Shinohara Yuki, Tabata Ami, Matsuoka Mari, Ogawa Masahiro, Hanai Akiko, Clinton-McHarg Tara, Maeda Yuko, Kato Masaya, Sugihara Yuta, Nagai-Tanima Momoko, Tsuboyama Tadao, Aoyama Tomoki
Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawahara-cho, Syogoin, Sakyo-ku, Kyoto City, Kyoto, 606-8507, Japan.
Consultant, Pharmaceutical business unit, JMDC Inc., 2-5-5 Shiba Daimon, Minato-ku, Tokyo, 105-0012, Japan.
BMC Cancer. 2025 Feb 25;25(1):343. doi: 10.1186/s12885-025-13753-5.
Adolescent and young adult (AYA) patients with cancer experience complex physical and psychosocial development as well as diverse lifestyle changes. Therefore, each patient may have generation-specific needs. This study aimed to develop a Japanese version of the Cancer Needs Questionnaire-Young People (CNQ-YP), namely the CNQ-YP-J, and to verify its reliability and validity among Japanese AYA patients with cancer.
The CNQ-YP-J was developed using a standardized translation methodology. Content validity was assessed by a group of experts, and a pilot test was conducted with six AYA cancer patients. A total of 87 AYA patients with cancer participated in this study. After exploratory factor analysis, the scale's reliability was examined using Cronbach's α, item-total correlations, and the intraclass correlation coefficient (ICC) of the retest. Criterion-related validity was analysed using correlations between total needs, concerns about physical effects, and quality of life (QOL).
The factor analysis revealed an eight-factor structure, different from the original scale, with one item excluded, resulting in a 69-item scale. Cronbach's α coefficient and ICC were above the minimum acceptable criterion of 0.70, demonstrating high reliability. Concerning criterion-related validity, high needs were positively correlated with high concerns about physical effects and negatively correlated with QOL.
The CNQ-YP-J developed in this study is a reliable and potentially valid scale that comprehensively assesses the needs of AYA cancer patients in the treatment environment as well as their daily lives. We hope that the use of this scale as a measure of the needs of AYA cancer patients in various settings, including clinical practice, will lead to the provision of optimal medical care and development of support systems, as well as the promotion of information.
青少年及青年（AYA）癌症患者经历着复杂的身体和心理社会发展过程，以及多样的生活方式变化。因此，每位患者可能有特定代际的需求。本研究旨在开发癌症需求问卷 - 青少年版（CNQ - YP）的日语版本，即CNQ - YP - J，并在日本AYA癌症患者中验证其信效度。
采用标准化翻译方法开发CNQ - YP - J。由一组专家评估内容效度，并对6名AYA癌症患者进行预试验。共有87名AYA癌症患者参与了本研究。经过探索性因子分析后，使用Cronbach's α系数、项目 - 总分相关性以及重测的组内相关系数（ICC）来检验量表的信度。使用总需求、对身体影响的担忧与生活质量（QOL）之间的相关性分析效标关联效度。
因子分析揭示了一个与原始量表不同的八因子结构，排除了一个项目，形成了一个69项的量表。Cronbach's α系数和ICC高于可接受的最低标准0.70，表明具有高信度。关于效标关联效度，高需求与对身体影响的高担忧呈正相关，与生活质量呈负相关。
本研究中开发的CNQ - YP - J是一个可靠且可能有效的量表，可全面评估AYA癌症患者在治疗环境以及日常生活中的需求。我们希望在包括临床实践在内的各种环境中使用该量表来衡量AYA癌症患者的需求，将有助于提供最佳医疗护理、发展支持系统以及促进信息传播。
