Adaptation of Cancer Survivors’ Unmet Needs Measure into Turkish: A Validity and Reliability Study

Year 2023, Volume: 10 Issue: 3, 264 - 272, 28.12.2023

Gülyeter Erdoğan Yüce , Gamze Muz , Ayser Döner

https://doi.org/10.31125/hunhemsire.1246068

Abstract

Aim: This study evaluates the psychometric properties of the Cancer Survivors’ Unmet Needs Measure (Tr-CaSUN), adapted into Turkish.
Material and Methods: This methodological study was conducted with 350 cancer survivors who were followed up in the oncology center of a university hospital. Data were collected between December 2020 and September 2021. A procedure including forward translation, synthesis, back translation, and expert evaluation was followed for the cross-cultural adaptation of CaSUN. The construct validity of the scale was evaluated by Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), criterion validity was assessed by Hospital Anxiety Depression Scale and The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, and reliability was evaluated by internal consistency coefficient and test-retest method.
Results: The content validity index of the scale was determined as 0.96. While adapting the scale, some items were removed to obtain a stronger structure and improve the fit. A model consisting of five factors and 21 items explaining 78.5% of the variance was obtained with EFA. The model had a good fit based on CFA. The Cronbach's alpha coefficient for the overall scale was 0.93, and the test-retest reliability correlation coefficients were between 0.73 and 0.93. Tr-CaSUN showed moderate and significant correlations with anxiety, depression, and quality of life scales.
Conclusion: Tr-CaSUN is a valid and reliable tool that can be used to assess the unmet needs of cancer survivors.

Keywords

Cancer, cancer survivors, reliability, supportive care needs, unmet needs, validity

Kanserden Kurtulanların Karşılanmayan İhtiyaçları Ölçeğinin Türkçeye Uyarlanması: Geçerlik ve Güvenirlik Çalışması

Abstract

Amaç: Bu çalışma, Türkçeye uyarlanmış Kanserden Kurtulanların Karşılanmayan İhtiyaçları Ölçeği'nin (Tr-CaSUN) psikometrik özelliklerini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Metodolojik tasarıma sahip bu çalışma bir üniversite hastanesinin onkoloji merkezinde ayaktan takip edilen 350 kanserden sağ kalan birey ile yürütülmüştür. Veriler Aralık 2020 ve Eylül 2021 tarihleri arasında toplanmıştır. CaSUN'un kültürler arası adaptasyonu için ileri çeviri, sentez, geri çeviri ve uzman değerlendirmesini içeren bir prosedür izlenmiştir. Ölçeğin yapı geçerliği Açımlayıcı Faktör Analizi (AFA) ve Doğrulayıcı Faktör Analizi (DFA), ölçüt geçerliği Hastane Anksiyete Depresyon Ölçeği ve Avrupa Kanser Araştırma ve Tedavi Örgütü Yaşam Kalitesi Ölçeği, güvenirliği ise, iç tutarlılık katsayısı ve test-tekrar test yöntemi ile değerlendirilmiştir.
Bulgular: Ölçeğin kapsam geçerlik indeksi 0.96 olarak belirlenmiştir. Ölçek uyarlanırken daha güçlü bir yapı elde etmek ve uyumu iyileştirmek için bazı maddeler çıkarılmıştır. AFA ile beş faktör ve 21 maddeden oluşan ve varyansın %78.5'ini açıklayan bir model elde edilmiştir. DFA ile modelin iyi bir uyuma sahip olduğu belirlenmiştir. Ölçeğin geneli için Cronbach alfa katsayısı 0.93 ve test-tekrar test güvenirliği korelasyon katsayıları 0.73 ile 0.93 arasında bulunmuştur. Ölçek, anksiyete, depresyon ve yaşam kalitesi ölçekleri ile orta düzeyde ve anlamlı korelasyon göstermiştir.
Sonuç: Tr-CaSUN'un, kanserden sağ kalanların karşılanmamış ihtiyaçlarını değerlendirmek için kullanılabilecek geçerli ve güvenilir bir araç olduğu belirlenmiştir.

Keywords

Destekleyici bakım ihtiyaçları, geçerlik, güvenirlik, kanser, kanserden kurtulanlar, karşılanmamış ihtiyaçlar

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