCrossRef Fayers P, Bottomley A, EORTC Quality of Life Group, Quality of Life Unit (2002) Quality of life research within the EORTC-the EORTC QLQ-C30. European Organisation for Research and Treatment of Cancer. Eur J Cancer 38:S125–S133PubMedCrossRef
16.
Zurück zum Zitat Foot G (1995) Measuring the unmet needs of people living with cancer. Cancer Forum 19:131–135 Foot G (1995) Measuring the unmet needs of people living with cancer. Cancer Forum 19:131–135
17.
Zurück zum Zitat Gellrich NC, Schimming R, Schramm A, Schmalohr D, Bremerich A, Kugler J (2002) Pain, function, and psychologic outcome before, during, and after intraoral tumor resection. J Oral Maxillofac Surg 60:772–777PubMedCrossRef Gellrich NC, Schimming R, Schramm A, Schmalohr D, Bremerich A, Kugler J (2002) Pain, function, and psychologic outcome before, during, and after intraoral tumor resection. J Oral Maxillofac Surg 60:772–777PubMedCrossRef
18.
Zurück zum Zitat Girgis A, Boyes A, Sanson-Fisher RW, Burrows S et al (2000) Preferences for follow-up after treatment for lung cancer: assessing the nurse-led option. Aust N Z J Public Health 24:166–173PubMedCrossRef Girgis A, Boyes A, Sanson-Fisher RW, Burrows S et al (2000) Preferences for follow-up after treatment for lung cancer: assessing the nurse-led option. Aust N Z J Public Health 24:166–173PubMedCrossRef
19.
Zurück zum Zitat Hassan SJ, Weymuller EA (1993) Assessment of quality of life in head and neck cancer patients. Head Neck 15:485–496PubMedCrossRef Hassan SJ, Weymuller EA (1993) Assessment of quality of life in head and neck cancer patients. Head Neck 15:485–496PubMedCrossRef
20.
Zurück zum Zitat Hwang SS, Chang VT, Cogswell C, Alejandro Y, Osenenko P, Morales E, Srinivas S, Kasimis B (2004) Study of unmet needs in symptomatic veterans with advanced cancer: incidence, independent predictors and unmet needs outcome model. J Pain Symptom Manage 28:421–432PubMedCrossRef Hwang SS, Chang VT, Cogswell C, Alejandro Y, Osenenko P, Morales E, Srinivas S, Kasimis B (2004) Study of unmet needs in symptomatic veterans with advanced cancer: incidence, independent predictors and unmet needs outcome model. J Pain Symptom Manage 28:421–432PubMedCrossRef
21.
Zurück zum Zitat Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, Thun MJ (2008) Cancer statistics, 2008. CA Cancer J Clin 58:71–96PubMedCrossRef Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, Thun MJ (2008) Cancer statistics, 2008. CA Cancer J Clin 58:71–96PubMedCrossRef
22.
Zurück zum Zitat Karnofsky DA, Abelmann WH, Craver LF, Burchenal JH et al (1948) The use of the nitrogen mustards in the palliative treatment of carcinoma with particular reference to bronchogenic. Cancer 1:634–656CrossRef Karnofsky DA, Abelmann WH, Craver LF, Burchenal JH et al (1948) The use of the nitrogen mustards in the palliative treatment of carcinoma with particular reference to bronchogenic. Cancer 1:634–656CrossRef
23.
Zurück zum Zitat Katre C, Johnson IA, Humphris GM, Lowe D, Rogers SN (2008) Assessment of problems with appearance, following surgery for oral and oro-pharyngeal cancer using the University of Washington appearance domain and the Derriford appearance scale. Oral Oncol 44:927–934PubMedCrossRef Katre C, Johnson IA, Humphris GM, Lowe D, Rogers SN (2008) Assessment of problems with appearance, following surgery for oral and oro-pharyngeal cancer using the University of Washington appearance domain and the Derriford appearance scale. Oral Oncol 44:927–934PubMedCrossRef
24.
Zurück zum Zitat Lewis-Beck MS (1980) Applied regression. An introduction. Sage, London Lewis-Beck MS (1980) Applied regression. An introduction. Sage, London
25.
Zurück zum Zitat Marin G, Marin BV (1991) Research with Hispanic populations. Applied social research methods series, vol 23. Sage, Newbury Park Marin G, Marin BV (1991) Research with Hispanic populations. Applied social research methods series, vol 23. Sage, Newbury Park
26.
Zurück zum Zitat McElduff P, Boyes A, Zucca A, Girgis A et al (2004) The supportive care needs survey: a guide to administration, scoring and analysis. Centre for Health Research & Psycho-Oncology, Newcastle McElduff P, Boyes A, Zucca A, Girgis A et al (2004) The supportive care needs survey: a guide to administration, scoring and analysis. Centre for Health Research & Psycho-Oncology, Newcastle
27.
Zurück zum Zitat Newell S, Sanson-Fisher RW, Girgis A, Ackland S et al (1999) The physical and psycho-social experiences of patients attending an outpatients medical oncology department: a cross-sectional study. Eur J Cancer Care 8:73–82CrossRef Newell S, Sanson-Fisher RW, Girgis A, Ackland S et al (1999) The physical and psycho-social experiences of patients attending an outpatients medical oncology department: a cross-sectional study. Eur J Cancer Care 8:73–82CrossRef
28.
Zurück zum Zitat Newell S, Sanson-Fisher RW, Girgis A, Bonevski B et al (1998) How well do medical oncologists' perceptions reflect their patients' reported physical and psychosocial problems? Cancer 83:1640–1651PubMedCrossRef Newell S, Sanson-Fisher RW, Girgis A, Bonevski B et al (1998) How well do medical oncologists' perceptions reflect their patients' reported physical and psychosocial problems? Cancer 83:1640–1651PubMedCrossRef
29.
Zurück zum Zitat Nunnally JC, Bernstain IH (1994) Psychometric theory, 3rd edn. McGraw-Hill, New York Nunnally JC, Bernstain IH (1994) Psychometric theory, 3rd edn. McGraw-Hill, New York
30.
Zurück zum Zitat Penner JL (2009) Psychosocial care of patients with head and neck cancer. Semin Oncol Nurs 25:231–241PubMedCrossRef Penner JL (2009) Psychosocial care of patients with head and neck cancer. Semin Oncol Nurs 25:231–241PubMedCrossRef
31.
Zurück zum Zitat Polit DF (2009) Statistics and data analysis for nursing research, 2nd edn. Prentice Hall, New Jersey Polit DF (2009) Statistics and data analysis for nursing research, 2nd edn. Prentice Hall, New Jersey
32.
Zurück zum Zitat Polit DF, Beck CT (2004) Nursing research: principle and methods, 7th edn. Lippincott, Philadelphia Polit DF, Beck CT (2004) Nursing research: principle and methods, 7th edn. Lippincott, Philadelphia
33.
Zurück zum Zitat Richardson A, Medina J, Brown V, Sitzia J (2007) Patients' needs assessment in cancer care: a review of assessment tools. Support Care Cancer 15:1125–1144PubMedCrossRef Richardson A, Medina J, Brown V, Sitzia J (2007) Patients' needs assessment in cancer care: a review of assessment tools. Support Care Cancer 15:1125–1144PubMedCrossRef
34.
Zurück zum Zitat Roger SN, Gwanne S, Lowe D, Humphris G, Yueh B, Weymuller EA (2002) The addition of mood and anxiety domains to the University of Washington quality of life scale. Head Neck 24:521–529CrossRef Roger SN, Gwanne S, Lowe D, Humphris G, Yueh B, Weymuller EA (2002) The addition of mood and anxiety domains to the University of Washington quality of life scale. Head Neck 24:521–529CrossRef
35.
Zurück zum Zitat Rogers SN, El-Sheikha J, Lowe D et al (2009) The development of a patients concerns inventory (PCI) to help reveal patients concerns in the head and neck clinic. Oral Oncol 45:555–561PubMedCrossRef Rogers SN, El-Sheikha J, Lowe D et al (2009) The development of a patients concerns inventory (PCI) to help reveal patients concerns in the head and neck clinic. Oral Oncol 45:555–561PubMedCrossRef
36.
Zurück zum Zitat Rummel RJ (1970) Applied factor analysis. Northwestern University Press, Evanston Rummel RJ (1970) Applied factor analysis. Northwestern University Press, Evanston
37.
Zurück zum Zitat Sanson-Fisher R, Girgis A, Boyes A, Burton L, Cook P, the Supportive Care Needs of Patients with Cancer (2000) The unmet supportive care needs of patients with cancer. Cancer 88:226–237PubMedCrossRef Sanson-Fisher R, Girgis A, Boyes A, Burton L, Cook P, the Supportive Care Needs of Patients with Cancer (2000) The unmet supportive care needs of patients with cancer. Cancer 88:226–237PubMedCrossRef
38.
Zurück zum Zitat Scott B, Butterworth C, Lowe D, Rogers SN (2008) Factors associated with restricted mouth opening and its relationship to health-related quality of life in patients attending a maxillofacial oncology clinic. Oral Oncol 44:430–438PubMedCrossRef Scott B, Butterworth C, Lowe D, Rogers SN (2008) Factors associated with restricted mouth opening and its relationship to health-related quality of life in patients attending a maxillofacial oncology clinic. Oral Oncol 44:430–438PubMedCrossRef
39.
Zurück zum Zitat Smith DP, Supramaniam R, King MT, Ward J, Berry M, Armstrong BK (2007) Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. J Clin Oncol 25:2560–2566PubMedCrossRef Smith DP, Supramaniam R, King MT, Ward J, Berry M, Armstrong BK (2007) Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. J Clin Oncol 25:2560–2566PubMedCrossRef
40.
Zurück zum Zitat Snyder CF, Garrett-Mayer E, Brahmer JR, Carducci MA, Pili R, Stearns V, Wolff AC, Dy SM, Wu AW (2008) Symptoms, supportive care needs, and function in cancer patients: how are they related? Qual Life Res 17:665–677PubMedCrossRef Snyder CF, Garrett-Mayer E, Brahmer JR, Carducci MA, Pili R, Stearns V, Wolff AC, Dy SM, Wu AW (2008) Symptoms, supportive care needs, and function in cancer patients: how are they related? Qual Life Res 17:665–677PubMedCrossRef
41.
Zurück zum Zitat Steginga SK, Occhipinti JD, Gardiner RA et al (2001) The supportive care needs of men with prostate cancer. Psychooncology 10:66–75PubMedCrossRef Steginga SK, Occhipinti JD, Gardiner RA et al (2001) The supportive care needs of men with prostate cancer. Psychooncology 10:66–75PubMedCrossRef
42.
Zurück zum Zitat Tabachnick BG, Fidell LS (2001) Using multivariate statistics. Allyn and Bacon, New York Tabachnick BG, Fidell LS (2001) Using multivariate statistics. Allyn and Bacon, New York
44.
Zurück zum Zitat Zebrack BJ, Mills J, Weitzman TS et al (2007) Health and supportive care needs of young adult cancer patients and survivors. J Cancer Surviv 1:137–145PubMedCrossRef Zebrack BJ, Mills J, Weitzman TS et al (2007) Health and supportive care needs of young adult cancer patients and survivors. J Cancer Surviv 1:137–145PubMedCrossRef
45.
Zurück zum Zitat Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef
Metadaten
Titel
Psychometric testing of the Chinese-version cancer needs questionnaire short form head and neck cancer-specific version in oral cavity cancer patients
verfasst von
Shu-Ching Chen
Yeur-Hur Lai
Sue-Yueh Cheng
Chun-Ta Liao
Joseph Tung-Chien Chang
Publikationsdatum
01.05.2011
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 5/2011
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-010-0877-y

Weitere Artikel der Ausgabe 5/2011

Supportive Care in Cancer 5/2011 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.