Trudel Émilie, Ogez David, Sultan Serge, Brunier Lisa-Sarah, Bernier Pascal, Charrette Marie-Claude, Rondeau Émélie, Desjardins Leandra
Departement of Psychology, Université de Montréal, Montréal, Québec, Canada.
Azrieli Research Centre, Centre Hospitalier Universitaire Sainte-Justine, Montréal, Québec, Canada.
Pediatr Blood Cancer. 2025 Mar;72(3):e31501. doi: 10.1002/pbc.31501. Epub 2024 Dec 29.
The Psychosocial Assessment Tool (PAT) is a brief caregiver report, family-centered, psychosocial risk screening tool widely used in pediatrics and available in many languages. Although French is an official language of Canada, a French-Canadian version of the PAT has not yet been validated, which impedes access to this tool for family psychosocial screening. This study aimed to translate, adapt as necessary, and validate the French-Canadian version of the PAT.
The PAT 3.0 was translated into French using the forward-backwards method. Interviews with healthcare workers (n = 5) and a focus group of parents of children newly diagnosed with cancer (n = 4) led to minor modifications to improve cultural adaptation and comprehensibility. Subsequently, 66 French-speaking parents of children newly diagnosed with cancer participated in a quantitative validation study; completing the French-Canadian PAT and related caregiver measures.
The French-Canadian PAT has an overall internal consistency of KR-20 = 0.64, with subscales ranging from 0.57 to 0.86. The total PAT score significantly correlated with the Distress Thermometer (r = 0.54). Congruent validity was demonstrated for most PAT subscales, except for Family Beliefs and Family Problems. The sample followed this distribution on the Pediatric Psychosocial Preventative Health Model: 21.2% universal, 53% targeted, and 25.8% clinical.
The French-Canadian PAT provides insight into family psychosocial risk. This study is a step toward equitable access to care by providing French-speaking families with access to a tool aligned with the psychosocial standards of care in pediatric oncology. Future research should focus on implementing the PAT in Canadian clinical settings.
心理社会评估工具（PAT）是一份简短的照料者报告，以家庭为中心，是一种广泛应用于儿科且有多种语言版本的心理社会风险筛查工具。尽管法语是加拿大的官方语言，但加拿大法语版的PAT尚未经过验证，这阻碍了该工具用于家庭心理社会筛查。本研究旨在翻译、必要时进行改编，并验证加拿大法语版的PAT。
采用前后翻译法将PAT 3.0翻译成法语。与医护人员（n = 5）进行访谈以及与新诊断为癌症儿童的家长焦点小组（n = 4）进行讨论后，进行了一些小的修改，以改善文化适应性和可理解性。随后，66名新诊断为癌症儿童的说法语的家长参与了一项定量验证研究；完成了加拿大法语版PAT及相关照料者测量。
加拿大法语版PAT的总体内部一致性为KR - 20 = 0.64，各子量表范围为0.57至0.86。PAT总分与痛苦温度计显著相关（r = 0.54）。除家庭信念和家庭问题外，大多数PAT子量表都显示出一致性效度。该样本在儿科心理社会预防性健康模型上呈现如下分布：普遍型21.2%，目标型53%，临床型25.8%。
加拿大法语版PAT能洞察家庭心理社会风险。本研究朝着公平获得护理迈出了一步，为说法语的家庭提供了一种符合儿科肿瘤心理社会护理标准的工具。未来的研究应侧重于在加拿大临床环境中实施PAT。
