Development of adolescent childhood cancer survivors' psychosocial issues scale

Author:

Hidaka Kyoko12ORCID,Monma Takafumi3ORCID,Fukushima Hiroko4ORCID,Ozawa Noriko5,Iwata Naoko6,Terada Kazuki7ORCID,Fukushima Takashi89,Takeda Fumi3ORCID

Affiliation:

1. Graduate School of Comprehensive Human Sciences University of Tsukuba Tsukuba Japan

2. Departments of Clinical Psychology University of Tsukuba Hospital Tsukuba Japan

3. Institute of Health and Sport Sciences University of Tsukuba Tsukuba Japan

4. Department of Child Health, Institute of Medicine University of Tsukuba Tsukuba Japan

5. Faculty of Nursing and Medical Care Keio University Shinjuku Japan

6. Departments of Medical Liaison and Patient Support Services Center University of Tsukuba Hospital Tsukuba Japan

7. Departments of Pediatric Hematology Oncology Japanese Red Cross Narita Hospital Narita Japan

8. Departments of Pediatric Oncology Saitama Medical University International Medical Center Hidaka Japan

9. Health Services Research & Development Center University of Tsukuba Tsukuba Japan

Abstract

AbstractBackgroundFollow‐up care for adolescent childhood cancer survivors (ACCS) after they return to school requires an understanding of their psychosocial issues. Therefore, this study developed the adolescent childhood cancer survivors' psychosocial issues scale (ACCSPIS) and evaluated its reliability and validity.MethodsIn the development phase, pediatric oncology clinical professionals created the 24 item questionnaire of ACCS's psychosocial issues. In the feasibility phase, a survey was administered to 165 ACCS aged 12–18 years after discharge from hospital in Japan, and 57 completed questionnaires were analyzed. The survey items were psychosocial issues, attributes, K6 scale, and impact of event scale‐revised (IES‐R) scale. Factor analysis was conducted for psychosocial issues. Regarding reliability, Cronbach's α coefficients and item‐total correlation coefficients were calculated. Regarding validity, Spearman's rank correlation coefficients between ACCSPIS and K6 and IES‐R were calculated, and confirmatory factor analysis was conducted.ResultsFour factors comprising 15 items were extracted: “appearance changes due to treatment effects,” “anxiety about marriage and the future,” “change in appearance due to treatment”, and “psychological distress due to interpersonal relationships and information about the disease.” The model fit was good, with a total ACCSPIS α coefficient of 0.901 and α coefficients for the subscales ranging from 0.651 to 0.914. The K6 and IES‐R were significantly associated with the total ACCSPIS, and item‐total correlations were satisfactory.ConclusionsThe reliability and validity of ACCSPIS were generally confirmed. This scale could be useful to measure psychosocial issues in ACCS aged 12–18 years after their return to school.

Publisher

Wiley

Subject

Pediatrics, Perinatology and Child Health

Reference26 articles.

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5. The Ministry of Health Labor and Welfare.The 4th Japanese National Plan for Promotion of Measures for Cancer Control and Cancer Survivorship in March 2023.2023. [cited 2023 Sep 9]. Available from:https://www.mhlw.go.jp/content/10900000/001077564.pdf(in Japanese)

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