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Face and content validity of a holistic assessment questionnaire to assess cancer-related fatigue after breast cancer. 评估乳腺癌术后癌症相关疲劳的整体评估问卷的面效度和内容效度。
IF 2.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-08-18 eCollection Date: 2024-01-01 DOI: 10.1080/21641846.2024.2389007
Kim A E Wijlens, Annemieke Witteveen, Lian Beenhakker, Ester J M Siemerink, Reinoud Achterkamp, Sabine Siesling, Miriam M R Vollenbroek-Hutten, Christina Bode

Background and objective: Cancer-related fatigue (CRF) affects the quality of life after breast cancer. In a previous study, we developed a 72-item questionnaire that assesses CRF from a holistic point of view; named the Holistic Assessment of CRF (HA-CRF) questionnaire. The current study assessed the face and content validity of the HA-CRF questionnaire.

Methods: Using a mixed-method approach, ten breast cancer survivors (BCS) did a cognitive walkthrough of the HA-CRF via an app followed by a semi-structured interview about relevancy and essentiality (qualitative). In addition, ten health care professionals (HCPs) assessed the relevancy, clarity, and essentiality of each item via a questionnaire (quantitative).

Results: BCS indicated minor textual improvement for four items and six items were not completely clear. The app was considered easy to use and the HC-CRF was on average completed in 18 minutes. The HA-CRF questionnaire provided openness about fatigue and gave the feeling of being heard. The items were helpful and induced self-awareness. HCPs indicated 71% of items being very clear or minor revisions proposed by the minority, with 64% of items being essential and 92% considered relevant.

Conclusions: The HA-CRF showed good face and excellent content validity. Further research is needed to assess its ability to monitor in daily life.

背景和目的:癌症相关疲劳(CRF)会影响乳腺癌患者的生活质量。在之前的一项研究中,我们开发了一份 72 个项目的问卷,从整体角度评估 CRF,并命名为 CRF 整体评估问卷(HA-CRF)。本研究评估了 HA-CRF 问卷的面效度和内容效度:采用混合方法,10 名乳腺癌幸存者(BCS)通过一款应用程序对 HA-CRF 进行了认知演练,随后就相关性和重要性(定性)进行了半结构化访谈。此外,十位医疗保健专业人员(HCPs)通过问卷对每个项目的相关性、清晰度和重要性进行了评估(定量):结果:BCS 显示,4 个项目的文字略有改进,6 个项目不完全清晰。该应用程序被认为易于使用,HC-CRF 平均在 18 分钟内完成。HA-CRF 问卷让人坦然面对疲劳,并有一种被倾听的感觉。这些项目很有帮助,并能引起自我意识。医护人员表示,71%的项目非常清楚,或少数人提出了小的修改意见,64%的项目是必要的,92%的项目被认为是相关的:HA-CRF显示出良好的表面效度和出色的内容效度。结论:HA-CRF 显示出良好的表面效度和出色的内容效度,需要进一步研究以评估其在日常生活中的监测能力。
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引用次数: 0
Psychometric evaluation of the Arabic version of the fatigue 5-item measure (FM) among physiotherapy patients in Libya 利比亚物理治疗患者疲劳五项量表(FM)阿拉伯语版的心理测量学评价
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-18 DOI: 10.1080/21641846.2023.2260482
Alhadi M. Jahan, Ali E. Rwaiha, Fatma A. Iqmeea
ABSTRACTBackground This cross-cultural validation study aimed to assess the psychometric properties and suitability of the Arabic version of the Fatigue Measure (FM) in the context of musculoskeletal patients in Libya.Methods A total of 139 patients from diverse physiotherapy facilities participated in the study. The FM was administered to assess participants’ perceived fatigue levels. Statistical analyses were performed to examine the FM's cross-cultural validity, including the assessment of internal consistency, test-retest reliability, construct validity, Exploratory Factor Analysis, and the ROC curve analysis.Results The FM demonstrated strong internal consistency and reliability in the Libyan context, with a Cronbach's alpha coefficient of 0.87. Test-retest reliability was high (ICC = 0.92, Cronbach alpha = 0.95). The EFA confirmed the unidimensionality of this measure, indicating the stability of the FM's underlying dimensions in this cultural setting. The ROC curve analysis revealed significant results with the AUC value = 0.95 [95% CI 0.91–0.97], (p < 0.001), indicating excellent sensitivity and specificity.Conclusions The findings support the cross-cultural validity of the FM among musculoskeletal patients in Libya, suggesting its suitability as an effective tool for assessing fatigue in this population. Its brevity and ease of use make it valuable for clinicians and researchers seeking to address fatigue-related issues in the context of musculoskeletal conditions in Libya. Further research could explore the FM's responsiveness to intervention and longitudinal changes in fatigue levels to enhance its utility in clinical practice. Overall, the FM holds promise as a reliable instrument for measuring fatigue in musculoskeletal patients in the Libyan cultural context.KEYWORDS: Validationfatigue measureLibyapsychometric propertiesfactor analysisarabic Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationNotes on contributorsAlhadi M. JahanDr. Alhadi M. Jahan is a dedicated musculoskeletal physiotherapist, researcher, and scholar with a passion for improving the lives of individuals through his expertise in rehabilitation. In 2022, he earned his PhD in Rehabilitation Sciences, building upon a strong academic foundation that included a Master's degree in Rehabilitation obtained in 2009 and a Bachelor's degree in Physiotherapy, which he completed in 2006. He is also a lecturer at the Physiotherapy Department, College of Medical Technology, Misrata, Libya.Ali E. RwaihaAli E. Rwaiha is a neurological physiotherapist. Currently, he is working in physiotherapy clinics in Misrata, Libya. He is also a lecturer at Physiotherapy Department, College of Medical Technology, Misrata, Libya. He holds a master's degree in physiotherapy from Sheffield Hallam University, UK.Fatma A. IqmeeaFatma A. Iqmeea is an undergraduate student in the Department of Physiotherapy, College of Medical Technology, Misrata, Li
摘要背景:本跨文化验证研究旨在评估阿拉伯版疲劳量表(FM)在利比亚肌肉骨骼患者中的心理测量特性和适用性。方法对来自不同物理治疗机构的139例患者进行研究。FM被用于评估参与者的感知疲劳水平。通过统计分析,包括内部一致性评估、重测信度、构念效度、探索性因子分析、ROC曲线分析等,检验FM的跨文化效度。结果FM在利比亚情境下表现出较强的内部一致性和信度,Cronbach's alpha系数为0.87。重测信度高(ICC = 0.92, Cronbach α = 0.95)。EFA证实了这一测量的单维性,表明在这种文化背景下FM的潜在维度是稳定的。ROC曲线分析结果显著,AUC值= 0.95 [95% CI 0.91 ~ 0.97], p < 0.001),具有良好的敏感性和特异性。结论:研究结果支持FM在利比亚肌肉骨骼患者中的跨文化有效性,表明其适合作为评估该人群疲劳的有效工具。它的简便性和易用性使其对寻求解决利比亚肌肉骨骼疾病背景下疲劳相关问题的临床医生和研究人员有价值。进一步的研究可以探讨FM对干预的反应性和疲劳水平的纵向变化,以提高其在临床实践中的应用价值。总的来说,FM有望作为一种可靠的工具来测量疲劳的肌肉骨骼病人在利比亚的文化背景。关键词:验证、疲劳测量、心理计量特性、因子分析、阿拉伯语披露声明作者未报告潜在利益冲突。关于投稿人salhadi M. JahanDr的说明。Alhadi M. Jahan是一位专注于肌肉骨骼物理治疗师、研究人员和学者,他致力于通过他在康复方面的专业知识改善个人的生活。2022年,他在坚实的学术基础上获得了康复科学博士学位,其中包括2009年获得的康复硕士学位和2006年完成的物理治疗学士学位。他也是利比亚米苏拉塔医疗技术学院理疗系的讲师。Ali E. Rwaiha是一名神经物理治疗师。目前,他在利比亚米苏拉塔的理疗诊所工作。他也是利比亚米苏拉塔医疗技术学院理疗系的讲师。他拥有英国谢菲尔德哈勒姆大学物理治疗硕士学位。fatima A. Iqmeea是利比亚米苏拉塔医疗技术学院理疗系的一名本科生。
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Fatigue-Biomedicine Health and Behavior
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