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Open Access 01-06-2018 | Review Article

A systematic review of the measurement properties of the Body Image Scale (BIS) in cancer patients

Authors: Heleen C. Melissant, Koen I. Neijenhuijs, Femke Jansen, Neil K. Aaronson, Mogens Groenvold, Bernhard Holzner, Caroline B. Terwee, Cornelia F. van Uden-Kraan, Pim Cuijpers, Irma M. Verdonck-de Leeuw

Published in: Supportive Care in Cancer | Issue 6/2018

Abstract

Introduction

Body image is acknowledged as an important aspect of health-related quality of life in cancer patients. The Body Image Scale (BIS) is a patient-reported outcome measure (PROM) to evaluate body image in cancer patients. The aim of this study was to systematically review measurement properties of the BIS among cancer patients.

Methods

A search in Embase, MEDLINE, PsycINFO, and Web of Science was performed to identify studies that investigated measurement properties of the BIS (Prospero ID 42017057237). Study quality was assessed (excellent, good, fair, poor), and data were extracted and analyzed according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology on structural validity, internal consistency, reliability, measurement error, hypothesis testing for construct validity, and responsiveness. Evidence was categorized into sufficient, insufficient, inconsistent, or indeterminate.

Results

Nine studies were included. Evidence was sufficient for structural validity (one factor solution), internal consistency (α = 0.86–0.96), and reliability (r > 0.70); indeterminate for measurement error (information on minimal important change lacked) and responsiveness (increasing body image disturbance in only one study); and inconsistent for hypothesis testing (conflicting results). Quality of the evidence was moderate to low. No studies reported on cross-cultural validity.

Conclusion

The BIS is a PROM with good structural validity, internal consistency, and test-retest reliability, but good quality studies on the other measurement properties are needed to optimize evidence. It is recommended to include a wider variety of cancer diagnoses and treatment modalities in these future studies.

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Title: A systematic review of the measurement properties of the Body Image Scale (BIS) in cancer patients
Authors: Heleen C. Melissant
Koen I. Neijenhuijs
Femke Jansen
Neil K. Aaronson
Mogens Groenvold
Bernhard Holzner
Caroline B. Terwee
Cornelia F. van Uden-Kraan
Pim Cuijpers
Irma M. Verdonck-de Leeuw
Publication date: 01-06-2018
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 6/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-018-4145-x

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