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评估用于评估青少年和青年癌症幸存者自我报告的身体活动及心理社会结果的问卷:一项认知访谈研究

Evaluating Questionnaires Used to Assess Self-Reported Physical Activity and Psychosocial Outcomes Among Survivors of Adolescent and Young Adult Cancer: A Cognitive Interview Study.

作者信息

Wurz Amanda, Brunet Jennifer

机构信息

1 School of Human Kinetics, University of Ottawa , Ottawa, Canada .

2 Cancer Therapeutic Program, Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Canada .

出版信息

J Adolesc Young Adult Oncol. 2017 Sep;6(3):482-488. doi: 10.1089/jayao.2017.0005. Epub 2017 Apr 21.

Abstract

Physical activity is increasingly being studied as a way to improve psychosocial outcomes (e.g., quality of life, self-efficacy, physical self-perceptions, self-esteem, body image, posttraumatic growth) among survivors of adolescent and young adult (AYA) cancer. Assessing levels of and associations between self-reported physical activity and psychosocial outcomes requires clear, appropriate, and relevant questionnaires. To explore how survivors of AYA cancer interpreted and responded to the following eight published questionnaires: Leisure Time Exercise Questionnaire, Exercise Self-Efficacy Scale, Physical Self-Description Questionnaire, Rosenberg Global Self-Esteem Scale, Multidimensional Body-Self Relations Questionnaire, Posttraumatic Growth Inventory, Functional Assessment of Cancer Therapy-General (FACT-G), RAND 36-Item Health Survey 1.0 (RAND-36), cognitive interviews were conducted with three men and four women age 18-36 years who were diagnosed with cancer at age 16-35 years. Initially, the first seven questionnaires listed above were assessed. Summaries of the interviews were prepared and compared across participants. Potential concerns were identified with the FACT-G; thus, a second interview was conducted with participants to explore the clarity, appropriateness, and relevance of the RAND-36. Concerns identified for the FACT-G related mostly to the lack of relevance of items pertaining to cancer-specific aspects of quality of life given that participants were posttreatment. No or few concerns related to comprehension and/or structure/logic were identified for the other questionnaires. In general, the questionnaires assessed were clear, appropriate, and relevant. Participants' feedback suggested they could be used to assess self-reported physical activity and varied psychosocial outcomes in studies with survivors of AYA cancer, either with or without slight modifications.

摘要

越来越多的研究将体育活动视为改善青少年和青年成人(AYA)癌症幸存者心理社会状况(如生活质量、自我效能感、身体自我认知、自尊、身体意象、创伤后成长)的一种方式。评估自我报告的体育活动水平及其与心理社会状况之间的关联需要清晰、恰当且相关的问卷。为了探究AYA癌症幸存者如何解读并回应以下八份已发表的问卷:休闲时间锻炼问卷、锻炼自我效能量表、身体自我描述问卷、罗森伯格全球自尊量表、多维身体-自我关系问卷、创伤后成长量表、癌症治疗功能评估通用量表(FACT-G)、兰德36项健康调查1.0版(兰德-36),对三名年龄在18 - 36岁、16 - 35岁时被诊断患有癌症的男性和四名女性进行了认知访谈。最初,对上述前七份问卷进行了评估。整理了访谈摘要并在参与者之间进行比较。发现FACT-G存在一些潜在问题;因此,对参与者进行了第二次访谈,以探究兰德-36的清晰度、恰当性和相关性。针对FACT-G发现的问题主要与生活质量中特定癌症方面的项目缺乏相关性有关,因为参与者已完成治疗。对于其他问卷,未发现或很少发现与理解和/或结构/逻辑相关的问题。总体而言,所评估的问卷清晰、恰当且相关。参与者的反馈表明,这些问卷可用于评估AYA癌症幸存者研究中自我报告的体育活动及各种心理社会状况,可直接使用或稍作修改。

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