|Table of Contents|

Development,validation and application of head and neck cancer self-perceived discrimination scale

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2024 22
Page:
4290-4295
Research Field:
Publishing date:

Info

Title:
Development,validation and application of head and neck cancer self-perceived discrimination scale
Author(s):
LIU Zhijin1; LI Feng2; XU Jun1; GAN Lin1; LU Zhihui3; ZHANG Jian1; ZHAN Zhiqiang2
1.Department of Oncology,the Third Affiliated Hospital of Nanchang University-the First Hospital of Nanchang,Jiangxi Nanchang 330008,China;2.Department of Oncology,Pingxiang People's Hospital,Jiangxi Pingxiang 337000,China;3.Department of Oncology,the First Affiliated Hospital,Jiangxi Medical College,Nanchang University,Jiangxi Nanchang 330000,China.
Keywords:
head and neck cancer; self-perceived discrimination; scale; mental health; psychometrics
PACS:
R739.91
DOI:
10.3969/j.issn.1672-4992.2024.22.012
Abstract:
Objective:To develop the head and neck cancer self-perceived discrimination scale (HNCSPDS),test its reliability,validity and applicability,and analyze the correlation between patients' self-perceived discrimination and quality of life.Methods:Using classical measurement theory,a total of 326 patients with head and neck cancer were selected to develop HNCSPDS.Delphi expert consultation and item analysis were used to improve the content validity of HNCSPDS.Factor analysis (FA) and structural equation modeling (SEM) were used to test the structural validity of HNCSPDS.Cronbach's alpha coefficient,Spearman-Brown coefficient and intra-class correlation coefficient (ICC) were used to test the internal consistency and retest reliability of HNCSPDS.Multiple stepped-linear regression was used to analyze the influencing factors of discrimination,and Pearson correlation coefficient was used to analyze the correlation between discrimination and quality of life.Results:HNCSPDS consisted of 14 items,including three subscales:Image stigma,social avoidance,and self-deprecation.It had good validity (χ2/df=2.311,RMSEA=0.064,GFI=0.937,AGFI=0.904，CFI=0.972,NFI=0.957,IFI=0.972,TLI=0.963),reliability (Cronbach's α coefficient was 0.957,split half reliability was 0.967,retest reliability was 0.878) and applicability［average completion time （14.33±2.315)min and effective completion rate of 93.14%］.The results of multiple stepped-linear regression analysis showed that economic burden and gender were independent risk factors of discrimination (P＜0.01),and self-perceived discrimination was negatively correlated with quality of life.Conclusion:Patients with head and neck cancer generally have a strong self-perceived discrimination.HNCSPDS has good reliability and validity in measuring self-perceived discrimination in head and neck cancer patients,providing a scientific and effective evaluation tool for preventing and alleviating self-perceived discrimination in patients,improving their physical and mental health and quality of life in the future.

References:

［1］ZHENG RS,CHEN R,HAN BF,et al.Cancer incidence and mortality in China,2022［J］.Chin J Oncol，2024，46(3):221-231.
［2］俞国良.社会心理学［M］.4版.北京：北京师范大学出版社,2021:217-242. YU GL.Social psychology ［M］.4th ed.Beijing:Beijing Normal University Press,2021:217-242.
［3］CARLSON LE.Psychosocial and integrative oncology:Interventions across the disease trajectory ［J］.Annu Rev Psychol,2022,74:457-487.
［4］SOFFER M.Cancer-related stigma in the USA and Israeli mass media:an exploratory study of structural stigma［J］.J Cancer Surviv,2022,16(1):213-222.
［5］CHERBA M,BRUMMANS BHJM,HIER MP,et al.Framing concerns about body image during pre- and post-surgical consultations for head and neck cancer:a qualitative study of patient-physician interactions［J］.Curr Oncol,2022,29(5):3341-3363.
［6］TSENG WT,LEE Y,HUNG CF,et al.Stigma,depression,and anxiety among patients with head and neck cancer［J］.Support Care Cancer,2022,30(2):1529-1537.
［7］FENG LS,LI XY,WANG HR,et al.Development and validation of the cancer self-perceived discrimination scale for Chinese cancer patients［J］.Health Qual Life Outcomes,2018,16(1):165-173.
［8］KISSANE DW,PETEL SG,BASER RE,et al.Preliminary evaluation of the reliability and validity of the Shame and Stigma Scale in head and neck cancer［J］.Head & Neck,2013,35(2):172-183.
［9］ LIU ZJ,FENG LS,LI F,et al.Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problems ［J］.Front Oncol,2023,13:1182821.
［10］CATALDO JK,SLAUGHTER R,JAHAN TM,et al.Measuring stigma in people with lung cancer:psychometric testing of the cataldo lung cancer stigma scale［J］.Oncol Nurs Forum,2011,38(1):46-54.
［11］ STUBBINGS S,ROBB K,WALLER J,et al.Development of a measurement tool to assess public awareness of cancer ［J］.Brit J Cancer,2009,101(Suppl 2):13-27.
［12］ FENG LS,WU XQ,LI QL,et al.Development and reliability and validity test of the Fear of Cancer Scale (FOCS)［J］.Ann Med,2022,54(1):2354-2362.
［13］ HE H,ZHOU T,ZENG D,et al.Development of the competency assessment scale for clinical nursing teachers:Results of a Delphi study and validation［J］.Nurs Educ Today,2021,101:104876.
［14］ NOLTE S,LIEGL G,PRTERSEN MA,et al.General population normative data for the EORTC QLQ-C30 health-related quality of life questionnaire based on 15,386 persons across 13 European countries,Canada and the Unites States ［J］.Eur J Cancer,2019,107:153-163.
［15］ FU Y,WEN Z,WANG Y.A comparison of reliability estimation based on confirmatory factor analysis and exploratory structural equation models［J］.Educ Psychol Meas,2022,82(2):205-224.
［16］ SIRAJI MA,JAHAN N,BORAK Z.Validation of the Bangla Communication Scale among Bangladeshi adolescents:A Classical Test Theory and Item Response Theory approach［J］.Asian J Psychiatr,2023,84:103586.
［17］ HREINSSON JP,TOMBLOM H,TACK J,et al.Factor analysis of the rome IV criteria for major disorders of gut-brain interaction (DGBI) globally and across geographical,sex,and age groups［J］.Gastroenterology,2023,164(7):1211-1222.
［18］ SCHNEIDER S,YOON D,MOKROS A,et al.The Elemental Psychopathy Assessment (EPA):Factor structure and construct validity across three German samples［J］.Psychol Assessment,2022,34(8):717-730.
［19］ VILADRICH C,ANGULO-BRUNET A,DOVAL E.Un viaje alrededor de alfa y omega para estimar la fiabilidad de consistencia interna［J］.An Psicol-Spain,2022,33(3):755.
［20］ BATCHELOR JM,GRAN S,LEIGHTON P,et al.Using the Vitiligo Noticeability Scale in clinical trials:construct validity,interpretability,reliability and acceptability［J］.Brit J Dermatol,2022,187(4):548-556.
［21］ JELLA TK,CWALINA TB,SACHDEV R,et al.Prevalence,trends,and demographic characteristics associated with self-reported financial stress among head and neck cancer patients in the United States of America［J］.Am J Otolaryng,2021,42(6):103154.
［22］LI D,LEI HK,SHU XL,et al.Association of public health insurance with cancer-specific mortality risk among patients with nasopharyngeal carcinoma:a prospective cohort study in China［J］.Front Public Health,2023,11:1020828.
［23］ HUENIKEN K,DOUGLAS CM,JETHWA AR,et al.Measuring financial toxicity incurred after treatment of head and neck cancer:Development and validation of the Financial Index of Toxicity questionnaire［J］.Cancer-Am Cancer Soc,2020,126(17):4042-4050.
［24］GRABOYES EM,KISTNER-GRUFFIN E,HILL EG,et al.Mechanism underlying a brief cognitive behavioral treatment for head and neck cancer survivors with body image distress［J］.Support Care Cancer,2023,32(1):32.
［25］THADURI A,MAJUMDAR K,PANUGANTI A,et al.363P Effect of financial distress and mental well-being of patients with early vs advanced oral cancer on informal caregiver's quality of life:A prospective real-world data from public health sector hospital［J］.Ann Oncol,2024,34:S1611.
［26］ ANDERSEN BL,LACCHETTI C,ASHING K,et al.Management of anxiety and depression in adult survivors of cancer:ASCO guideline update［J］.J Clin Oncol,2023,41(18):3426-3453.
［27］SELLA-SHALOM K,HERTZ-PALMOR N,BRAUN M,et al.The association between communication behavior and psychological distress among couples coping with cancer:Actor-partner effects of disclosure and concealment［J］.Gen Hosp Psychiat,2023,84:172-178.

Memo

Memo:
云南省哲学社会科学规划项目(编号：QN202214)；江西省卫生健康委科技计划项目(编号：202311199)
Last Update: 1900-01-01