Xing Weijie, So Winnie Kwok Wei, Choi Kai Chow, Wong Cho Lee, Tong Man, Choy Yin Ping, Molassiotis Alex, Yates Patsy, Chan Raymond Javan
School of Nursing, Fudan University, Shanghai, China.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Asia Pac J Clin Oncol. 2019 Oct;15(5):e142-e146. doi: 10.1111/ajco.13137. Epub 2019 Feb 13.
The aim of the study was to translate the Cancer Survivors' Unmet Needs (CaSUN) scale into Chinese, and then test its psychometric properties, for cancer survivors in Hong Kong.
The original questionnaire was translated from English into traditional Chinese (CaSUN-Chi), following standardized procedures. An expert panel was invited to assess the items' content validity, and pilot test on 15 patients to evaluate its readability. The sample for psychometric evaluation was drawn from a large multinational study assessing unmet needs of cancer survivors, with a convenience sample of 300 was recruited. Cronbach's α coefficient was used to assess the internal consistency of the scale, and confirmatory factor analysis to evaluate its construct validity.
The CaSUN-Chi had good readability and high content validity (S-CVI 0.98). Cronbach's α for the entire scale was 0.93 and 0.71-0.91 for the five subscales. Confirmatory factor analysis indicated that the five-factor structure of the CaSUN-Chi was good fit to the data (CFI = 0.99, AGFI = 0.98, RMSEA = 0.054, SRMR = 0.071).
The CaSUN-Chi showed desirable psychometric properties for assessing unmet needs of cancer survivors in Hong Kong. Using the newly translated scale to identify individual supportive care unmet needs can bridge the gap between patients' experiences and expectations, and improve healthcare provision and resource allocation.
本研究旨在将癌症幸存者未满足需求（CaSUN）量表翻译成中文，然后对其心理测量特性进行测试，以用于香港的癌症幸存者。
按照标准化程序将原始问卷从英文翻译成繁体中文（CaSUN-Chi）。邀请专家小组评估项目的内容效度，并对15名患者进行预测试以评估其可读性。心理测量评估的样本取自一项评估癌症幸存者未满足需求的大型跨国研究，招募了300名便利样本。使用Cronbach's α系数评估量表的内部一致性，并使用验证性因素分析评估其结构效度。
CaSUN-Chi具有良好的可读性和高内容效度（S-CVI 0.98）。整个量表的Cronbach's α为0.93，五个子量表的Cronbach's α为0.71 - 0.91。验证性因素分析表明，CaSUN-Chi的五因素结构与数据拟合良好（CFI = 0.99，AGFI = 0.98，RMSEA = 0.054，SRMR = 0.071）。
CaSUN-Chi在评估香港癌症幸存者未满足需求方面显示出理想的心理测量特性。使用新翻译的量表来识别个体支持性护理未满足需求可以弥合患者经历与期望之间的差距，并改善医疗服务提供和资源分配。
