Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problems
ObjectiveTo develop a Thyroid Cancer Self-Perceived Discrimination Scale (TCSPDS) to identify patients at high risk for psychological problems and to test its reliability, validity and acceptability.MethodsUsing classical test theory, a total of 176 thyroid cancer patients from November 2021 to Octo...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1182821/full |
| _version_ | 1797777809228169216 |
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| author | Zhi-jin Liu Lin-sen Feng Lin-sen Feng Feng Li Li-rong Yang Wan-qi Wang Yuan He Zong-ting Meng Yu-feng Wang |
| author_facet | Zhi-jin Liu Lin-sen Feng Lin-sen Feng Feng Li Li-rong Yang Wan-qi Wang Yuan He Zong-ting Meng Yu-feng Wang |
| author_sort | Zhi-jin Liu |
| collection | DOAJ |
| description | ObjectiveTo develop a Thyroid Cancer Self-Perceived Discrimination Scale (TCSPDS) to identify patients at high risk for psychological problems and to test its reliability, validity and acceptability.MethodsUsing classical test theory, a total of 176 thyroid cancer patients from November 2021 to October 2022 were recruited to develop the TCSPDS. Item analysis was used to improve the preliminary TCSPDS. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and structural equation model (SEM) were used to test the construct validity of the final TCSPDS. Pearson correlation coefficient was used to analyze the validity coefficient between TCSPDS and EORTC QLQ-C30 to test the criterion-related validity (CRV) of the final TCSPDS. The internal consistency coefficient (Cronbach’s alpha coefficient), split half reliability (Spearman-Brown coefficient) and test-retest reliability were used to verify the reliability of the final TCSPDS. The questionnaire completion time and effective response rate were used to validate the acceptability of the final TCSPDS.ResultsThe TCSPDS consisted of 20 items and was divided into 3 subscales: 8 items for stigma, 6 items for self-deprecation, and 6 items for social avoidance. The TCSPDS had good validity (χ2/df=1.971, RMSEA=0.074, GFI=0.921, CFI= 0.930, IFI=0.932, TLI=0.901, Validity coefficient=0.767), reliability (Cronbach’s alpha=0.867, Spearman-Brown coefficient=0.828, test-retest reliability coefficient=0.981) and acceptability [average completion time (15.01 ± 1.348 minutes) and an effective response rate of 95.14%]. Patients with higher TCSPDS scores reported a lower quality of life (P<0.05).ConclusionThe TCSPDS could be used for early identification and assessment of the level of self-perceived discrimination in patients with thyroid cancer, which may provide a scientific basis for health education, social support and psychosocial oncology services in the future, especially in Southwest China. |
| first_indexed | 2024-03-12T23:08:52Z |
| format | Article |
| id | doaj.art-acd5bc0fc08d40688207320194b7c40c |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-03-12T23:08:52Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-acd5bc0fc08d40688207320194b7c40c2023-07-18T09:07:33ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-07-011310.3389/fonc.2023.11828211182821Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problemsZhi-jin Liu0Lin-sen Feng1Lin-sen Feng2Feng Li3Li-rong Yang4Wan-qi Wang5Yuan He6Zong-ting Meng7Yu-feng Wang8Department of Geriatric Oncology, The Third Affiliated Hospital of Kunming Medical University - Yunnan Cancer Hospital, Kunming, ChinaDepartment of Hematology, The Sixth Affiliated Hospital of Kunming Medical University-Yuxi People’s Hospital, Yuxi, ChinaDepartment of Hematology, General Medical College of Kunming Medical University, Kunming, ChinaDepartment of Geriatric Oncology, The Third Affiliated Hospital of Kunming Medical University - Yunnan Cancer Hospital, Kunming, ChinaDepartment of Geriatric Oncology, The Third Affiliated Hospital of Kunming Medical University - Yunnan Cancer Hospital, Kunming, ChinaDepartment of Geriatric Oncology, The Third Affiliated Hospital of Kunming Medical University - Yunnan Cancer Hospital, Kunming, ChinaDepartment of Geriatric Oncology, The Third Affiliated Hospital of Kunming Medical University - Yunnan Cancer Hospital, Kunming, ChinaDepartment of Geriatric Oncology, The Third Affiliated Hospital of Kunming Medical University - Yunnan Cancer Hospital, Kunming, ChinaDepartment of Geriatric Oncology, The Third Affiliated Hospital of Kunming Medical University - Yunnan Cancer Hospital, Kunming, ChinaObjectiveTo develop a Thyroid Cancer Self-Perceived Discrimination Scale (TCSPDS) to identify patients at high risk for psychological problems and to test its reliability, validity and acceptability.MethodsUsing classical test theory, a total of 176 thyroid cancer patients from November 2021 to October 2022 were recruited to develop the TCSPDS. Item analysis was used to improve the preliminary TCSPDS. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and structural equation model (SEM) were used to test the construct validity of the final TCSPDS. Pearson correlation coefficient was used to analyze the validity coefficient between TCSPDS and EORTC QLQ-C30 to test the criterion-related validity (CRV) of the final TCSPDS. The internal consistency coefficient (Cronbach’s alpha coefficient), split half reliability (Spearman-Brown coefficient) and test-retest reliability were used to verify the reliability of the final TCSPDS. The questionnaire completion time and effective response rate were used to validate the acceptability of the final TCSPDS.ResultsThe TCSPDS consisted of 20 items and was divided into 3 subscales: 8 items for stigma, 6 items for self-deprecation, and 6 items for social avoidance. The TCSPDS had good validity (χ2/df=1.971, RMSEA=0.074, GFI=0.921, CFI= 0.930, IFI=0.932, TLI=0.901, Validity coefficient=0.767), reliability (Cronbach’s alpha=0.867, Spearman-Brown coefficient=0.828, test-retest reliability coefficient=0.981) and acceptability [average completion time (15.01 ± 1.348 minutes) and an effective response rate of 95.14%]. Patients with higher TCSPDS scores reported a lower quality of life (P<0.05).ConclusionThe TCSPDS could be used for early identification and assessment of the level of self-perceived discrimination in patients with thyroid cancer, which may provide a scientific basis for health education, social support and psychosocial oncology services in the future, especially in Southwest China.https://www.frontiersin.org/articles/10.3389/fonc.2023.1182821/fullthyroid cancerpsychometricspsycho-oncologyscale developmentvalidationquality of life |
| spellingShingle | Zhi-jin Liu Lin-sen Feng Lin-sen Feng Feng Li Li-rong Yang Wan-qi Wang Yuan He Zong-ting Meng Yu-feng Wang Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problems Frontiers in Oncology thyroid cancer psychometrics psycho-oncology scale development validation quality of life |
| title | Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problems |
| title_full | Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problems |
| title_fullStr | Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problems |
| title_full_unstemmed | Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problems |
| title_short | Development and validation of the thyroid cancer self-perceived discrimination scale to identify patients at high risk for psychological problems |
| title_sort | development and validation of the thyroid cancer self perceived discrimination scale to identify patients at high risk for psychological problems |
| topic | thyroid cancer psychometrics psycho-oncology scale development validation quality of life |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1182821/full |
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