Breidenbach Clara, Schneider Sabine, Rösler Marie, Ernstmann Nicole, Heidkamp Paula, Heier Lina, Hiltrop Kati, Schellack Sophie, Soff Johannes, Weiss Johanna, Kowalski Christoph
German Cancer Society, Berlin, Germany.
University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, Cologne, Germany.
J Cancer Res Clin Oncol. 2024 Dec 5;151(1):7. doi: 10.1007/s00432-024-06040-6.
Counseling by social workers can be of great relevance supporting cancer survivors with their psychosocial challenges such as returning to work. However, an instrument for assessing the quality between social worker and client in the cancer counseling setting regarding return to work is not yet available. This study was carried out to develop and validate an instrument for this purpose.
A questionnaire was developed in collaboration with cancer counseling experts. Data collection took place in 19 outpatient cancer counseling centers in Germany. Cancer survivors seeking advice regarding their occupational situation were asked to complete the questionnaire 3 months after starting counseling. Exploratory factor analysis (n = 229) and confirmatory factor analysis (n = 216) in two distinct samples, as well as validity and reliability tests, were performed.
Exploratory factor analysis suggested a two-component solution. Confirmatory factor analysis confirmed this solution, with a satisfactory model fit (CFI = 0.995, RMSEA = 0.049, SRMSR = 0.036). The components identified included six items with three items each and were termed "1. relationship building" and "2. competent support." The components had good internal consistency (Cronbach's α between 0.84 and 0.92) and test-retest reliability (1. r(30) = 0.49, p = 0.005, 2. r(30) = 0.89, p < 0.001). Significant correlations with other constructs measuring satisfaction with counseling and its usefulness indicated moderate to good construct validity (r between 0.36 and 0.77, p < 0.001).
The questionnaire developed shows satisfactory psychometric properties. It is an evaluation tool specific for cancer counseling regarding return to, since it will initially be used to evaluate an intensified program for supporting cancer survivors returning to work after treatment. It may also be tested as an instrument for quality assurance and management in general cancer counseling in the future.
社会工作者提供的咨询对于帮助癌症幸存者应对诸如重返工作岗位等心理社会挑战具有重要意义。然而，在癌症咨询环境中，用于评估社会工作者与客户之间关于重返工作岗位咨询质量的工具尚不存在。本研究旨在开发并验证用于此目的的工具。
与癌症咨询专家合作编制了一份问卷。在德国的19个门诊癌症咨询中心进行了数据收集。寻求职业状况建议的癌症幸存者在开始咨询3个月后被要求完成问卷。在两个不同样本中进行了探索性因素分析（n = 229）和验证性因素分析（n = 216），以及效度和信度测试。
探索性因素分析提出了一个两成分解决方案。验证性因素分析证实了该解决方案，模型拟合良好（CFI = 0.995，RMSEA = 0.049，SRMSR = 0.036）。确定的成分包括六个项目，每个成分三个项目，分别称为“1. 关系建立”和“2. 有效支持”。这些成分具有良好的内部一致性（Cronbach's α在0.84至0.92之间）和重测信度（1. r(30) = 0.49，p = 0.005，2. r(30) = 0.89，p < 0.001）。与其他衡量咨询满意度及其有用性的构念的显著相关性表明具有中等至良好的结构效度（r在0.36至0.77之间，p < 0.001）。
所开发的问卷显示出令人满意的心理测量特性。它是一种专门用于癌症咨询中关于重返工作岗位的评估工具，因为它最初将用于评估一项强化计划，以支持癌症幸存者在治疗后重返工作岗位。未来它也可能作为一般癌症咨询中质量保证和管理的工具进行测试。
