对 OUTPATSAT-35RT 问卷进行验证测试,以评估印度大批门诊放疗患者的满意度。

Jifmi J Manjali, Geyata Keluskar, Ruchi Patel, Nazia Bano, Farnaz Shaikh, Rahat Malhotra, Shaktivel Mani, Anuj Kumar, Shwetabh Sinha, Revathy Krishnamurthy, Archya Dasgupta, Abhishek Chatterjee, Anil Tibdewal, Rima Pathak, Naveen Mummudi, Tabassum Wadasadwala, Sarbani G Laskar, Rajiv Sarin, Jai Prakash Agarwal, Tejpal Gupta
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引用次数: 0

摘要

背景:本研究报告了在一家三级综合癌症中心接受非卧床放疗(RT)治疗的大批印度癌症患者的 OUTPASAT-35RT 问卷的心理测量特性:经病理确诊为癌症并接受分次 RT(≥10 次)治疗的成人,在获得书面知情同意后,均能阅读和理解英语、印地语或马拉地语。在 RT 结束后(±3 天),患者将接受与语言版本相适应的 OUTPATSAT-35RT 和欧洲癌症研究和治疗组织 (EORTC) 生活质量通用问卷 (QLQ-C30)。对 OUTPATSAT-35RT 的心理计量特性进行了分析:2018 年至 2020 年间共招募了 314 名患者。观察到 OUTPATSAT-35RT 的底限效应(15%)微乎其微。多性状分析显示问卷的有效性和可靠性令人满意。单个项目得分与自身量表的皮尔逊相关系数(PCC)大于 0.4,表明具有良好的收敛效度。由于与自身量表/自身领域的 PCC 分别大于与 OUTPATSAT-35RT 同一领域和其他领域的其他量表的 PCC,因此判别效度令人满意。OUTPATSAT-35RT 量表与 QLQ-C30 量表的相关性显示了可接受的发散效度(所有 PCC 值均为 0.7,表明内部一致性良好)。测试-再测可靠性良好,类内系数大于 0.7。经济状况是唯一一个与 OUTPATSAT-35RT 分数显著相关的社会人口学因素;患者对护理服务的满意度随着家庭收入的增加而提高:结论:OUTPATSAT-35RT 的心理测量学特性在一个大型印度队列中进行验证测试时发现是可以接受的,令人满意。
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Validation testing of OUTPATSAT-35RT questionnaire to assess satisfaction in patients on outpatient radiotherapy in a large Indian cohort.

Background: This study reports the psychometric properties of OUTPASAT-35RT questionnaire from a large Indian cancer cohort treated with ambulatory radiotherapy (RT) at a tertiary-care comprehensive cancer center.

Materials and methods: Adults with a pathologically proven diagnosis of cancer undergoing fractionated RT (≥10 fractions) with the ability to read and understand English, Hindi, or Marathi were accrued after written informed consent. Patients were administered a language-appropriate version of OUTPATSAT-35RT along with European Organization for Research and Treatment of Cancer (EORTC) generic quality-of-life questionnaire (QLQ-C30) at conclusion of RT (±3 days). Psychometric properties of OUTPATSAT-35RT were analyzed.

Results: A total of 314 patients were accrued between 2018 and 2020. A negligible floor effect (<2%) but a high ceiling effect (>15%) was observed for OUTPATSAT-35RT. Multi-trait analysis revealed satisfactory validity and reliability of the questionnaire. Pearson's correlation coefficient (PCC) of individual item score with own scale was >0.4 suggesting good convergent validity. Discriminant validity was satisfactory as the PCC with its own scale/own domain was greater than with other scales of the same domain and other domains of OUTPATSAT-35RT, respectively. Correlation of scales of OUTPATSAT-35RT with scales of QLQ-C30 demonstrated acceptable divergent validity (all values of PCC <0.3). Cronbach's alpha was >0.7 suggesting good internal consistency. Test-retest reliability was good with intra-class coefficient being >0.7. Economic status was the only socio-demographic factor correlating significantly with OUTPATSAT-35RT scores; satisfaction of patients with the delivery of care increased with increasing family income.

Conclusion: The psychometric properties of OUTPATSAT-35RT were found to be acceptable and satisfactory during validation testing in a large Indian cohort.

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