Development and validation of oral chemotherapy self-management scale

Abstract Background With the increase of oral chemotherapy drugs, patients receiving cancer treatment prefer oral chemotherapy versus intravenous, given equal efficacy and toxicity. However, they need to take an active part in their care, which is vital with home-based oral therapy, therefore the se...

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Main Authors: Qi Peng, Wanying Wu
Format: Article
Language:English
Published: BMC 2020-09-01
Series:BMC Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12885-020-07404-0
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author Qi Peng
Wanying Wu
author_facet Qi Peng
Wanying Wu
author_sort Qi Peng
collection DOAJ
description Abstract Background With the increase of oral chemotherapy drugs, patients receiving cancer treatment prefer oral chemotherapy versus intravenous, given equal efficacy and toxicity. However, they need to take an active part in their care, which is vital with home-based oral therapy, therefore the self-management is important for patients with oral chemotherapy. Unfortunately, the development of self-management assessment tools for oral chemotherapy still lags behind. Methods The OCSMS item pool was formulated based on literature review and semi-structured interviews, An initial scale containing 5 dimensions and 38 items was constructed through research seminar, Delphi survey and pilot testing. To assess the validity and reliability, We recruited 261 patients from cancer hospital in China. Results A 36-item scale was developed with five dimensions identified through factor analysis: daily life management, symptom management, medication management, emotional cognitive management and social support. Cronbach’s coefficient Alpha, split-half coefficient, test-retest reliability and S-CVI/UA scores were 0.929, 0.773, 0.966 and 0.833, respectively, indicating that OCSMS has good reliability and validity. Conclusions The OCSMS is a valid, reliable measurement method of the self-management ability of patients with oral chemotherapy. The OCSMS shows potential as a tool to ensure the safety of patients with cancer. The OCSMS may help evaluate the effectiveness of interventions to improve the self-management ability of patients.
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spelling doaj.art-a32b7ea383544de682ac59c4806485952022-12-22T01:38:14ZengBMCBMC Cancer1471-24072020-09-012011710.1186/s12885-020-07404-0Development and validation of oral chemotherapy self-management scaleQi Peng0Wanying Wu1Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Cancer and Basic Medicine (IBMC), Chinese Academy of SciencesCancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Cancer and Basic Medicine (IBMC), Chinese Academy of SciencesAbstract Background With the increase of oral chemotherapy drugs, patients receiving cancer treatment prefer oral chemotherapy versus intravenous, given equal efficacy and toxicity. However, they need to take an active part in their care, which is vital with home-based oral therapy, therefore the self-management is important for patients with oral chemotherapy. Unfortunately, the development of self-management assessment tools for oral chemotherapy still lags behind. Methods The OCSMS item pool was formulated based on literature review and semi-structured interviews, An initial scale containing 5 dimensions and 38 items was constructed through research seminar, Delphi survey and pilot testing. To assess the validity and reliability, We recruited 261 patients from cancer hospital in China. Results A 36-item scale was developed with five dimensions identified through factor analysis: daily life management, symptom management, medication management, emotional cognitive management and social support. Cronbach’s coefficient Alpha, split-half coefficient, test-retest reliability and S-CVI/UA scores were 0.929, 0.773, 0.966 and 0.833, respectively, indicating that OCSMS has good reliability and validity. Conclusions The OCSMS is a valid, reliable measurement method of the self-management ability of patients with oral chemotherapy. The OCSMS shows potential as a tool to ensure the safety of patients with cancer. The OCSMS may help evaluate the effectiveness of interventions to improve the self-management ability of patients.http://link.springer.com/article/10.1186/s12885-020-07404-0CancerOral chemotherapySelf-managementValidation
spellingShingle Qi Peng
Wanying Wu
Development and validation of oral chemotherapy self-management scale
BMC Cancer
Cancer
Oral chemotherapy
Self-management
Validation
title Development and validation of oral chemotherapy self-management scale
title_full Development and validation of oral chemotherapy self-management scale
title_fullStr Development and validation of oral chemotherapy self-management scale
title_full_unstemmed Development and validation of oral chemotherapy self-management scale
title_short Development and validation of oral chemotherapy self-management scale
title_sort development and validation of oral chemotherapy self management scale
topic Cancer
Oral chemotherapy
Self-management
Validation
url http://link.springer.com/article/10.1186/s12885-020-07404-0
work_keys_str_mv AT qipeng developmentandvalidationoforalchemotherapyselfmanagementscale
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