Abstract
Introduction: Colorectal cancer (CRC) is the second most common cancer in Malaysia. The need of cancer survivors is unique and are influenced by their cultural and religious backgrounds. Addressing the issues of unmet needs among colorectal cancer survivors is important to enhance their quality of life. This study aimed to develop and validate a needs assessment questionnaire for multi-ethnic colorectal cancer survivors in Malaysia.
Method: There were three major stages involved in the development and validation of the questionnaire to ensure the psychometric properties. The stages include i) Item development through a systematic literature review and previous qualitative reports, ii) Scale development and iii) Psychometric properties evaluation. The items were reviewed by experts, pretested and translated using forward-backwards (English-Bahasa Melayu-English) translation. The questionnaire was distributed to several oncology centres and via an online survey platform (REDCap) for online recruitment. A universal sampling of 300 colorectal cancer survivors who had been diagnosed with colorectal cancer for at least a month, aged above 18 and clinically fit with no other cancer was recruited. Exploratory factor analysis and confirmatory factor analysis (CFA) were performed using the FACTOR program and SmartPLS 3.0.
Result: The questionnaire development resulted in a bilingual Needs Assessment Tool for Colorectal Cancer (Neat-CC) with 51-item covering six domains which include; i) diagnosis needs, ii) psychosocial and information needs, iii) practical needs, iv) health needs, v) financial and vi) employment needs. Cronbach 's alpha of all the domains was above 0.7 indicating good internal consistency. For the CFA, the average variance extracted (AVE) was above 0.5 indicating good convergent validity while the heterotrait-monotrait criterion (HTMT) was 0.9 indicating the good discriminant validity of this questionnaire. Both measurement and structural model assessment of the domains were adequate. Conclusion: The Neat-CC is a valid and reliable questionnaire with adequate psychometric characteristics. The utilization of this validated Neat-CC to determine the unmet needs of colorectal cancer is essential to facilitate and guide appropriate interventions which cater to the needs of colorectal cancer survivors.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-37.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-37,
title = {Development and Validation of a Dual Language Needs Assessment Questionnaire for Malaysians Living with Colorectal Cancer (Neat-CC)},
author = {Nur Nadiatul Asyikin Bujang and Awang Bulgiba Awang Mahmud and Nirmala Bhoo-Pathy},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-37.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/APCPH2022-P-37-Development-and-Validation-Questionnaire-Poster_n-1df6cece339edfba6ed7fe69d2074b4b.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Colorectal cancer (CRC) is the second most common cancer in Malaysia. The need of cancer survivors is unique and are influenced by their cultural and religious backgrounds. Addressing the issues of unmet needs among colorectal cancer survivors is important to enhance their quality of life. This study aimed to develop and validate a needs assessment questionnaire for multi-ethnic colorectal cancer survivors in Malaysia.
Method: There were three major stages involved in the development and validation of the questionnaire to ensure the psychometric properties. The stages include i) Item development through a systematic literature review and previous qualitative reports, ii) Scale development and iii) Psychometric properties evaluation. The items were reviewed by experts, pretested and translated using forward-backwards (English-Bahasa Melayu-English) translation. The questionnaire was distributed to several oncology centres and via an online survey platform (REDCap) for online recruitment. A universal sampling of 300 colorectal cancer survivors who had been diagnosed with colorectal cancer for at least a month, aged above 18 and clinically fit with no other cancer was recruited. Exploratory factor analysis and confirmatory factor analysis (CFA) were performed using the FACTOR program and SmartPLS 3.0.
Result: The questionnaire development resulted in a bilingual Needs Assessment Tool for Colorectal Cancer (Neat-CC) with 51-item covering six domains which include; i) diagnosis needs, ii) psychosocial and information needs, iii) practical needs, iv) health needs, v) financial and vi) employment needs. Cronbach 's alpha of all the domains was above 0.7 indicating good internal consistency. For the CFA, the average variance extracted (AVE) was above 0.5 indicating good convergent validity while the heterotrait-monotrait criterion (HTMT) was 0.9 indicating the good discriminant validity of this questionnaire. Both measurement and structural model assessment of the domains were adequate. Conclusion: The Neat-CC is a valid and reliable questionnaire with adequate psychometric characteristics. The utilization of this validated Neat-CC to determine the unmet needs of colorectal cancer is essential to facilitate and guide appropriate interventions which cater to the needs of colorectal cancer survivors.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Lembah Pantai, Kuala Lumpur, Malaysia; Seremban District Health Office, Ministry of Health Malaysia; Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Lembah Pantai, Kuala Lumpur, Malaysia; Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Lembah Pantai, Kuala Lumpur, Malaysia},
keywords = {colorectal cancer, questionnaire development, validation},
pubstate = {published},
tppubtype = {proceedings}
}