Dönmez Elif, Nahcivan Nursen O, Rawl Susan M
Author Affiliations: Department of Oncology Nursing, University of Health Sciences Hamidiye Nursing Faculty, Istanbul, Turkey (Dr Dönmez); Department of Public Health Nursing, Istanbul University-Cerrahpasa Florence Nightingale Nursing Faculty (Retired Member), Istanbul, Turkey (Dr Nahcivan); and Department of Science of Nursing Care, Indiana University School of Nursing, Indianapolis (Dr Rawl).
Cancer Nurs. 2022;45(2):E364-E373. doi: 10.1097/NCC.0000000000000921.
Perceptions of benefits and barriers are important determinants in understanding colorectal cancer screening (CRCS) behaviors. There is a need for standardized Turkish tools that measure the benefits and barriers of fecal occult blood test (FOBT) and colonoscopy (COL).
The aim of this study was to assess the validity and reliability of the Turkish version of the "Instruments to Measure CRCS Benefits and Barriers."
This methodological study was carried out in 2 stages in primary care and in 394 adults between the ages of 50 and 70 years. In the first stage, some items of the scales demonstrated low/unacceptable corrected item-total and factor loadings, and in the second stage, it was decided to add emoji-based facial scales, which include emoji expressions.
Results with the emoji-based facial scales included internal consistency coefficients of 0.85 for FOBT benefits, 0.79 for FOBT barriers, 0.84 for COL benefits, and 0.86 for COL barriers; the item-total correlations of FOBT varied between 0.39 and 0.73, whereas those of COL varied between 0.38 and 0.76. The factor loadings of all items were higher than 0.40.
The emoji-based facial scale for CRC Screening Benefits and Barriers is a valid and reliable tool for measuring the benefits and barriers perceptions of 50- to 70-year-old Turkish adults.
The Instruments to Measure CRCS Benefits and Barriers-Turkish version can provide insights for nurses and healthcare professionals to understand individuals' perceived FOBT and COL benefits and barriers and to develop effective interventions to increase CRCS rates.
对益处和障碍的认知是理解结直肠癌筛查（CRCS）行为的重要决定因素。需要有标准化的土耳其语工具来衡量粪便潜血试验（FOBT）和结肠镜检查（COL）的益处和障碍。
本研究旨在评估土耳其语版“测量CRCS益处和障碍的工具”的有效性和可靠性。
本方法学研究分两个阶段在初级保健机构对394名年龄在50至70岁之间的成年人进行。在第一阶段，量表的一些项目显示出较低/不可接受的校正后的项目-总分及因子载荷，在第二阶段，决定添加基于表情符号的面部量表，其中包括表情符号表达。
基于表情符号的面部量表的结果包括，FOBT益处的内部一致性系数为0.85，FOBT障碍为0.79，COL益处为0.84，COL障碍为0.86；FOBT的项目-总分相关性在0.39至0.73之间，而COL的项目-总分相关性在0.38至0.76之间。所有项目的因子载荷均高于0.40。
用于CRCS益处和障碍的基于表情符号的面部量表是一种有效且可靠的工具，可用于测量50至70岁土耳其成年人对益处和障碍的认知。
测量CRCS益处和障碍的工具-土耳其语版可为护士和医疗保健专业人员提供见解，以了解个体对FOBT和COL益处及障碍的认知，并制定有效的干预措施以提高CRCS率。
