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Supportive Care in Cancer

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01-10-2014 | Original Article

Psychometric properties of scale constructed from the International Classification of Functioning, Disability and Health (ICF) core set for breast cancer based on Rasch analysis

Authors: Eun Joo Yang, Eun-Kyoung Shin, Hyung-Ik Shin, Jae-Young Lim

Published in: Supportive Care in Cancer | Issue 10/2014

Abstract

Objectives

The purpose of this study was to construct a clinical instrument to measure functioning in breast cancer survivors using the International Classification of Functioning, Disability and Health (ICF) categories for body functions, activity and participation, and environmental factors, based on a Rasch analysis.

Methods

Items were generated from the brief ICF core set for breast cancer and in-depth interviews from eight oncologists. Psychometric properties were evaluated in 158 female Korean patients with breast cancer using Rasch analysis, such as fit of the ICF categories, targeting between the ICF categories and a person’s abilities, unidimensionality, and reliability.

Results

The Rasch refinement led to a change from the original 43-item, 5-level scale to a 30-item, 3- or 4-level scale. Rasch reliabilities were 0.89 (body function scale), 0.96 (activity and participation scale), and 0.93 (environmental scale). The item-difficulty hierarchy was stable across age (<50 or ≥50 years) and had no non-fitting items or gaps (all information weighted fit (infit)/outlier sensitive fit (outfit) mean square error of 0.7–1.3, n = 140).

Conclusion

The Brief Core Set Breast Cancer Questionnaire for Screening is a reliable and valid 30-item questionnaire based on the brief ICF core set. It allows measurement of functioning as a unidimensional construct in patients with breast cancer.

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Fialka-Moser V, Crevenna R, Korpan M, Quittan M (2003) Cancer rehabilitation: particularly with aspects on physical impairments. J Rehabil Med 35(4):153–162PubMedCrossRef

Tasmuth T, von Smitten K, Kalso E (1996) Pain and other symptoms during the first year after radical and conservative surgery for breast cancer. Br J Cancer 74(12):2024–2031PubMedCentralPubMedCrossRef

Woods M, Tobin M, Mortimer P (1995) The psychosocial morbidity of breast cancer patients with lymphoedema. Cancer Nurs 18(6):467–471PubMedCrossRef

Jansen CE, Miaskowski C, Dodd M, Dowling G, Kramer J (2005) A metaanalysis of studies of the effects of cancer chemotherapy on various domains of cognitive function. Cancer 104(10):2222–2233. doi:10.1002/cncr.21469 PubMedCrossRef

Henry NL, Giles JT, Stearns V (2008) Aromatase inhibitor-associated musculoskeletal symptoms: etiology and strategies for management. Oncology (Williston Park) 22(12):1401–1408

Shimozuma K, Ganz PA, Petersen L, Hirji K (1999) Quality of life in the first year after breast cancer surgery: rehabilitation needs and patterns of recovery. Breast Cancer Res Treat 56(1):45–57PubMedCrossRef

Knobf MT (1990) Symptoms and rehabilitation needs of patients with early stage breast cancer during primary therapy. Cancer 66(6 Suppl):1392–1401PubMedCrossRef

Gilchrist LS, Galantino ML, Wampler M, Marchese VG, Morris GS, Ness KK (2009) A framework for assessment in oncology rehabilitation. Phys Ther 89(3):286–306. doi:10.2522/ptj.20070309 PubMedCentralPubMedCrossRef

Campbell KL, Pusic AL, Zucker DS, McNeely ML, Binkley JM, Cheville AL, Harwood KJ (2012) A prospective model of care for breast cancer rehabilitation: function. Cancer 118(8 Suppl):2300–2311. doi:10.1002/cncr.27464 PubMedCrossRef

10.

Gandek B, Sinclair SJ, Jette AM, Ware JE Jr (2007) Development and initial psychometric evaluation of the participation measure for post-acute care (PM-PAC). Am J Phys Med Rehabil 86(1):57–71. doi:10.1097/01.phm.0000233200.43822.21 PubMedCrossRef

11.

Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN (1992) Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 73(6):519–526PubMed

12.

Harwood RH, Rogers A, Dickinson E, Ebrahim S (1994) Measuring handicap: the London Handicap Scale, a new outcome measure for chronic disease. Qual Health Care 3(1):11–16PubMedCentralPubMedCrossRef

13.

Yun YH, Mendoza TR, Heo DS, Yoo T, Heo BY, Park HA, Shin HC, Wang XS, Cleeland CS (2004) Development of a cancer pain assessment tool in Korea: a validation study of a Korean version of the brief pain inventory. Oncology 66(6):439–444. doi:10.1159/000079497 PubMedCrossRef

14.

Yun YH, Wang XS, Lee JS, Roh JW, Lee CG, Lee WS, Lee KS, Bang SM, Mendoza TR, Cleeland CS (2005) Validation study of the Korean version of the brief fatigue inventory. J Pain Symptom Manage 29(2):165–172. doi:10.1016/j.jpainsymman.2004.04.013 PubMedCrossRef

15.

Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, You CH, West K (2004) Validation of the Korean version of the EORTC QLQ-C30. Qual Life Res 13(4):863–868PubMedCrossRef

16.

Stucki G, Grimby G (2004) Applying the ICF in medicine. J Rehabil Med (44 Suppl):5–6. doi:10.1080/16501960410022300

17.

Cieza A, Ewert T, Ustun TB, Chatterji S, Kostanjsek N, Stucki G (2004) Development of ICF Core Sets for patients with chronic conditions. J Rehabil Med (44 Suppl):9–11. doi:10.1080/16501960410015353

18.

Yang EJ, Kim BR, Shin HI, Lim JY (2012) Use of the international classification of functioning, disability and health as a functional assessment tool for breast cancer survivors. J Breast Cancer 15(1):43–50. doi:10.4048/jbc.2012.15.1.43 PubMedCentralPubMedCrossRef

19.

Cieza A, Hilfiker R, Boonen A, van der Heijde D, Braun J, Stucki G (2009) Towards an ICF-based clinical measure of functioning in people with ankylosing spondylitis: a methodological exploration. Disabil Rehabil 31(7):528–537. doi:10.1080/09638280802173475 PubMedCrossRef

20.

Cieza A, Hilfiker R, Chatterji S, Kostanjsek N, Ustun BT, Stucki G (2009) The International Classification of Functioning, Disability, and Health could be used to measure functioning. J Clin Epidemiol 62(9):899–911. doi:10.1016/j.jclinepi.2009.01.019 PubMedCrossRef

21.

Liao PA, Chang HH, Yang FA (2012) Does the universal health insurance program affect urban–rural differences in health service utilization among the elderly? Evidence from a longitudinal study in Taiwan. J Rural Health Off J Am Rural Health Assoc Natl Rural Health Care Assoc 28(1):84–91. doi:10.1111/j.1748-0361.2011.00363.x CrossRef

22.

Rogers SN, Forgie S, Lowe D, Precious L, Haran S, Tschiesner U (2010) Development of the international classification of functioning, disability and health as a brief head and neck cancer patient questionnaire. Int J Oral Maxillofac Surg 39(10):975–982. doi:10.1016/j.ijom.2010.06.006 PubMedCrossRef

23.

Bornbaum CC, Doyle PC, Skarakis-Doyle E, Theurer JA (2013) A critical exploration of the international classification of functioning, disability, and health (ICF) framework from the perspective of oncology: recommendations for revision. J Multidiscip Healthc 6:75–86. doi:10.2147/JMDH.S40020 PubMedCentralPubMedCrossRef

24.

Bostan C, Oberhauser C, Cieza A (2012) Investigating the dimension functioning from a condition-specific perspective and the qualifier scale of the international classification of functioning, disability, and health based on Rasch analyses. Am J Phys Med Rehabil 91(13 Suppl 1):S129–S140. doi:10.1097/PHM.0b013e31823d53ff PubMedCrossRef

25.

Linacre JM (2002) Optimizing rating scale category effectiveness. J Appl Meas 3(1):85–106PubMed

26.

Linacre JM (1999) Investigating rating scale category utility. J Outcome Meas 3(2):103–122PubMed

27.

Hays RD, Morales LS, Reise SP (2000) Item response theory and health outcomes measurement in the 21st century. Med Care 38(9 Suppl):II28–II42PubMedCentralPubMed

28.

Cheng KK, Lee J, Leung SF, Liang RH, Tai JW, Yeung RM, Thompson DR (2011) Use of Rasch analysis in the evaluation of the Oropharyngeal Mucositis quality of life scale. Nurs Res 60(4):256–263. doi:10.1097/NNR.0b013e318221f731 PubMedCrossRef

29.

Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med 29(6):602–608. doi:10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L PubMedCrossRef

30.

Oranization WH, MoHa W (2004) International classification of functioning, disability and health. Shamyook Rehabilitation Center, Seoul

31.

Shin EK, Shin HI, Kim SH, Kim WS (2011) ICF guideline for user. Statistics Korea, Seoul

32.

Prodinger B, Cieza A, Williams DA, Mease P, Boonen A, Kerschan-Schindl K, Fialka-Moser V, Smolen J, Stucki G, Machold K, Stamm T (2008) Measuring health in patients with fibromyalgia: content comparison of questionnaires based on the international classification of functioning, disability and health. Arthritis Rheum 59(5):650–658. doi:10.1002/art.23559 PubMedCrossRef

33.

Teresi JA, Fleishman JA (2007) Differential item functioning and health assessment. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation 16 Suppl 1:33–42. doi:10.1007/s11136-007-9184-6

34.

Smith EV Jr (2002) Detecting and evaluating the impact of multidimensionality using item fit statistics and principal component analysis of residuals. Journal of applied measurement 3(2):205–231PubMed

35.

Andrich D (1988) Rasch models for measurement. Sage Publications, Inc, Newbury Park

36.

Andrich D, Luo G (2003) Conditional pairwise estimation in the Rasch model for ordered response categories using principal components. Journal of applied measurement 4(3):205–221PubMed

37.

Portney LG, Watkins MP (2000) Foundation of clinical research. Prentice Hall Health, Upper Saddle River

38.

Chang WC, Chan C (1995) Rasch analysis for outcomes measures: some methodological considerations. Arch Phys Med Rehabil 76(10):934–939PubMedCrossRef

39.

Goldberg JF, McLeod LD, Fehnel SE, Williams VS, Hamm LR, Gilchrist K (2010) Development and psychometric evaluation of the Bipolar Functional Status Questionnaire (BFSQ). Bipolar Disord 12(1):32–44. doi:10.1111/j.1399-5618.2009.00775.x PubMedCrossRef

40.

Nunnally J (1978) Psychometric theory. McGraw-Hill, New York

41.

Linacre JM (2009) A users guide to Winsteps Ministep: Rasch-Modl computer programs

42.

Perruccio AV, Stefan Lohmander L, Canizares M, Tennant A, Hawker GA, Conaghan PG, Roos EM, Jordan JM, Maillefert JF, Dougados M, Davis AM (2008) The development of a short measure of physical function for knee OA KOOS-Physical Function Shortform (KOOS-PS)—an OARSI/OMERACT initiative. Osteoarthritis and cartilage/OARS, Osteoarthritis Research Society 16(5):542–550. doi:10.1016/j.joca.2007.12.014 PubMedCrossRef

43.

Reid-Arndt SA (2009) Breast cancer and “chemobrain”: the consequences of cognitive difficulties following chemotherapy and the potential for recovery. Mo Med 106(2):127–131PubMed

44.

Castellon S, Ganz PA (2009) Neuropsychological studies in breast cancer: in search of chemobrain. Breast Cancer Res Treat 116(1):125–127. doi:10.1007/s10549-008-0211-2 PubMedCrossRef

45.

Shimozuma K, Ohashi Y, Takeuchi A, Aranishi T, Morita S, Kuroi K, Ohsumi S, Makino H, Katsumata N, Kuranami M, Suemasu K, Watanabe T, Hausheer FH (2012) Taxane-induced peripheral neuropathy and health-related quality of life in postoperative breast cancer patients undergoing adjuvant chemotherapy: N-SAS BC 02, a randomized clinical trial. Support Care Cancer Off J Multinatl Assoc Support Care Cancer 20(12):3355–3364. doi:10.1007/s00520-012-1492-x

46.

Cianfrocca M, Flatters SJ, Bennett GJ, McNicol E, Relias V, Carr D, Gillis TA (2006) Peripheral neuropathy in a woman with breast cancer. J Pain Off J Am Pain Soc 7(1):2–10. doi:10.1016/j.jpain.2005.10.001 CrossRef

47.

Befort CA, Austin H, Klemp JR (2011) Weight control needs and experiences among rural breast cancer survivors. Psycho-Oncology 20(10):1069–1075. doi:10.1002/pon.1828 PubMedCentralPubMedCrossRef

48.

Tschiesner U, Cieza A, Rogers SN, Piccirillo J, Funk G, Stucki G, Berghaus A (2007) Developing core sets for patients with head and neck cancer based on the International Classification of Functioning, Disability and Health (ICF). Eur Arch Otorhinolaryngol Off J Eur Fed Oto-Rhino-Laryngological Soc 264(10):1215–1222. doi:10.1007/s00405-007-0335-8 CrossRef

49.

Williams DA, Arnold LM (2011) Measures of fibromyalgia: Fibromyalgia Impact Questionnaire (FIQ), Brief Pain Inventory (BPI), Multidimensional Fatigue Inventory (MFI-20), Medical Outcomes Study (MOS) Sleep Scale, and Multiple Ability Self-Report Questionnaire (MASQ). Arthritis Care Res (Hoboken) 63 Suppl 11:S86-97. doi:10.1002/acr.20531

50.

Fernandez-Lopez JA, Fernandez-Fidalgo M, Geoffrey R, Stucki G, Cieza A (2009) Functioning and disability: the International classification of functioning, disability and health (ICF). Rev Esp Salud Publica 83(6):775–783PubMedCrossRef

51.

Tschiesner U, Sabariego C, Linseisen E, Becker S, Stier-Jarmer M, Cieza A, Harreus U (2013) Priorities of head and neck cancer patients: a patient survey based on the brief ICF core set for HNC. Eur Arch Otorhinolaryngol Off J Eur Fed Oto-Rhino-Laryngological Soc. doi:10.1007/s00405-013-2446-8

Title: Psychometric properties of scale constructed from the International Classification of Functioning, Disability and Health (ICF) core set for breast cancer based on Rasch analysis
Authors: Eun Joo Yang
Eun-Kyoung Shin
Hyung-Ik Shin
Jae-Young Lim
Publication date: 01-10-2014
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 10/2014
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-014-2277-1

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Abstract

Objectives

Methods

Results

Conclusion

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