Prakash G Hari, Kumar D Sunil, Kiran P K, Arun Vanishri, Yadav Deepika, Gopi Arun, Narayanamurthy M R
Department of Community Medicine, JSS Medical College, Mysuru, Karnataka, India.
Department of Medical Oncology, JSS Medical College, Mysuru, Karnataka, India.
J Cancer Res Ther. 2023 Jan 1;19(Suppl 2):S581-S586. doi: 10.4103/jcrt.jcrt_793_22. Epub 2023 Apr 29.
In India in 2020, there were an estimated 1.39 million cancers present in the country. Chemotherapy patients experience several problems such as ADRs (adverse drug reactions), and because of this, many dropouts have been happening. Also, there is a lack of communication between the patient and care providers (doctors).
Development and validation of a comprehensive needs assessment tool to assess the burden of chemotherapy on patients attending tertiary level health care facilities.
Development and validation of comprehensive needs assessment in cancer chemotherapy involve several steps, including problem statement and literature review regarding the problem, domain generation, development of the preliminary questionnaire, face validation, statistical validation, and final draft of the tool.
A total of 10 experts are involved in face validation. The majority (80%) of the experts agreed with the grammar, clarity, and content of the tool. A few experts (20%) disagreed regarding the construction of the questionnaire, the appropriate level of understanding for the participants, and the content of the tool and suggested changes in the physical and psychological domains. The questionnaire has been re-structured according to the expert's suggestion before going for statistical validation. Internal consistency of the CNAT-CC was optimal, with a satisfactory Cronbach's alpha of 0.7 for the total scale.
The current study was focused on the development and validation of needs assessment in cancer chemotherapy patients. The CNAT-CC promises to be a comprehensive needs assessment tool that applies to a comparatively vast majority of patients undergoing cancer chemotherapy.
2020年印度估计有139万癌症患者。化疗患者会经历多种问题，如药物不良反应，因此出现了许多患者中途退出治疗的情况。此外，患者与医护人员（医生）之间缺乏沟通。
开发并验证一种全面的需求评估工具，以评估三级医疗保健机构中接受化疗患者的化疗负担。
癌症化疗综合需求评估的开发与验证包括几个步骤，包括问题陈述和关于该问题的文献综述、领域生成、初步问卷的编制、表面效度验证、统计验证以及该工具的最终草案。
共有10名专家参与表面效度验证。大多数（80%）专家认可该工具的语法、清晰度和内容。少数专家（20%）对问卷结构、参与者的适当理解水平以及工具内容存在异议，并建议在生理和心理领域进行修改。在进行统计验证之前，问卷已根据专家建议进行了重新构建。癌症化疗患者需求评估工具（CNAT - CC）的内部一致性最佳，总量表的克朗巴哈系数为0.7，令人满意。
当前研究聚焦于癌症化疗患者需求评估的开发与验证。CNAT - CC有望成为一种全面的需求评估工具，适用于相当一部分接受癌症化疗的患者。
