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Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children with Cancer

Year 2024, Volume: 14 Issue: 3, 588 - 594, 30.09.2024
https://doi.org/10.33808/clinexphealthsci.1065698

Abstract

Objective: The present study was conducted to developed the Symptom Assessment Scale for Children with Cancer (SAS-CC) and assessed its reliability and validity for Turkish children.
Methods: This research was conducted among in 497 children with cancer who were between 7 and 18 years old. The data were collected with a demographic form and SAS-CC. Descriptive statistics, reliability and validity analysis were used to analyze the data.
Results: The mean age of children with cancer was 12.02 +3.38 years. The scale consists of 16 items and 3 sub-dimensions. Total factor loads were more than 0.30 in factor analyses. The confirmatory factor analysis revealed all fit indexes as higher than 0.91, and the root mean square error of approximation (RMSEA) was less than 0.080. Cronbach’s alpha values of total was 0.96. According to the split-half analysis, α values of the first and second halves were 0.94 and 0.93, respectively.
Conclusions: This study demonstrated that SAS-CC is the first study to develop and test and a valid scale to evaluate symptoms in children with cancer. Effective strategies of coping with symptoms in children with cancer are required to improve prognosis, increase survival, and improve the quality of life. Therefore, assessing symptoms and their frequency in children with cancer is an majority initiative of nurses
working in the pediatric oncology clinic.

References

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  • Arriaga P, Melo AS, Caires S. The effects of hospital clowning on physical and emotional states of pediatric patients during chemotherapy treatment. Child Youth Care Forum 2019;49(5):1-17. DOI: 10.1007/s10566-019-09532-6
  • Kuntz N, Anazodo A, Bowden V, Sender L, Morgan H. Pediatric cancer patients’ treatment journey: Child, adolescent, and young adult cancer narratives. J Pediatr Nurs. 2019;48:42-48. DOI: 10.1016/j.pedn.2019.06.003.
  • McCulloch R, Hemsley J, Kelly P. Symptom management during chemotherapy. Paediatrics and Child Health (United Kingdom). 2018;28(4):189-195. DOI:10.1016/j.paed.2018.02.003
  • Linder, Hooke MC. Symptoms in children receiving treatment for cancer—Part II: Pain, sadness, and symptom clusters. J Pediatr Oncol Nurs. 2019;36(4):262-279. DOI: 10.1177/1043454219849578.
  • Hooke MC, Linder LA. Symptoms in children receiving treatment for cancer—Part I: Fatigue, sleep disturbance, and nausea/vomiting. J Pediatr Oncol Nurs. 2019;36(4):244-261. DOI:10.1177/1043454219849576
  • Linder LA, Al-Qaaydeh S, Donaldson G. Symptom characteristics among hospitalized children and adolescents with cancer. Cancer Nurs. 2018;41(1):23-32. DOI:10.1097/NCC.0000000000000469
  • Linder LA, Bratton H, Nguyen A, Parker K, Wawrzynski SE. Symptoms and self-Management strategies identified by children with cancer using draw-and-tell interviews. Oncol Nurs Forum 2018;45(3):290-300. DOI:10.1188/18.ONF.290-300
  • Kuhlen M, Hoell J, Balzer S, Borkhardt A, Janssen G. Symptoms and management of pediatric patients with incurable brain tumors in palliative home care. Eur J Paediatr Neurol. 2016;20(2):261-269. DOI: 10.1016/j.ejpn.2015.12.004
  • Erickson JM, MacPherson CF, Ameringer S, Baggott C, Linder L, Stegenga K. Symptoms and symptom clusters in adolescents receiving cancer treatment: A review of the literature. Int J Nurs Stud. 2013;50(6):847-869. DOI: 10.1016/j.ijnurstu.2012.10.011.
  • Linder LA, Ameringer S, Baggott C, EricksonJ, Macpherson CF, Rodgers C, Stegenga K. Measures and methods for symptom and symptom cluster assessment in adolescents and young adults with cancer. Semin Oncol Nurs. 2015;31(3):206-215. DOI: 10.1016/j.soncn.2015.05.002.
  • Collins JJ, Byrnes ME, Dunkel IJ, Lapin J, Nadel T, Thaler HT, Polyak T, Rapkin B, Portenoy RK. The measurement of symptoms in children with cancer. J Pain Symptom Manage 2000;19(5):363-377. DOI: 10.1016/s0885-3924(00)00127-5.
  • Akçay Didişen N, Yavuz B, Yardimci F, Basbakkal DZ. Validity and reliability of the Turkish version of the adapted Rhodes Index of Nausea and Vomiting for pediatrics by child (ARINVc) and by parent (ARINVp). J Pediatr Oncol Nurs. 2018;35(5):353-360. DOI: 10.1177/1043454218765173.
  • Özalp Gerçeker G, Bilsin E, Binay Ş, Bal Yılmaz H, Jacob E. Cultural adaptation of the adolescent pediatric pain tool in Turkish children with cancer. Eur J Oncol Nurs. 2018;34:28-34. DOI:10.1016/j.ejon.2018.02.008
  • Anthoine E, Moret L, Regnault A, Sbille V, Hardouin JB. Sample size used to validate a scale: A review of publications on newly-developed patient reported outcomes measures. Health Qual Life Outcomes 2014;12(1):2-7. DOI:10.1186/s12955-014-0176-2
  • Cheng YC, Huang CY, Wu WW, Chang S, Lee-Hsieh J, Liang S, Cheng S. The lived experiences of aboriginal adolescent survivors of childhood cancer during the recovering process in Taiwan: A descriptive qualitative research. Eur J Oncol Nurs. 2016;22:78-84. DOI: 10.1016/j.ejon.2016.03.005
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  • Ameringer S, Erickson JM, Macpherson CF, Stegenga K, Linder LA. Symptoms and symptom clusters identified by adolescents and young adults with cancer using a symptom heuristics App. Res Nurs Health 2015;38(6):436-448. DOI:10.1002/NUR.21697
  • Erickson JM, MacPherson CF, Ameringer S, Baggott C, Linder L, Stegenga K. Symptoms and symptom clusters in adolescents receiving cancer treatment: A review of the literature. Int J Nurs Stud. 2013;50(6):847-869. DOI:10.1016/J.IJNURSTU.2012.10.011
  • Johnston DL, Hyslop S, Tomlinson D, Baggott C, Gibson P, Orsey A, Dix D, Price V, Vanan M, Portwine C, Kuczynski S, Spiegler B, Tomlinson GA, Dupuis LL, Sung L. Describing symptoms using the Symptom Screening in Pediatrics Tool in hospitalized children with cancer and hematopoietic stem cell transplant recipients. Cancer Med. 2018;7(5):1750-1755. DOI:10.1002/CAM4.1433
  • Collins JJ, Devine TD, Dick GS, Johnson EA, Kilham HA, Pinkerton RC, Stevens MM, Thaler HT, Portenoy RK. The measurement of symptoms in young children with cancer: The validation of the memorial symptom assessment scale in children aged 7-12. J Pain Symptom Manage. 2002;23(1):10-16. DOI: 10.1016/s0885-3924(01)00375-x.
  • Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: A primer. Front Public Health 2018;6:149. DOI:10.3389/fpubh.2018.00149.
  • Price LR. Psychometric Methods: Theory Into Practice. The Guilford Press; 2017.
  • Almanasreh E, Moles R, Chen TF. Evaluation of methods used for estimating content validity. Research in Social and Administrative Pharmacy 2019;15(2):214-221. DOI:10.1016/j.sapharm.2018.03.066
  • Hesse-Biber SN, Johnson B. The Oxford handbook of multimethod and mixed methods research inquiry. Oxford University Press; 2015.
  • Marsh HW, Guo J, Dicke T, Parker PD, Craven RG. Confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), and set-ESEM: Optimal balance between goodness of fit and parsimony. Multivariate Behav Res. 2019;55(1):102-119. DOI:10.1080/00273171.2019.1602503
  • Beatty PC, Collins D, Kaye L, Padilla JL, Willis GB, Wilmot A. Advances in questionnaire design, development, evaluation and testing. John Wiley & Sons; 2019.
Year 2024, Volume: 14 Issue: 3, 588 - 594, 30.09.2024
https://doi.org/10.33808/clinexphealthsci.1065698

Abstract

References

  • Rodgers CC, Hooke MC, Hockenberry MJ. Symptom clusters in children. Curr Opin Support Palliat Care 2013;7(1):67-72. DOI:10.1097/SPC.0b013e32835ad551
  • Arriaga P, Melo AS, Caires S. The effects of hospital clowning on physical and emotional states of pediatric patients during chemotherapy treatment. Child Youth Care Forum 2019;49(5):1-17. DOI: 10.1007/s10566-019-09532-6
  • Kuntz N, Anazodo A, Bowden V, Sender L, Morgan H. Pediatric cancer patients’ treatment journey: Child, adolescent, and young adult cancer narratives. J Pediatr Nurs. 2019;48:42-48. DOI: 10.1016/j.pedn.2019.06.003.
  • McCulloch R, Hemsley J, Kelly P. Symptom management during chemotherapy. Paediatrics and Child Health (United Kingdom). 2018;28(4):189-195. DOI:10.1016/j.paed.2018.02.003
  • Linder, Hooke MC. Symptoms in children receiving treatment for cancer—Part II: Pain, sadness, and symptom clusters. J Pediatr Oncol Nurs. 2019;36(4):262-279. DOI: 10.1177/1043454219849578.
  • Hooke MC, Linder LA. Symptoms in children receiving treatment for cancer—Part I: Fatigue, sleep disturbance, and nausea/vomiting. J Pediatr Oncol Nurs. 2019;36(4):244-261. DOI:10.1177/1043454219849576
  • Linder LA, Al-Qaaydeh S, Donaldson G. Symptom characteristics among hospitalized children and adolescents with cancer. Cancer Nurs. 2018;41(1):23-32. DOI:10.1097/NCC.0000000000000469
  • Linder LA, Bratton H, Nguyen A, Parker K, Wawrzynski SE. Symptoms and self-Management strategies identified by children with cancer using draw-and-tell interviews. Oncol Nurs Forum 2018;45(3):290-300. DOI:10.1188/18.ONF.290-300
  • Kuhlen M, Hoell J, Balzer S, Borkhardt A, Janssen G. Symptoms and management of pediatric patients with incurable brain tumors in palliative home care. Eur J Paediatr Neurol. 2016;20(2):261-269. DOI: 10.1016/j.ejpn.2015.12.004
  • Erickson JM, MacPherson CF, Ameringer S, Baggott C, Linder L, Stegenga K. Symptoms and symptom clusters in adolescents receiving cancer treatment: A review of the literature. Int J Nurs Stud. 2013;50(6):847-869. DOI: 10.1016/j.ijnurstu.2012.10.011.
  • Linder LA, Ameringer S, Baggott C, EricksonJ, Macpherson CF, Rodgers C, Stegenga K. Measures and methods for symptom and symptom cluster assessment in adolescents and young adults with cancer. Semin Oncol Nurs. 2015;31(3):206-215. DOI: 10.1016/j.soncn.2015.05.002.
  • Collins JJ, Byrnes ME, Dunkel IJ, Lapin J, Nadel T, Thaler HT, Polyak T, Rapkin B, Portenoy RK. The measurement of symptoms in children with cancer. J Pain Symptom Manage 2000;19(5):363-377. DOI: 10.1016/s0885-3924(00)00127-5.
  • Akçay Didişen N, Yavuz B, Yardimci F, Basbakkal DZ. Validity and reliability of the Turkish version of the adapted Rhodes Index of Nausea and Vomiting for pediatrics by child (ARINVc) and by parent (ARINVp). J Pediatr Oncol Nurs. 2018;35(5):353-360. DOI: 10.1177/1043454218765173.
  • Özalp Gerçeker G, Bilsin E, Binay Ş, Bal Yılmaz H, Jacob E. Cultural adaptation of the adolescent pediatric pain tool in Turkish children with cancer. Eur J Oncol Nurs. 2018;34:28-34. DOI:10.1016/j.ejon.2018.02.008
  • Anthoine E, Moret L, Regnault A, Sbille V, Hardouin JB. Sample size used to validate a scale: A review of publications on newly-developed patient reported outcomes measures. Health Qual Life Outcomes 2014;12(1):2-7. DOI:10.1186/s12955-014-0176-2
  • Cheng YC, Huang CY, Wu WW, Chang S, Lee-Hsieh J, Liang S, Cheng S. The lived experiences of aboriginal adolescent survivors of childhood cancer during the recovering process in Taiwan: A descriptive qualitative research. Eur J Oncol Nurs. 2016;22:78-84. DOI: 10.1016/j.ejon.2016.03.005
  • Semerci R, Akgunmela Kostak M, Eren T, Savran F, Avci G. Symptoms and symptom clusters in adolescents with cancer. International Journal of Emerging Trends in Health Sciences 2021;5(2):14-21. DOI:10.18844/IJETHS.V5I2.5559
  • Ameringer S, Erickson JM, Macpherson CF, Stegenga K, Linder LA. Symptoms and symptom clusters identified by adolescents and young adults with cancer using a symptom heuristics App. Res Nurs Health 2015;38(6):436-448. DOI:10.1002/NUR.21697
  • Erickson JM, MacPherson CF, Ameringer S, Baggott C, Linder L, Stegenga K. Symptoms and symptom clusters in adolescents receiving cancer treatment: A review of the literature. Int J Nurs Stud. 2013;50(6):847-869. DOI:10.1016/J.IJNURSTU.2012.10.011
  • Johnston DL, Hyslop S, Tomlinson D, Baggott C, Gibson P, Orsey A, Dix D, Price V, Vanan M, Portwine C, Kuczynski S, Spiegler B, Tomlinson GA, Dupuis LL, Sung L. Describing symptoms using the Symptom Screening in Pediatrics Tool in hospitalized children with cancer and hematopoietic stem cell transplant recipients. Cancer Med. 2018;7(5):1750-1755. DOI:10.1002/CAM4.1433
  • Collins JJ, Devine TD, Dick GS, Johnson EA, Kilham HA, Pinkerton RC, Stevens MM, Thaler HT, Portenoy RK. The measurement of symptoms in young children with cancer: The validation of the memorial symptom assessment scale in children aged 7-12. J Pain Symptom Manage. 2002;23(1):10-16. DOI: 10.1016/s0885-3924(01)00375-x.
  • Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: A primer. Front Public Health 2018;6:149. DOI:10.3389/fpubh.2018.00149.
  • Price LR. Psychometric Methods: Theory Into Practice. The Guilford Press; 2017.
  • Almanasreh E, Moles R, Chen TF. Evaluation of methods used for estimating content validity. Research in Social and Administrative Pharmacy 2019;15(2):214-221. DOI:10.1016/j.sapharm.2018.03.066
  • Hesse-Biber SN, Johnson B. The Oxford handbook of multimethod and mixed methods research inquiry. Oxford University Press; 2015.
  • Marsh HW, Guo J, Dicke T, Parker PD, Craven RG. Confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), and set-ESEM: Optimal balance between goodness of fit and parsimony. Multivariate Behav Res. 2019;55(1):102-119. DOI:10.1080/00273171.2019.1602503
  • Beatty PC, Collins D, Kaye L, Padilla JL, Willis GB, Wilmot A. Advances in questionnaire design, development, evaluation and testing. John Wiley & Sons; 2019.
There are 27 citations in total.

Details

Primary Language English
Subjects Pediatric Health and Illnesses Nursing
Journal Section Articles
Authors

Aslı Akdeniz Kudubeş 0000-0002-0911-8182

Murat Bektaş 0000-0003-3327-8204

Early Pub Date September 27, 2024
Publication Date September 30, 2024
Submission Date January 31, 2022
Published in Issue Year 2024 Volume: 14 Issue: 3

Cite

APA Akdeniz Kudubeş, A., & Bektaş, M. (2024). Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children with Cancer. Clinical and Experimental Health Sciences, 14(3), 588-594. https://doi.org/10.33808/clinexphealthsci.1065698
AMA Akdeniz Kudubeş A, Bektaş M. Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children with Cancer. Clinical and Experimental Health Sciences. September 2024;14(3):588-594. doi:10.33808/clinexphealthsci.1065698
Chicago Akdeniz Kudubeş, Aslı, and Murat Bektaş. “Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children With Cancer”. Clinical and Experimental Health Sciences 14, no. 3 (September 2024): 588-94. https://doi.org/10.33808/clinexphealthsci.1065698.
EndNote Akdeniz Kudubeş A, Bektaş M (September 1, 2024) Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children with Cancer. Clinical and Experimental Health Sciences 14 3 588–594.
IEEE A. Akdeniz Kudubeş and M. Bektaş, “Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children with Cancer”, Clinical and Experimental Health Sciences, vol. 14, no. 3, pp. 588–594, 2024, doi: 10.33808/clinexphealthsci.1065698.
ISNAD Akdeniz Kudubeş, Aslı - Bektaş, Murat. “Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children With Cancer”. Clinical and Experimental Health Sciences 14/3 (September 2024), 588-594. https://doi.org/10.33808/clinexphealthsci.1065698.
JAMA Akdeniz Kudubeş A, Bektaş M. Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children with Cancer. Clinical and Experimental Health Sciences. 2024;14:588–594.
MLA Akdeniz Kudubeş, Aslı and Murat Bektaş. “Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children With Cancer”. Clinical and Experimental Health Sciences, vol. 14, no. 3, 2024, pp. 588-94, doi:10.33808/clinexphealthsci.1065698.
Vancouver Akdeniz Kudubeş A, Bektaş M. Development and Psychometric Evaluation of the Symptom Assessment Scale for Turkish Children with Cancer. Clinical and Experimental Health Sciences. 2024;14(3):588-94.

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