Cross-cultural adaptation and validation of the cancer survivors’ unmet needs measure among gynecological cancer patients in Indonesia
Abstract
Background: The number of gynecological cancer survivors in Indonesia is growing, yet little is recognized about their supportive care needs due to a lack of validated assessment to measure them. This study aimed to culturally adapt the Cancer survivors’ unmet needs into Indonesian language and to test its validity and reliability for Indonesian gynecological cancer patients. Methods: We performed the translation and adaptation of the Cancer survivors’ unmet needs based on Beaton’s cross-cultural adaptation process of self-report measure. We then evaluated the psychometric properties of Cancer survivors’ unmet needs -Indonesian with 298 participants from three hospitals across Indonesia. Results: Five factors were extracted from Exploratory Factor Analysis with factor loading >0.4. Cancer survivors’ unmet needs -Indonesian had negative correlations with The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 , indicating that the higher score of unmet needs resulted in the lower score of quality of life. The Cronbach’s a coefficient for the Cancer survivors’ unmet needs-Indonesian ranged from 0.75-0.95. Conclusions: The Cancer survivors’ unmet needs-Indonesian version offers a valid and reliable scale for assessing supportive care needs among Indonesian gynecological cancer patients. The Cancer survivors’ unmet needs-Indonesian could help clinicians to assess supportive care needs among Indonesian gynecological cancer patients. The low-resource countries such as Indonesia could use the evidence from the Cancer survivors’ unmet needs assessment to develop the supportive care service in the clinical settings.
References
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians 2018;68(6):394-424. doi: 10.3322/caac.21492
Sankaranarayanan R, Ramadas K, Qiao Y. Managing the changing burden of cancer in Asia. BMC Medicine 2014;12(1) doi: 10.1186/1741-7015-12-3
Molassiotis A, Yates P, Li Q, So W, Pongthavornkamol K, Pittayapan P, et al. . Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region: results from the International STEP Study. Ann Oncol [Internet] 2017 [Internet]; 28:2552–8. Available from: http://fdslive.oup.com/www.oup.com/pdf/production_in_progress.pdf.
Nekhlyudov L, Ganz PA, Arora NK, Rowland JH. Going Beyond Being Lost in Transition: A Decade of Progress in Cancer Survivorship. Journal of Clinical Oncology 2017;35(18):1978-1981. doi: 10.1200/jco.2016.72.1373
Fitch MI. Supportive care framework: Theoretical underpinnings. In: Fitch MI. , editor. Supportive care framework: A foundation for person-centred care. Ontario: CANO/ACIO. 2014.
Challinor JM, Galassi AL, Al-Ruzzieh MA, Bigirimana JB, Buswell L, So WKW, Williams M. Nursing’s Potential to Address the Growing Cancer Burden in Low- and Middle-Income Countries. Journal of Global Oncology 2016;2(3):154-163. doi: 10.1200/jgo.2015.001974
Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hobbs KM, Lo SK, Wain G. The development and evaluation of a measure to assess cancer survivors' unmet supportive care needs: the CaSUN (Cancer Survivors' Unmet Needs measure). Psycho-Oncology 2007;16(9):796-804. doi: 10.1002/pon.1137
Sanson-Fisher RW, Carey M, Paul CL. Measuring the unmet needs of those with cancer: A critical review. Cancer Forum 2009 33(3).
Campbell HS, Sanson-Fisher R, Turner D, Hayward L, Wang XS, Taylor-Brown J. Psychometric properties of cancer survivors’ unmet needs survey. Supportive Care in Cancer 2011;19(2):221-230. doi: 10.1007/s00520-009-0806-0
Fang S, Cheng H, Lin C. Validation of the modified Chinese Cancer Survivor's Unmet Needs (CaSUN-C) for women with breast cancer. Psycho-Oncology 2017;27(1):236-242. doi: 10.1002/pon.4499
Martinez TD, Medina-Ramirez P, Vázquez-Otero C, Gwede CK, Babilonia MB, McMillan SC. Initial evaluation of the validity and reliability of the culturally adapted Spanish CaSUN (S-CaSUN). Journal of Cancer Survivorship 2018;12(4):509-518. doi: 10.1007/s11764-018-0689-5
Martinez TD, Medina-Ramirez P, Vázquez-Otero C, Gwede CK, Bobonis M, McMillan SC. Cultural adaptation of a supportive care needs measure for Hispanic men cancer survivors. Journal of Psychosocial Oncology 2018;36(1):113-131. doi: 10.1080/07347332.2017.1370763
Keeman MC, Bolman CAW, Mesters I, Willems RA, Kanera IM, Lechner L. Psychometric properties of the Dutch extended Cancer Survivors’ Unmet Needs measure (CaSUN-NL). European Journal of Cancer Care 2018;27(2):12807. doi: 10.1111/ecc.12807
Smith A‘, King M, Butow P, Luckett T, Grimison P, Toner GC, Olver I. The prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional study. Psycho-Oncology 2013;22(11):2557-2564. doi: 10.1002/pon.3323
Bender JL, Wiljer D, To MJ, Bedard PL, Chung P, Jewett MAS, Gospodarowicz M. Testicular cancer survivors' supportive care needs and use of online support: a cross-sectional survey. Supportive Care in Cancer 2012;20(11):2737-2746. doi: 10.1007/s00520-012-1395-x
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine 2000;25(24):3186-3191. doi: 10.1097/00007632-200012150-00014
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology 1993;46(12):1417-1432. doi: 10.1016/0895-4356(93)90142-n
Ministry of Health Republic of Indonesia. Data and information on cancer situation / Data dan Informasi Kesehatan Situasi Penyakit Kanker. Bul Kanker 2015 1(1):1–5.
Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. . The European Organisation for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993 85: 365-76.
Fayers P, Aaronson N, Bjordal K, Groenvold M, Curran D, Bottomley A. The EORTC QLQ-C30 Scoring Manual. Brussels: European Organisation for Research and Treatment of Cancer. 2001. 3rd Edition.
Perwitasari DA, Atthobari J, Dwiprahasto I, Hakimi M, Gelderblom H, Putter H, Kaptein AA. Translation and Validation of EORTC QLQ-C30 into Indonesian Version for Cancer Patients in Indonesia. Japanese Journal of Clinical Oncology 2011;41(4):519-529. doi: 10.1093/jjco/hyq243
DeVon HA, Block ME, Moyle-Wright P, Ernst DM, Hayden SJ, Lazzara DJ, Kostas-Polston E. A Psychometric Toolbox for Testing Validity and Reliability. Journal of Nursing Scholarship 2007;39(2):155-164. doi: 10.1111/j.1547-5069.2007.00161.x
Kristanti MS, Setiyarini S, Effendy C. Enhancing the quality of life for palliative care cancer patients in Indonesia through family caregivers: a pilot study of basic skills training. BMC Palliative Care 2017;16(1) doi: 10.1186/s12904-016-0178-4
Yun YH, Park YS, Lee ES, Bang S-, Heo DS, Park SY, West K. Validation of the Korean version of the EORTC QLQ-C30. Quality of Life Research 2004;13(4):863-868. doi: 10.1023/b:qure.0000021692.81214.70
Silpakit C, Sirilerttrakul S, Jirajarus M, Sirisinha T, Sirachainan E, Ratanatharathorn V. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Validation Study of the Thai Version. Quality of Life Research 2006;15(1):167-172. doi: 10.1007/s11136-005-0449-7
Guzelant A, Goksel T, Ozkok S, Tasbakan S, Aysan T, Bottomley A. The European Organization for Research and Treatment of Cancer QLQ-C30: an examination into the cultural validity and reliability of the Turkish version of the EORTC QLQ-C30. European Journal of Cancer Care 2004;13(2):135-144. doi: 10.1111/j.1365-2354.2003.00435.x
Chie W, Yang C, Hsu C, Yang P. Quality of life of lung cancer patients: Validation of the Taiwan Chinese version of the EORTC QLQ-C30 and QLQ-LC13. Quality of Life Research 2004;13(1):257-262. doi: 10.1023/b:qure.0000015295.74812.06
Hediya PR, Afiyanti Y, Ungsianik T, Milanti A. Supportive care needs and quality of life of patients with gynecological cancer undergoing therapy. Enfermería Clínica 2018;28:222-226. doi: 10.1016/s1130-8621(18)30072-x
Edib Z, Kumarasamy V, binti Abdullah N, Rizal AM, Al-Dubai SAR. Most prevalent unmet supportive care needs and quality of life of breast cancer patients in a tertiary hospital in Malaysia. Health and Quality of Life Outcomes 2016;14(1) doi: 10.1186/s12955-016-0428-4
So WKW, Chan CWH, Choi KC, Wan RWM, Mak SSS, Chair SY. Perceived Unmet Needs and Health-Related Quality of Life of Chinese Cancer Survivors at 1 Year After Treatment. Cancer Nursing 2013;36(3):23-32. doi: 10.1097/ncc.0b013e318263f28e