Department of hepatobiliary surgery, Sichuan Cancer Hospital, Chengdu, Sichuan province, People's Republic of China.
Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan province, People's Republic of China.
PLoS One. 2019 Jan 8;14(1):e0210242. doi: 10.1371/journal.pone.0210242. eCollection 2019.
Although a wide range of needs assessment tools for cancer patients have been developed, no standardized and commonly accepted instruments were recommended to use in clinical care. This systematic review was conducted to assess the quality of psychometric properties of needs assessment tools among cancer patients in order to help oncology healthcare professionals select the most appropriate needs assessment tools in routine clinical practice.
Searches were conducted in the electronic databases of PUBMED from 1966, CINAHL from 1960, EMBASE from 1980 and PsychINFO from 1967 as well as additional sources. The quality of psychometric properties of the recruited needs assessment tools was evaluated using the agreed quality criteria for measurement properties of health status questionnaires.
Thirty-seven studies which evaluated the psychometric properties of 20 needs assessment tools were identified. Internal consistency was tested in 32 studies with 9 studies indicating negative rating and 4 studies intermediate rating. Less than half of the studies (13 studies) assessed test-retest reliability, and only 4 studies reported positive rating. Content validity was the most tested psychometric property appraised in 33 studies and indicated positive rating in all the evaluated studies. Structural validity was adequately evaluated in 28 studies with 23 studies reporting intermediate rating. More than half of the studies (29 studies) tested hypothesis testing and 13 studies were rated positive. Cross-cultural validity results were obtained in 13 studies with 7 studies showing negative rating. No data was available on measurement error and criterion validity. Only one study appraised responsiveness and showed intermediate rating. The Supportive Care Needs Survey-Short Form (SCNS-SF) is the most widely used instrument for needs assessment in cancer patients. It had strong evidence for internal consistency, content validity, structural validity and hypothesis testing, and moderate evidence for reliability and cross-cultural validity. Cancer Survivors' Unmet Needs Measure (CaSUN) reported strong or moderate evidence for internal consistency, reliability, content and structural validity, and hypothesis testing. Furthermore, Supportive Cancer Care Needs Assessment Tool for Indigenous People (SCNAT-IP) had strong evidence for content validity, and moderate evidence for internal consistency, structural validity and hypothesis testing.
Despite several needs assessment tools exist to assess care needs in cancer patients, further improvement of already existing and promising instruments is recommended.
尽管已经开发出广泛的癌症患者需求评估工具，但在临床护理中没有推荐使用标准化和普遍接受的工具。本系统评价旨在评估癌症患者需求评估工具的心理测量特性质量，以帮助肿瘤医疗保健专业人员在常规临床实践中选择最合适的需求评估工具。
从 1966 年的 PUBMED、1960 年的 CINAHL、1980 年的 EMBASE 和 1967 年的 PsychINFO 以及其他来源进行了搜索。使用健康状况问卷测量特性的公认质量标准评估所招募的需求评估工具的心理测量特性质量。
确定了 37 项研究，这些研究评估了 20 种需求评估工具的心理测量特性。有 9 项研究表明负面评价，4 项研究表明中间评价，有 32 项研究测试了内部一致性。不到一半的研究（13 项研究）评估了测试-重测信度，只有 4 项研究报告了阳性评价。内容效度是评估的 33 项研究中最受测试的心理测量特性，所有评估研究均表明阳性评价。结构效度在 28 项研究中得到充分评估，其中 23 项研究报告了中间评价。超过一半的研究（29 项研究）测试了假设检验，其中 13 项研究的评价为阳性。在 13 项研究中获得了跨文化有效性结果，其中 7 项研究的评价为阴性。没有关于测量误差和标准效度的数据。只有一项研究评估了反应性，结果为中间评价。支持性护理需求调查-简表（SCNS-SF）是癌症患者需求评估中最常用的工具。它具有很强的内部一致性、内容有效性、结构有效性和假设检验证据，可靠性和跨文化有效性的证据为中等。癌症幸存者未满足的需求测量（CaSUN）报告了很强或中等的内部一致性、可靠性、内容和结构有效性以及假设检验证据。此外，支持原住民的癌症护理需求评估工具（SCNAT-IP）具有很强的内容有效性，以及中等的内部一致性、结构有效性和假设检验证据。
尽管有多种评估癌症患者护理需求的工具，但建议进一步改进现有的有前途的工具。
