Wickramasinghe Dakshitha, Nugaliyadda Thamisha, Wickramasinghe Dileesha, Balathayalan Yathev, Samarasekera Nandadeva
Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
J Cancer Educ. 2025 Jan 3. doi: 10.1007/s13187-024-02562-2.
Cancer is a major health challenge globally and in Sri Lanka. Providing comprehensive information to patients is crucial for improving treatment outcomes and patient satisfaction, supported by evidence of its effectiveness in managing cancer pain. EORTC QLQ-INFO25, an information module developed by the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Group, is aimed at assessing cancer patients' perception of information received during different phases of care. This study aims to validate the Sinhala translation of the EORTC QLQ-INFO25, a module that assesses the quality of patient information, for use among Sri Lankans with cancer. EORTC QLQ-INFO25 underwent forward and backward Sinhala translation, expert reviews, and pilot testing with 15 cancer patients. Questionnaires were administered to patients with cancer at the National Hospital in Colombo, independently or with interviewer assistance. Reliability and validity were statistically analyzed. Of 102 participants, 100 (98.03%) completed the questionnaire. Internal consistency was high (Cronbach's α = 0.89). The multi-item scales demonstrated good convergent validity. Each item showed high correlation with its respective scale. Divergent validity was established as none of the scales had correlations over 0.5 with the EORTC QLQ-C30. Known-group validity revealed significant differences in information satisfaction between genders. Test-retest reliability was high (ICC = 0.86), confirming stability over time. The Sinhala translation of EORTC QLQ-INFO25 demonstrates satisfactory reliability, validity, reproducibility, and compliance for assessing information provision in cancer care among patients in Sri Lanka.
癌症是全球及斯里兰卡面临的重大健康挑战。为患者提供全面信息对于改善治疗效果和患者满意度至关重要，有证据表明这在管理癌症疼痛方面具有有效性。欧洲癌症研究与治疗组织（EORTC）生活质量小组开发的信息模块EORTC QLQ - INFO25旨在评估癌症患者对在不同护理阶段所获信息的认知。本研究旨在验证EORTC QLQ - INFO25的僧伽罗语翻译版本，该模块用于评估患者信息质量，以便在斯里兰卡癌症患者中使用。EORTC QLQ - INFO25经历了僧伽罗语的正向和反向翻译、专家评审以及对15名癌症患者的预测试。问卷在科伦坡国立医院对癌症患者进行发放，患者可独立完成或在访谈员协助下完成。对可靠性和有效性进行了统计分析。102名参与者中，100名（98.03%）完成了问卷。内部一致性较高（克朗巴哈α系数 = 0.89）。多项目量表显示出良好的收敛效度。每个项目与其各自的量表显示出高度相关性。通过各量表与EORTC QLQ - C30的相关性均不超过0.5确定了区分效度。已知组效度显示不同性别在信息满意度上存在显著差异。重测信度较高（组内相关系数ICC = 0.86），证实了随时间的稳定性。EORTC QLQ - INFO25的僧伽罗语翻译版本在评估斯里兰卡癌症患者护理中的信息提供方面显示出令人满意的可靠性、有效性、可重复性和适用性。
