Ross Emily J, Wiener Chelsea H, Robinson Diane, Cassisi Jeffrey E
Department of Psychology, University of Central Florida, Orlando, FL, USA.
Orlando Health UF Health Cancer Center, Orlando, FL, USA.
J Patient Exp. 2020 Feb;7(1):96-104. doi: 10.1177/2374373518808309. Epub 2018 Oct 25.
The Cancer Support Community developed the Cancer Support Source (CSS) to assess the needs of cancer patients with distress. Each item on this self-administered questionnaire represents an area of concern which the patient rates and indicates their need for action with a "staff person," but no details about the category of staff is given.
To examine the factor structure of the CSS and to increase its utility to triage patients for referral to services based on a needs assessment.
Data from 690 patients who completed the CSS over a 1-year period were analyzed. In study 1, an exploratory principal component analysis was conducted. In study 2, the fit of this proposed model was evaluated with confirmatory factor analysis (CFA).
Three factors were retained in the final CFA: emotional distress, physical health concerns, and resource needs. This model demonstrated adequate fit, Root Mean Square Error of Approximation (RMSEA)= 0.056, Comparitive Fit Index (CFI) = .907, Standardized Root Mean Square Residual (SRMR) = 0.050.
Three factors are proposed as CSS subscales to guide referral and coordinate services: Emotional Distress/Patient and Family Counselor, Physical Health Concerns/Medical Care Provider, and Resource Needs/Case Management-Clinical Social Worker. The clinical utility of these referral subscales should be established with additional research.
癌症支持社区开发了癌症支持源（CSS）来评估有困扰的癌症患者的需求。这份自填式问卷上的每个项目都代表一个患者进行评分的关注领域，并表明他们需要与“工作人员”采取行动，但未给出关于工作人员类别的详细信息。
研究CSS的因子结构，并提高其在基于需求评估对患者进行分诊以转介至服务机构方面的效用。
对在1年期间完成CSS的690名患者的数据进行分析。在研究1中，进行探索性主成分分析。在研究2中，用验证性因子分析（CFA）评估该提议模型的拟合度。
最终的CFA保留了三个因子：情绪困扰、身体健康问题和资源需求。该模型显示出充分的拟合度，近似均方根误差（RMSEA）=0.056，比较拟合指数（CFI）=0.907，标准化均方根残差（SRMR）=0.050。
提出三个因子作为CSS分量表以指导转介和协调服务：情绪困扰/患者及家庭顾问、身体健康问题/医疗服务提供者、资源需求/病例管理 - 临床社会工作者。这些转介分量表的临床效用应通过进一步研究来确定。
