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Published in: Health and Quality of Life Outcomes 1/2020

Open Access 01-12-2020 | Care | Research

Measurement invariance across gender and age groups, validity and reliability of the Chinese version of the short-form supportive care needs survey questionnaire (SCNS-SF34)

Authors: Edmond Pui Hang Choi, Qiuyan Liao, Inda Soong, Karen Kar Loen Chan, Conrad C. Y. Lee, Alice Ng, Wing Kin Sze, Janice Wing Hang Tsang, Victor Ho Fun Lee, Wendy Wing Tak Lam

Published in: Health and Quality of Life Outcomes | Issue 1/2020

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Abstract

Background

Despite the wide use of the Short-Form Supportive Care Needs Survey Questionnaire (SCNS-SF34), the measurement invariance of the SCNS-SF34 across the main groups—gender and age—which might be of interest in the application of the instrument has never been confirmed. To provide an accurate assessment tool to evaluate the unmet needs of Chinese cancer patients, the present study aimed to assess the measurement invariance of the SCNS-SF34 across gender and age groups and to assess the validity and reliability of the Chinese version of the SCNS-SF34.

Methods

The SCNS-SF34 was administrated to 1106 Chinese cancer patients. Other instruments included the Memorial Symptom Assessment Scale-Short Form (MSAS-SF), the Short-Form-12 Health Survey version 2 (SF-12 v2) and the Hospital Anxiety and Depression Scale (HADS). Factor structure, internal construct validity, convergent validity, known-group validity and internal consistency were assessed.

Results

Our data fit the original five-factor model. Multi-group confirmatory factor analysis indicated measurement invariance across age and gender groups. The domains of the SCNS-SF34 had moderate correlations with the corresponding domains of the MSAS-SF, the SF-12 v2 and the HADS, which supported convergent validity. Of the 34 items, 33 had an item-total correlation that was corrected for an overlap of > 0.4 to support the internal construct validity. The SCNS-SF34 aptly differentiated patients by age and gender. The Cronbach’s alpha coefficient ranged from 0.64 to 0.87.

Conclusions

We confirm the measurement invariance of the Chinese version of the SCNS-SF34 across gender and age group. It is a valid and reliable tool for evaluating the needs of Chinese patients with cancer.
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Literature
1.
go back to reference Harrison JD, et al. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009;17(8):1117–28.CrossRefPubMed Harrison JD, et al. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009;17(8):1117–28.CrossRefPubMed
2.
go back to reference Husson O, Mols F, Van de Poll-Franse L. The relation between information provision and health-related quality of life, anxiety and depression among cancer survivors: a systematic review. Ann Oncol. 2010;22(4):761–72.PubMedPubMedCentralCrossRef Husson O, Mols F, Van de Poll-Franse L. The relation between information provision and health-related quality of life, anxiety and depression among cancer survivors: a systematic review. Ann Oncol. 2010;22(4):761–72.PubMedPubMedCentralCrossRef
3.
go back to reference Carlson LE, Bultz BD. Efficacy and medical cost offset of psychosocial interventions in cancer care: making the case for economic analyses. Psychooncology. 2004;13(12):837–49.CrossRefPubMed Carlson LE, Bultz BD. Efficacy and medical cost offset of psychosocial interventions in cancer care: making the case for economic analyses. Psychooncology. 2004;13(12):837–49.CrossRefPubMed
4.
go back to reference Brown ML, Lipscomb J, Snyder C. The burden of illness of cancer: economic cost and quality of life. Annu Rev Public Health. 2001;22(1):91–113.CrossRefPubMed Brown ML, Lipscomb J, Snyder C. The burden of illness of cancer: economic cost and quality of life. Annu Rev Public Health. 2001;22(1):91–113.CrossRefPubMed
5.
go back to reference Au A, et al. Supportive care needs in Hong Kong Chinese women confronting advanced breast cancer. Psycho-Oncology. 2013;22(5):1144–51.CrossRefPubMed Au A, et al. Supportive care needs in Hong Kong Chinese women confronting advanced breast cancer. Psycho-Oncology. 2013;22(5):1144–51.CrossRefPubMed
6.
go back to reference Li WW, et al. Interpreting differences in patterns of supportive care needs between patients with breast cancer and patients with colorectal cancer. Psychooncology. 2013;22(4):792–8.CrossRefPubMed Li WW, et al. Interpreting differences in patterns of supportive care needs between patients with breast cancer and patients with colorectal cancer. Psychooncology. 2013;22(4):792–8.CrossRefPubMed
7.
go back to reference Richardson A, et al. Patients’ needs assessment in cancer care: a review of assessment tools. Support Care Cancer. 2007;15(10):1125–44.CrossRefPubMed Richardson A, et al. Patients’ needs assessment in cancer care: a review of assessment tools. Support Care Cancer. 2007;15(10):1125–44.CrossRefPubMed
8.
go back to reference Au A, et al. Validation of the Chinese version of the short-form supportive care needs survey questionnaire (SCNS-SF34-C). Psycho-Oncology. 2011;20(12):1292–300.CrossRefPubMed Au A, et al. Validation of the Chinese version of the short-form supportive care needs survey questionnaire (SCNS-SF34-C). Psycho-Oncology. 2011;20(12):1292–300.CrossRefPubMed
9.
go back to reference Bredart A, et al. Validation of the 34-item supportive care needs survey and 8-item breast module French versions (SCNS-SF34-Fr and SCNS-BR8-Fr) in breast cancer patients. European journal of cancer care. 2012;21(4):450–9.CrossRefPubMed Bredart A, et al. Validation of the 34-item supportive care needs survey and 8-item breast module French versions (SCNS-SF34-Fr and SCNS-BR8-Fr) in breast cancer patients. European journal of cancer care. 2012;21(4):450–9.CrossRefPubMed
10.
go back to reference Doubova SV, et al. Supportive care needs of Mexican adult cancer patients: validation of the Mexican version of the short-form supportive care needs questionnaire (SCNS-SFM). Support Care Cancer. 2015;23(9):2711–9.CrossRefPubMed Doubova SV, et al. Supportive care needs of Mexican adult cancer patients: validation of the Mexican version of the short-form supportive care needs questionnaire (SCNS-SFM). Support Care Cancer. 2015;23(9):2711–9.CrossRefPubMed
11.
go back to reference Li WW, et al. Psychometric assessment of the Chinese version of the supportive care needs survey short-form (SCNS-SF34-C) among Hong Kong and Taiwanese Chinese colorectal cancer patients. PLoS One. 2013;8(10):e75755.PubMedPubMedCentralCrossRef Li WW, et al. Psychometric assessment of the Chinese version of the supportive care needs survey short-form (SCNS-SF34-C) among Hong Kong and Taiwanese Chinese colorectal cancer patients. PLoS One. 2013;8(10):e75755.PubMedPubMedCentralCrossRef
12.
go back to reference Aldridge L, et al. Unmet needs in Chinese, Greek, Arabic and English-speaking cancer patients in New South Wales. Psychooncology. 2009;18(Suppl. 2):S117. Aldridge L, et al. Unmet needs in Chinese, Greek, Arabic and English-speaking cancer patients in New South Wales. Psychooncology. 2009;18(Suppl. 2):S117.
13.
14.
go back to reference Lam WWT, et al. New insights in symptom assessment: the Chinese versions of the memorial symptom assessment scale short form (MSAS-SF) and the condensed MSAS (CMSAS). J Pain Symptom Manag. 2008;36(6):584–95.CrossRef Lam WWT, et al. New insights in symptom assessment: the Chinese versions of the memorial symptom assessment scale short form (MSAS-SF) and the condensed MSAS (CMSAS). J Pain Symptom Manag. 2008;36(6):584–95.CrossRef
15.
go back to reference Lam CL, Eileen Y, Gandek B. Is the standard SF-12 health survey valid and equivalent for a Chinese population? Qual Life Res. 2005;14(2):539–47.CrossRefPubMed Lam CL, Eileen Y, Gandek B. Is the standard SF-12 health survey valid and equivalent for a Chinese population? Qual Life Res. 2005;14(2):539–47.CrossRefPubMed
16.
go back to reference Choi EP, et al. Health-related quality of life of Chinese patients with prostate cancer in comparison to general population and other cancer populations. Support Care Cancer. 2016;24(4):1849–56.CrossRefPubMed Choi EP, et al. Health-related quality of life of Chinese patients with prostate cancer in comparison to general population and other cancer populations. Support Care Cancer. 2016;24(4):1849–56.CrossRefPubMed
17.
go back to reference Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.CrossRefPubMed Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.CrossRefPubMed
18.
go back to reference Bjelland I, et al. The validity of the hospital anxiety and depression scale: an updated literature review. J Psychosom Res. 2002;52(2):69–77.CrossRefPubMed Bjelland I, et al. The validity of the hospital anxiety and depression scale: an updated literature review. J Psychosom Res. 2002;52(2):69–77.CrossRefPubMed
19.
go back to reference Lam CL, et al. Can the hospital anxiety and depression (HAD) scale be used on Chinese elderly in general practice? Fam Pract. 1995;12(2):149–54.CrossRefPubMed Lam CL, et al. Can the hospital anxiety and depression (HAD) scale be used on Chinese elderly in general practice? Fam Pract. 1995;12(2):149–54.CrossRefPubMed
20.
go back to reference Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients' perceived needs: development and validation of the 34-item supportive care needs survey (SCNS-SF34). J Eval Clin Pract. 2009;15(4):602–6.CrossRefPubMed Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients' perceived needs: development and validation of the 34-item supportive care needs survey (SCNS-SF34). J Eval Clin Pract. 2009;15(4):602–6.CrossRefPubMed
21.
go back to reference Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model Multidiscip J. 1999;6(1):1–55.CrossRef Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model Multidiscip J. 1999;6(1):1–55.CrossRef
22.
go back to reference Chin WY, et al. The psychometric properties of the center for epidemiologic studies depression scale in Chinese primary care patients: factor structure, construct validity, reliability, sensitivity and responsiveness. PLoS One. 2015;10(8):e0135131.PubMedPubMedCentralCrossRef Chin WY, et al. The psychometric properties of the center for epidemiologic studies depression scale in Chinese primary care patients: factor structure, construct validity, reliability, sensitivity and responsiveness. PLoS One. 2015;10(8):e0135131.PubMedPubMedCentralCrossRef
23.
go back to reference Muthén LK, Muthen BO. Mplus User's Guide: Los Angeles, CA: Muthén & Muthén; 2010. Muthén LK, Muthen BO. Mplus User's Guide: Los Angeles, CA: Muthén & Muthén; 2010.
24.
go back to reference Ware JE Jr, Gandek B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol. 1998;51(11):903–12.CrossRefPubMed Ware JE Jr, Gandek B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol. 1998;51(11):903–12.CrossRefPubMed
25.
go back to reference Jorgensen ML, et al. Unmet supportive care needs in colorectal cancer: differences by age. Support Care Cancer. 2012;20(6):1275–81.CrossRefPubMed Jorgensen ML, et al. Unmet supportive care needs in colorectal cancer: differences by age. Support Care Cancer. 2012;20(6):1275–81.CrossRefPubMed
26.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Erlbaum Associates; 1988. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Erlbaum Associates; 1988.
27.
go back to reference Nunnally JC. Psychometric theory. McGraw-Hill; 1978. Nunnally JC. Psychometric theory. McGraw-Hill; 1978.
28.
go back to reference Smith DP, et al. Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. J Clin Oncol. 2007;25(18):2560–6.CrossRefPubMed Smith DP, et al. Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. J Clin Oncol. 2007;25(18):2560–6.CrossRefPubMed
29.
go back to reference Yong HH. Can attitudes of stoicism and cautiousness explain observed age-related variation in levels of self-rated pain, mood disturbance and functional interference in chronic pain patients? Eur J Pain. 2006;10(5):399.CrossRefPubMed Yong HH. Can attitudes of stoicism and cautiousness explain observed age-related variation in levels of self-rated pain, mood disturbance and functional interference in chronic pain patients? Eur J Pain. 2006;10(5):399.CrossRefPubMed
30.
go back to reference Sanson-Fisher R, et al. The unmet supportive care needs of patients with cancer. Cancer. 2000;88(1):226–37.CrossRefPubMed Sanson-Fisher R, et al. The unmet supportive care needs of patients with cancer. Cancer. 2000;88(1):226–37.CrossRefPubMed
31.
go back to reference McPherson CJ, Wilson KG, Murray MA. Feeling like a burden: exploring the perspectives of patients at the end of life. Soc Sci Med. 2007;64(2):417–27.CrossRefPubMed McPherson CJ, Wilson KG, Murray MA. Feeling like a burden: exploring the perspectives of patients at the end of life. Soc Sci Med. 2007;64(2):417–27.CrossRefPubMed
32.
go back to reference Lansbury G. Chronic pain management: a qualitative study of elderly people's preferred coping strategies and barriers to management. Disabil Rehabil. 2000;22(1–2):2–14.CrossRefPubMed Lansbury G. Chronic pain management: a qualitative study of elderly people's preferred coping strategies and barriers to management. Disabil Rehabil. 2000;22(1–2):2–14.CrossRefPubMed
33.
go back to reference Walters K, Iliffe S, Orrell M. An exploration of help-seeking behaviour in older people with unmet needs. Fam Pract. 2001;18(3):277–82.CrossRefPubMed Walters K, Iliffe S, Orrell M. An exploration of help-seeking behaviour in older people with unmet needs. Fam Pract. 2001;18(3):277–82.CrossRefPubMed
34.
go back to reference Lehmann C, Koch U, Mehnert A. Psychometric properties of the German version of the short-form supportive care needs survey questionnaire (SCNS-SF34-G). Support Care Cancer. 2012;20(10):2415–24.CrossRefPubMed Lehmann C, Koch U, Mehnert A. Psychometric properties of the German version of the short-form supportive care needs survey questionnaire (SCNS-SF34-G). Support Care Cancer. 2012;20(10):2415–24.CrossRefPubMed
35.
go back to reference Cossich T, Schofield P, McLachlan S. Validation of the cancer needs questionnaire (CNQ) short-form version in an ambulatory cancer setting. Qual Life Res. 2004;13(7):1225–33.CrossRefPubMed Cossich T, Schofield P, McLachlan S. Validation of the cancer needs questionnaire (CNQ) short-form version in an ambulatory cancer setting. Qual Life Res. 2004;13(7):1225–33.CrossRefPubMed
36.
go back to reference Cheung WY, et al. Age and gender differences in symptom intensity and symptom clusters among patients with metastatic cancer. Support Care Cancer. 2011;19(3):417–23.CrossRefPubMed Cheung WY, et al. Age and gender differences in symptom intensity and symptom clusters among patients with metastatic cancer. Support Care Cancer. 2011;19(3):417–23.CrossRefPubMed
37.
go back to reference Akechi T, et al. Fatigue and its associated factors in ambulatory cancer patients: a preliminary study. J Pain Symptom Manag. 1999;17(1):42–8.CrossRef Akechi T, et al. Fatigue and its associated factors in ambulatory cancer patients: a preliminary study. J Pain Symptom Manag. 1999;17(1):42–8.CrossRef
38.
go back to reference Linden W, et al. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012;141(2–3):343–51.CrossRefPubMed Linden W, et al. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012;141(2–3):343–51.CrossRefPubMed
39.
go back to reference Goldzweig G, et al. How relevant is marital status and gender variables in coping with colorectal cancer? A sample of middle-aged and older cancer survivors. Psychooncology. 2009;18(8):866–74.CrossRefPubMed Goldzweig G, et al. How relevant is marital status and gender variables in coping with colorectal cancer? A sample of middle-aged and older cancer survivors. Psychooncology. 2009;18(8):866–74.CrossRefPubMed
40.
go back to reference Greimel ER, Padilla GV, Grant MM. Gender differences in outcomes among patients with cancer. Psychooncology. 1998;7(3):197–206.CrossRefPubMed Greimel ER, Padilla GV, Grant MM. Gender differences in outcomes among patients with cancer. Psychooncology. 1998;7(3):197–206.CrossRefPubMed
41.
go back to reference Lazarus RS, Folkman S. Transactional theory and research on emotions and coping. Eur J Personal. 1987;1(3):141–69.CrossRef Lazarus RS, Folkman S. Transactional theory and research on emotions and coping. Eur J Personal. 1987;1(3):141–69.CrossRef
42.
go back to reference Davis MC, Matthews KA, Twamley EW. Is life more difficult on Mars or Venus? A meta-analytic review of sex differences in major and minor life events. Ann Behav Med. 1999;21(1):83.CrossRefPubMed Davis MC, Matthews KA, Twamley EW. Is life more difficult on Mars or Venus? A meta-analytic review of sex differences in major and minor life events. Ann Behav Med. 1999;21(1):83.CrossRefPubMed
43.
go back to reference Wessels H, et al. Gender-related needs and preferences in cancer care indicate the need for an individualized approach to cancer patients. Oncologist. 2010;15(6):648–55.PubMedPubMedCentralCrossRef Wessels H, et al. Gender-related needs and preferences in cancer care indicate the need for an individualized approach to cancer patients. Oncologist. 2010;15(6):648–55.PubMedPubMedCentralCrossRef
44.
go back to reference Churchill GA. A paradigm for developing better measures of marketing constructs. J Mark Res. 1979;16(1):64–73.CrossRef Churchill GA. A paradigm for developing better measures of marketing constructs. J Mark Res. 1979;16(1):64–73.CrossRef
45.
go back to reference Lim BT, et al. Information needs of the Chinese community affected by cancer: a systematic review. Psycho-oncology. 2017;26(10):1433–43.CrossRefPubMed Lim BT, et al. Information needs of the Chinese community affected by cancer: a systematic review. Psycho-oncology. 2017;26(10):1433–43.CrossRefPubMed
Metadata
Title
Measurement invariance across gender and age groups, validity and reliability of the Chinese version of the short-form supportive care needs survey questionnaire (SCNS-SF34)
Authors
Edmond Pui Hang Choi
Qiuyan Liao
Inda Soong
Karen Kar Loen Chan
Conrad C. Y. Lee
Alice Ng
Wing Kin Sze
Janice Wing Hang Tsang
Victor Ho Fun Lee
Wendy Wing Tak Lam
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Care
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-01289-0

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