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Development and Validation of a Health Needs Assessment Scale for Primary Liver Cancer Patients Receiving Surgical Management

Received: 22 May 2021    Accepted: 3 June 2021    Published: 16 June 2021
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Abstract

Cancer survivors usually have varying degrees of physical and psychosocial issues and poor quality of life. Understanding the health needs from a patient's view is necessary for developing targeted supportive services. There is neither research on the postoperative health needs of primary liver cancer (PLC) patients, nor the assessment tools specifically designed for PLC patients. The purpose of this study was to develop a postoperative health needs assessment scale for PLC patients receiving surgical management. This was a methodological instrument validation study conducted in the first affiliated of Jinan University between August 2018 and December 2019. PLC patients receiving surgical management were selected by convenient sampling methods. Ten patients were selected for semi-structured in-depth interviews to generate a 50-item initial scale. After two rounds of expert consultation, a 44-item initial scale was used for a 20-respondent small sample pre-test. The pre-survey scale was distributed to 250 patients. Structural validity was examined with factor analysis, and reliability was evaluated with the Cronbach alpha and split-half reliability. Among the 250 respondents of the pre-survey scale, 232 cases completed the questionnaire. After item analysis and factor analysis, 38 items were kept in the final scale. The content validity index for the whole scale (S-CVI) and each item (I-CVI) was 0.90 and 0.80-0.90, respectively. The total Cronbach alpha value was 0.935, and the split-half reliability was 0.931. The healthy needs assessment scale for PLC patients receiving surgical management has good reliability and validity.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 6, Issue 2)
DOI 10.11648/j.ijcocr.20210602.15
Page(s) 90-97
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Primary Liver Cancer (PLC), Healthy Needs, Measurement Scale, Reliability, Validity

References
[1] Ferlay J, Colombet M, Soerjomataram I, Mathers C, Parkin DM, Piñeros M, Znaor A & Bray F. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. Int J Cancer. 2019; 144 (8): 1941–1953.
[2] Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA & Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018; 68 (6): 394–424.
[3] Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, Jemal A, Yu XQ & He J. Cancer statistics in China, 2015. CA Cancer J Clin. 2016; 66 (2): 115–132.
[4] Correnti M, Booijink R, Di Maira G, Raggi C & Marra F. Stemness features in liver cancer. Hepatoma Res. 2018; 4 (11): 69.
[5] Bannon F, Di Carlo V, Harewood R, Engholm G, Ferretti S, Johnson CJ, Aitken JF, Marcos-Gragera R, Bonaventure A, Gavin A, Huws D, Coleman MP & Allemani C. Survival trends for primary liver cancer, 1995–2009: analysis of individual data for 578,740 patients from 187 population-based registries in 36 countries (CONCORD-2). Ann Cancer Epidemiol. 2019; 36.
[6] Gordon LG, Merollini KMD, Lowe A & Chan RJ. A Systematic Review of Financial Toxicity Among Cancer Survivors: We Can’t Pay the Co-Pay. Patient. 2017; 10 (3): 295–309.
[7] Moser EC & Meunier F. Cancer survivorship: A positive side-effect of more successful cancer treatment. Eur J Cancer, Suppl. 2014; 12 (1): 1–4.
[8] Weaver KE, Forsythe LP, Reeve BB, Alfano CM, Rodriguez JL, Sabatino SA, Hawkins NA & Rowland JH. Mental and physical health-related quality of life among U.S. cancer survivors: population estimates from the 2010 National Health Interview Survey. Cancer Epidemiol Biomarkers Prev. 2012; 21 (11): 2108–17.
[9] Lo WT, Yates P & Chan RJ. Unmet supportive care needs and symptom burden in Taiwanese cancer survivors who have completed primary treatment. Eur J Oncol Nurs. 2018; 3579–84.
[10] Fang SY, Cheng HR & Lin CY. Validation of the modified Chinese Cancer Survivor’s Unmet Needs (CaSUN-C) for women with breast cancer. Psychooncology. 2018; 27 (1): 236–242.
[11] Sodergren SC, Wheelwright SJ, Permyakova N V, Patel M, Calman L, Smith PWF, Din A, Richardson A, Fenlon D, Winter J, Corner J, Foster C & Members of Study Advisory Committee. Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life-results from the ColoREctal Wellbeing (CREW) study. J Cancer Surviv. 2019; 13 (6): 899–909.
[12] Yun YH, Shon E-J, Yang A-J, Kim SH, Kim YA, Chang YJ, Lee J, Kim MS, Lee H-S, Zo JI, Kim J, Choi YS & Shim YM. Needs regarding care and factors associated with unmet needs in disease-free survivors of surgically treated lung cancer. Ann Oncol Off J Eur Soc Med Oncol. 2013; 24 (6): 1552–9.
[13] Mazariego CG, Juraskova I, Campbell R & Smith DP. Long-term unmet supportive care needs of prostate cancer survivors: 15-year follow-up from the NSW Prostate Cancer Care and Outcomes Study. Support Care Cancer. 2020, 28 (11): 5511-5520.
[14] Mohamed NE, Pisipati S, Lee CT, Goltz HH, Latini DM, Gilbert FS, Wittmann D, Knauer CJ, Mehrazin R, Sfakianos JP, McWilliams GW, Quale DZ & Hall SJ. Unmet informational and supportive care needs of patients following cystectomy for bladder cancer based on age, sex, and treatment choices. Urol Oncol. 2016; 34 (12): 531. e7–531. e14.
[15] Li Q, Xu Y, Lin Y, Li J, Huang W & Chen Y. Psychometric properties of the Chinese version of the cancer survivors’ unmet needs measure. Eur J Oncol Nurs. 2020; 46101772.
[16] Lou Y, Yates P, Chan RJ, Ni X, Hu W, Zhuo S & Xu H. Unmet Supportive Care Needs and Associated Factors: a Cross-sectional Survey of Chinese Cancer Survivors. J Cancer Educ. 2020 (1).
[17] So WKW, Chow KM, Chan HYL, Choi KC, Wan RWM, Mak SSS, Chair SY & Chan CWH. Quality of life and most prevalent unmet needs of Chinese breast cancer survivors at one year after cancer treatment. Eur J Oncol Nurs. 2014; 18 (3): 323–328.
[18] Han Y, Zhou Y, Wang J, Hall A, Zhao Q, Qin H, Fan Y, Song Y & Cui S. Chinese version of the Cancer Support Person’s Unmet Needs Survey-Sort Form: A psychometric study. Eur J Cancer Care (Engl). 2019; 28 (2): e12963.
[19] Xing W, So WKW, Choi KC, Wong CL, Tong M, Choy YP, Molassiotis A, Yates P & Chan RJ. Translation and psychometric testing of Cancer Survivors’ Unmet Needs, Chinese version. Asia Pac J Clin Oncol. 2019; 15 (5): e142–e146.
[20] Li M, Wang Y & Xie H. [The status of the spiritual nursing needs of cancer patients and its influencing factors]. Chinese J Nurs. 2017; 52 (08): 930–934.
[21] Li H, Lu Q & Yang P. [A study on the symptoms and continuing care needs of PHC patients]. Chinese J Nurs. 2015; 50 (06): 684–688.
[22] Koshimoto S, Arimoto M, Saitou K, Uchibori M, Hashizume A, Honda A, Amano K, Nakajima Y, Uetake H & Matsushima E. Need and demand for nutritional counselling and their association with quality of life, nutritional status and eating-related distress among patients with cancer receiving outpatient chemotherapy: a cross-sectional study. Support Care Cancer. 2019; 27 (9): 3385–3394.
[23] Kent EE & Dionne-Odom JN. Population-based profile of mental health and support service need among family caregivers of adults with cancer. J Oncol Pract. 2019; 15 (2): E122–E131.
[24] You C, Zhang C & Mingjun Z. [A qualitative study on the experience of care load of the main caregivers of advanced cancer patients in Xinjiang]. China Med Her. 2018; 15 (20): 39–42+46.
[25] Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D & Bray F. Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015; 136 (5): E359–E386.
[26] M. C. K, C. A. W. B, I. M, R. A. W, I. M. K & L. L. Psychometric properties of the Dutch extended Cancer Survivors’ Unmet Needs measure (CaSUN-NL). Eur J Cancer Care (Engl). 2018; 27 (2): e12807.
[27] Shi J, Mo X & Sun Z. [Content validity index in scale development]. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012; 37 (2): 152–5.
[28] Ursachi G, Horodnic IA & Zait A. How Reliable are Measurement Scales? External Factors with Indirect Influence on Reliability Estimators. Procedia Econ Financ. 2015; 20679–686.
[29] Afiyanti Y, Gayatri D, Besral & dan Haryani. Unmet supportive care needs of Indonesian gynecological cancer survivors. Enfermería Clínica. 2019; 29869–873.
[30] Giuliani M, Papadakos J, Broadhurst M, Jones J, McQuestion M, Le LW, Beck L, Waldron J & Ringash J. The prevalence and determinants of return to work in head and neck cancer survivors. Support Care Cancer. 2019; 27 (2): 539–546.
[31] Russell L, Gough K, Drosdowsky A, Schofield P, Aranda S, Butow PN, Westwood JA, Krishnasamy M, Young JM, Phipps-Nelson J, King D & Jefford M. Psychological distress, quality of life, symptoms and unmet needs of colorectal cancer survivors near the end of treatment. J Cancer Surviv. 2015; 9 (3): 462–470.
[32] Chung J, Kulkarni GS, Morash R, Matthew A, Papadakos J, Breau RH, Guttman D, Bender J & Jones JM. Assessment of quality of life, information, and supportive care needs in patients with muscle and non-muscle invasive bladder cancer across the illness trajectory. Support Care Cancer. 2019; 27 (10): 3877–3885.
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  • APA Style

    Quan Jiang, Yu Wang, Rui Xi, Xiaolan Wang. (2021). Development and Validation of a Health Needs Assessment Scale for Primary Liver Cancer Patients Receiving Surgical Management. International Journal of Clinical Oncology and Cancer Research, 6(2), 90-97. https://doi.org/10.11648/j.ijcocr.20210602.15

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    ACS Style

    Quan Jiang; Yu Wang; Rui Xi; Xiaolan Wang. Development and Validation of a Health Needs Assessment Scale for Primary Liver Cancer Patients Receiving Surgical Management. Int. J. Clin. Oncol. Cancer Res. 2021, 6(2), 90-97. doi: 10.11648/j.ijcocr.20210602.15

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    AMA Style

    Quan Jiang, Yu Wang, Rui Xi, Xiaolan Wang. Development and Validation of a Health Needs Assessment Scale for Primary Liver Cancer Patients Receiving Surgical Management. Int J Clin Oncol Cancer Res. 2021;6(2):90-97. doi: 10.11648/j.ijcocr.20210602.15

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  • @article{10.11648/j.ijcocr.20210602.15,
      author = {Quan Jiang and Yu Wang and Rui Xi and Xiaolan Wang},
      title = {Development and Validation of a Health Needs Assessment Scale for Primary Liver Cancer Patients Receiving Surgical Management},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {6},
      number = {2},
      pages = {90-97},
      doi = {10.11648/j.ijcocr.20210602.15},
      url = {https://doi.org/10.11648/j.ijcocr.20210602.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20210602.15},
      abstract = {Cancer survivors usually have varying degrees of physical and psychosocial issues and poor quality of life. Understanding the health needs from a patient's view is necessary for developing targeted supportive services. There is neither research on the postoperative health needs of primary liver cancer (PLC) patients, nor the assessment tools specifically designed for PLC patients. The purpose of this study was to develop a postoperative health needs assessment scale for PLC patients receiving surgical management. This was a methodological instrument validation study conducted in the first affiliated of Jinan University between August 2018 and December 2019. PLC patients receiving surgical management were selected by convenient sampling methods. Ten patients were selected for semi-structured in-depth interviews to generate a 50-item initial scale. After two rounds of expert consultation, a 44-item initial scale was used for a 20-respondent small sample pre-test. The pre-survey scale was distributed to 250 patients. Structural validity was examined with factor analysis, and reliability was evaluated with the Cronbach alpha and split-half reliability. Among the 250 respondents of the pre-survey scale, 232 cases completed the questionnaire. After item analysis and factor analysis, 38 items were kept in the final scale. The content validity index for the whole scale (S-CVI) and each item (I-CVI) was 0.90 and 0.80-0.90, respectively. The total Cronbach alpha value was 0.935, and the split-half reliability was 0.931. The healthy needs assessment scale for PLC patients receiving surgical management has good reliability and validity.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Development and Validation of a Health Needs Assessment Scale for Primary Liver Cancer Patients Receiving Surgical Management
    AU  - Quan Jiang
    AU  - Yu Wang
    AU  - Rui Xi
    AU  - Xiaolan Wang
    Y1  - 2021/06/16
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijcocr.20210602.15
    DO  - 10.11648/j.ijcocr.20210602.15
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
    SP  - 90
    EP  - 97
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20210602.15
    AB  - Cancer survivors usually have varying degrees of physical and psychosocial issues and poor quality of life. Understanding the health needs from a patient's view is necessary for developing targeted supportive services. There is neither research on the postoperative health needs of primary liver cancer (PLC) patients, nor the assessment tools specifically designed for PLC patients. The purpose of this study was to develop a postoperative health needs assessment scale for PLC patients receiving surgical management. This was a methodological instrument validation study conducted in the first affiliated of Jinan University between August 2018 and December 2019. PLC patients receiving surgical management were selected by convenient sampling methods. Ten patients were selected for semi-structured in-depth interviews to generate a 50-item initial scale. After two rounds of expert consultation, a 44-item initial scale was used for a 20-respondent small sample pre-test. The pre-survey scale was distributed to 250 patients. Structural validity was examined with factor analysis, and reliability was evaluated with the Cronbach alpha and split-half reliability. Among the 250 respondents of the pre-survey scale, 232 cases completed the questionnaire. After item analysis and factor analysis, 38 items were kept in the final scale. The content validity index for the whole scale (S-CVI) and each item (I-CVI) was 0.90 and 0.80-0.90, respectively. The total Cronbach alpha value was 0.935, and the split-half reliability was 0.931. The healthy needs assessment scale for PLC patients receiving surgical management has good reliability and validity.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Hepatobiliary Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Infectious, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Gastroenterology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Hepatobiliary Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

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