Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer
Abstract Background Cognitive reserve is a modifiable factor that could prevent cognitive decline in patients with cancer. The Cognitive Reserve Assessment Scale in Health (CRASH) is an instrument used to assess cognitive reserve. This study aims to develop and examine the psychometric properties of...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-022-04506-w |
| _version_ | 1797958533820448768 |
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| author | Hong Liu Yanyan Li Yang Li Jianwen Wang Na Su Naixue Cui Kun Xu Yaoyao Sun Fenglin Cao |
| author_facet | Hong Liu Yanyan Li Yang Li Jianwen Wang Na Su Naixue Cui Kun Xu Yaoyao Sun Fenglin Cao |
| author_sort | Hong Liu |
| collection | DOAJ |
| description | Abstract Background Cognitive reserve is a modifiable factor that could prevent cognitive decline in patients with cancer. The Cognitive Reserve Assessment Scale in Health (CRASH) is an instrument used to assess cognitive reserve. This study aims to develop and examine the psychometric properties of the Chinese version of the CRASH for patients with cancer. Methods A cross-sectional survey was conducted with 167 cancer patients from four wards of two hospitals in China. Thirty-one patients were re-assessed to examine the test-retest reliability. Four translators and three reviewers developed the Chinese version of the scale. We assessed its structural validity, concurrent validity, internal consistency, test-retest reliability, measurement error, and floor/ceiling effects. Results Confirmatory factor analysis showed a good model fit with the four-factor structure of the original CRASH. The CRASH scores were statistically significantly associated with neuropsychological test scores, indicating sufficient concurrent validity. The internal consistency was acceptable, except for leisure activities, with standardized Cronbach’s alphas (0.64–0.94) and standardized Omega (0.66–0.95). There was excellent test-retest reliability, with a high intraclass correlation coefficient (0.914–0.993) of total scores and scores for each domain. The measurement error was acceptable, and no floor or ceiling effects were observed. Conclusions The Chinese version of the CRASH is a valid and reliable instrument to assess cognitive reserve in patients with cancer. Moreover, cognitive reserve measured by the CRASH was associated with low cognitive performance in cancer patients. |
| first_indexed | 2024-04-11T00:20:23Z |
| format | Article |
| id | doaj.art-0992128fa88344588f9fca77a6124a32 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-11T00:20:23Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-0992128fa88344588f9fca77a6124a322023-01-08T12:17:53ZengBMCBMC Psychiatry1471-244X2023-01-0123111010.1186/s12888-022-04506-wPsychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancerHong Liu0Yanyan Li1Yang Li2Jianwen Wang3Na Su4Naixue Cui5Kun Xu6Yaoyao Sun7Fenglin Cao8Department of Nursing Psychology, School of Nursing and Rehabilitation, Shandong UniversitySchool of Nursing, Peking UniversitySchool of Nursing, The University of Texas at AustinDepartment of Nursing Psychology, School of Nursing and Rehabilitation, Shandong UniversityImaging Department, Shandong Cancer Hospital and InstituteDepartment of Nursing Psychology, School of Nursing and Rehabilitation, Shandong UniversityDepartment of Gastrointestinal Surgery, Shandong Cancer Hospital and InstituteDepartment of Nursing Psychology, School of Nursing and Rehabilitation, Shandong UniversityDepartment of Nursing Psychology, School of Nursing and Rehabilitation, Shandong UniversityAbstract Background Cognitive reserve is a modifiable factor that could prevent cognitive decline in patients with cancer. The Cognitive Reserve Assessment Scale in Health (CRASH) is an instrument used to assess cognitive reserve. This study aims to develop and examine the psychometric properties of the Chinese version of the CRASH for patients with cancer. Methods A cross-sectional survey was conducted with 167 cancer patients from four wards of two hospitals in China. Thirty-one patients were re-assessed to examine the test-retest reliability. Four translators and three reviewers developed the Chinese version of the scale. We assessed its structural validity, concurrent validity, internal consistency, test-retest reliability, measurement error, and floor/ceiling effects. Results Confirmatory factor analysis showed a good model fit with the four-factor structure of the original CRASH. The CRASH scores were statistically significantly associated with neuropsychological test scores, indicating sufficient concurrent validity. The internal consistency was acceptable, except for leisure activities, with standardized Cronbach’s alphas (0.64–0.94) and standardized Omega (0.66–0.95). There was excellent test-retest reliability, with a high intraclass correlation coefficient (0.914–0.993) of total scores and scores for each domain. The measurement error was acceptable, and no floor or ceiling effects were observed. Conclusions The Chinese version of the CRASH is a valid and reliable instrument to assess cognitive reserve in patients with cancer. Moreover, cognitive reserve measured by the CRASH was associated with low cognitive performance in cancer patients.https://doi.org/10.1186/s12888-022-04506-wCognitive reserveCancerCognitive functionCognitive DeclineValidation StudyPsychometrics |
| spellingShingle | Hong Liu Yanyan Li Yang Li Jianwen Wang Na Su Naixue Cui Kun Xu Yaoyao Sun Fenglin Cao Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer BMC Psychiatry Cognitive reserve Cancer Cognitive function Cognitive Decline Validation Study Psychometrics |
| title | Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer |
| title_full | Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer |
| title_fullStr | Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer |
| title_full_unstemmed | Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer |
| title_short | Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer |
| title_sort | psychometric properties of the chinese version of the cognitive reserve assessment scale in health in patients with cancer |
| topic | Cognitive reserve Cancer Cognitive function Cognitive Decline Validation Study Psychometrics |
| url | https://doi.org/10.1186/s12888-022-04506-w |
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