Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Psychooncology. 2024 Nov;33(11):e70028. doi: 10.1002/pon.70028.
Access to work accommodations, such as time off to attend medical appointments, is a key predictor of cancer-related job loss. We aimed to develop and validate a measure of self-efficacy to request and obtain work accommodations related to diagnosis of breast cancer and need for treatment.
The 5-item Self-efficacy to Ask for Work Accommodations (SAWA) tool was adapted from a scale that measures self-efficacy in patient-physician interactions. English-speaking, employed women, aged 18-64, who were undergoing treatment for stage I-III breast cancer completed surveys during treatment (chemotherapy, radiation, and/or < 60 days since surgery) and 4 months after its completion. Post-treatment surveys were the primary validation dataset; analyses were repeated using baseline data to further evaluate validity/reliability. Psychometric analyses included internal consistency, principal component factor analysis, convergent and divergent validity, and test-retest reliability (in a subset of patients, 2 weeks after post-treatment surveys).
Among 362 participants, the SAWA measure had a Cronbach's alpha of 0.93, indicating high scale reliability. Factor analysis revealed one summary measure which could be divided into two subscales. Overall, the SAWA demonstrated convergent and divergent validity based on the hypothesized variables. Similar patterns were observed when analyses were repeated using baseline survey data. In the test-retest subset, the Pearson correlation between SAWA assessed 4 months post-treatment versus retest 2 weeks later was 0.79.
The SAWA is a validated survey instrument that can be used to measure self-efficacy in employed cancer patients to ask for and obtain employment accommodations.
获得工作便利（例如，请假去看医生）是癌症相关失业的一个关键预测因素。我们旨在开发和验证一种与诊断乳腺癌和治疗需求相关的工作便利请求和获取的自我效能感测量工具。
该 5 项自我效能感请求工作便利（SAWA）工具改编自一个用于衡量医患互动中自我效能感的量表。英语熟练，年龄在 18-64 岁之间，正在接受 I-III 期乳腺癌治疗的在职女性在治疗期间（化疗、放疗和/或<60 天手术后）和治疗完成后 4 个月完成了调查。治疗后的调查是主要的验证数据集；使用基线数据重复分析以进一步评估有效性/可靠性。心理测量分析包括内部一致性、主成分因子分析、收敛和发散有效性以及测试-重测可靠性（在治疗后调查后的 2 周内，对一部分患者进行）。
在 362 名参与者中，SAWA 量表的 Cronbach's alpha 为 0.93，表明量表具有高度可靠性。因子分析显示出一个可以分为两个亚量表的综合测量。总体而言，SAWA 根据假设的变量表现出了收敛和发散有效性。当使用基线调查数据重复分析时，也观察到了类似的模式。在测试-重测子集中，治疗后 4 个月与重测后 2 周评估的 SAWA 之间的 Pearson 相关性为 0.79。
SAWA 是一种经过验证的调查工具，可用于测量在职癌症患者请求和获得工作便利的自我效能感。
