MASCC COG-IMPACT：由多国癌症支持治疗协会开展的癌症相关认知障碍影响的未满足需求评估。

The MASCC COG-IMPACT: An unmet needs assessment for cancer-related cognitive impairment impact developed by the Multinational Association of Supportive Care in Cancer.

作者信息

Haywood Darren, Chan Alexandre, Chan Raymond J, Baughman Frank D, Dauer Evan, Dhillon Haryana M, Henneghan Ashley M, Lawrence Blake J, Lustberg Maryam B, O'Connor Moira, Vardy Janette L, Rossell Susan L, Hart Nicolas H

机构信息

Human Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney (UTS), Moore Park, Sydney, NSW, 2030, Australia.

Department of Mental Health, St Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.

出版信息

Support Care Cancer. 2025 Jan 24;33(2):120. doi: 10.1007/s00520-025-09149-7.

DOI:10.1007/s00520-025-09149-7

PMID:39853439

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11761510/

Abstract

PURPOSE

Cancer-related cognitive impairment (CRCI) can have a profound impact on the lives of cancer survivors. A multitude of subjective and objective assessment tools exist to assess the presence and severity of CRCI. However, no purpose-built tool exists to assess the unmet needs of cancer survivors directly relating to CRCI. This paper details the development and initial validation of the Multinational Association of Supportive Care in Cancer - Unmet Needs Assessment of Cancer-Related Cognitive Impairment Impact (the MASCC COG-IMPACT).

METHODS

A multistep mixed-methods measurement development and validation approach was taken with a strong emphasis on co-design. Qualitative interviews were conducted with cancer survivors (n = 32) and oncology health professionals (n = 19), followed by a modified Delphi survey with oncology health professionals (n = 29). Cognitive interviews with cancer survivors (n = 22) over two rounds were then conducted to finalise the penultimate version of the unmet needs assessment tool for CRCI. Four-hundred and ninety-one (n = 491) cancer survivors then completed the MASCC COG-IMPACT and other established measures to inform structural, reliability, validity, acceptability, appropriateness, and feasibility analyses.

RESULTS

The final MASCC COG-IMPACT is a 55-item and eight subscale tool including two indices: "difficulties" and "unmet needs". The MASCC COG-IMPACT was found to have strong structural validity, convergent validity, discriminant validity, internal consistency, and test-retest reliability. The MASCC COG-IMPACT was also found to be highly acceptable, appropriate, and feasible.

CONCLUSION

The MASCC COG-IMPACT may facilitate optimal care and referral in line with a cancer survivor's CRCI-related difficulties and unmet needs. The MASCC COG-IMPACT may also be used to explore factors and contributors to CRCI-related difficulties and unmet needs. Overall, the MASCC COG-IMPACT is a highly reliable and valid tool for the assessment of CRCI-related difficulties and unmet needs in both clinical and research settings. The MASCC COG-IMPACT and supporting materials can be accessed on the MASCC webpage or via the MASCC COG-IMPACT Open Science Framework webpage ( https://osf.io/5zc3a/ ).

摘要

目的

癌症相关认知障碍（CRCI）会对癌症幸存者的生活产生深远影响。存在多种主观和客观评估工具来评估CRCI的存在和严重程度。然而，尚无专门用于评估与CRCI直接相关的癌症幸存者未满足需求的工具。本文详细介绍了癌症支持治疗多国协会-癌症相关认知障碍影响未满足需求评估工具（MASCC COG-IMPACT）的开发和初步验证过程。

方法

采用多步骤混合方法进行测量工具的开发和验证，重点强调共同设计。对癌症幸存者（n = 32）和肿瘤健康专业人员（n = 19）进行了定性访谈，随后对肿瘤健康专业人员（n = 29）进行了改良德尔菲调查。然后对癌症幸存者（n = 22）进行两轮认知访谈，以最终确定CRCI未满足需求评估工具的倒数第二版。随后，491名癌症幸存者完成了MASCC COG-IMPACT及其他既定测量，以进行结构、信度、效度、可接受性、适用性和可行性分析。

结果

最终的MASCC COG-IMPACT是一个包含55个项目和8个分量表的工具，包括两个指数：“困难”和“未满足需求”。发现MASCC COG-IMPACT具有很强的结构效度、收敛效度、区分效度、内部一致性和重测信度。还发现MASCC COG-IMPACT具有高度的可接受性、适用性和可行性。

结论

MASCC COG-IMPACT可能有助于根据癌症幸存者与CRCI相关的困难和未满足需求提供最佳护理和转诊。MASCC COG-IMPACT还可用于探索与CRCI相关的困难和未满足需求的因素及促成因素。总体而言，MASCC COG-IMPACT是一种在临床和研究环境中评估与CRCI相关的困难和未满足需求的高度可靠且有效的工具。可在MASCC网页或通过MASCC COG-IMPACT开放科学框架网页（https://osf.io/5zc3a/ ）获取MASCC COG-IMPACT及支持材料。