Research Article
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Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire

Year 2023, , 85 - 94, 30.09.2023
https://doi.org/10.30621/jbachs.1213402

Abstract

Purpose: To analyze the validity and reliability of the Turkish version of the Breast Cancer Awareness Measure (BCAM-Tr).
Material and Methods: This was cross-cultural adaptation and validation study. The study sample consisted of a total of 552 women who volunteered to participate in the study between December 2020 and November 2021. Data were collected using a descriptive characteristics form and the BCAM-Tr. The validity of the BCAM-Tr was tested with language validity, content validity, construct validity (first-level Confirmatory Factor Analysis and comparison of known groups) analyses. Reliability was evaluated by conducting test-retest analysis and internal consistency
Results: The BCAM-Tr showed good test-retest reliability (Intraclass Correlation Coefficient=0.89) and internal consistency (Cronbach’s alpha=0.89). Cohen’s kappa coefficients indicated moderate to excellent agreement (0.55-0.96). Confirmatory factor analysis confirmed a two‐factor structure. Health professionals had higher correct response rates than women in the general population (p=0.0001), indicating good construct validity.
Conclusion : The BCAM-Tr was shown to be valid and reliable for assessing breast cancer awareness in Turkish women.

Supporting Institution

Çankırı Karatekin Universty Scientific Research Projects Support Fund Çankırı, Turkey

Project Number

SBF210621L03

Thanks

The research was funded by an intramural grant to the first author. We thank Çankırı Karatekin Universty Scientific Research Projects for the support.

References

  • GLOBOCAN (2020). International agency for research on cancer, World Health Organization. https://gco.iarc.fr/today/data/factsheets/cancers/20-Breast-fact-sheet.pdf
  • Türkiye kanser istatistikleri (2017). https://hsgm.saglik.gov.tr/depo/birimler/kanserdb/istatistik/Turkiye_Kanser_Istatistikleri_2017.pdf
  • Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of ıncidence and mortality worldwide for 36 cancers in 185 countries. Cancer Journal of Clinicians 2021;71(3):209-249.
  • Güzel N, Bayraktar N. Determination of women’s awareness and practices on early diagnosis of breast cancer. Journal of Hacettepe University Faculty of Nursing 2019;6(2): 101-110.
  • Kozan R, Tokgöz VY. Screening program and breast cancer awareness in Turkey. Acıbadem University Health Sciences Journal 2016;(4):185-188.
  • Tazhibi M, Feizi A. Awareness levels about breast cancer risk factors, early warning signs, and screening and therapeutic approaches among Iranian adult women: a large population based study using latent class analysis. Biomed Research International 2014;2014:306352.
  • Çapık C, Gözüm S, Aksayan S. Intercultural scale adaptation stages, language and culture adaptation: Updated guideline. FNJN Florence Nightingale Journal of Nursing 2018;26(3):199-210. Linsell L, Forbes LJ, Burgess C, Kapari M, Thurnham A, Ramirez AJ. Validation of a measurement tool to assess awareness of breast cancer. European Journal of Cancer 2010;46(8):1374-1381.
  • Altuntuğ K, Koçak V, Ege E. The Evaluation of the validity and reliability of the breast cancer awareness scale (for Turkish women). Turkish Journal of Oncology 2021;36(2):154–64.
  • Solikhah S, Promthet S, Rakkapao N, Hurst CP. Validation of an Indonesian Version of the Breast Cancer Awareness Scale (BCAS-I). Asian Pacific Journal of Cancer Prevention 2017;18(2):515-522.
  • Rakkapao N, Promthet S, Moore MA, Solikhah S, Hurst C. Assessing Breast Cancer Awareness in Thai Women: Validation of the Breast Cancer Awareness Scale (B-CAS). Asian Pacific Journal of Cancer Prevention 2017;18(4):995-1005.
  • Al-Khasawneh EM, Leocadio M, Seshan V, Siddiqui ST, Khan AN, Al-Manaseer MM. Transcultural adaptation of the breast cancer awareness measure. International Nursing Review 2016;63(3):445-454.
  • Wachira J, Busakhala A, Chite F, et al. Refining a questionnaire to assess breast cancer knowledge and barriers to screening in Kenya: Psychometric assessment of the BCAM. BMC Health Services Research 2017;17(1):110.
  • Heidari Z, Feizi A. Transcultural adaptation and validation of the Persian version of the breast cancer awareness measure (BCAM) questionnaire. Cancer Medicine 2018;7(10):5237-5251.
  • Liu N, Li P, Wang J, et al. Psychometric properties of the breast cancer awareness measurement among Chinese women: a cross-sectional study. BMJ Open 2020;10(3):e035911.
  • Htay M, Donnelly M, Schliemann D, et al. Translation and validation of the breast cancer awareness measurement tool in Malaysia (B-CAM-M). Asian Pacific Journal of Cancer Prevention 2020;21(1):217–223.
  • Abdou A, Van Hal GF, Dille I. Validation of a BCAM (Breast Cancer Awareness Measure) tool for women and midwives in Niger. Journal of Cancer Policy 2020; 26, 100253.
  • Güngör D. Guide to development and adaptation of assessment tools in psychology. Turkish Psychology Writings 2016;19(38):104-114.
  • Bahar Z, Cal A, Beser A, Cavusoglu F, Deveci A, Badur S, Bahar IH. A study on the adaptation of the HIV/AIDS-related Stigma Scale into Turkish. Perspectives in Psychiatric Care 2022; 58(2):509-517.
  • Çelik MY, Ciğdem Z. Vulnerable baby scale: A validity and reliability study. Journal of Psychiatric Nursing 2020;11(3):188-194.
  • Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health 2006;29(5):489-497.
  • Yaşlıoğlu MM. Factor analysis and validity in social sciences: application of exploratory and confirmatory factor analyses. Istanbul University Journal of the School of Business 2017;46:74-85.
  • İlhan M, Çetin B. Comparing the analysis results of the structural equation models (SEM) conducted using LISREL and AMOS. Journal of Measurement and Evaluation in Education and Psychology 2014;5(2):26-42.
  • Kline RB. Principles and practice of structural equation modeling. 4th ed. The Guilford Press; 2016.
  • Tabachnick BG, Fidell LS. Using multivariate statistics. 7th ed. Pearson; 2019.
  • Bilgen ÖB, Doğan N. The comparison of interrater reliability estimating techniques. Journal of Measurement and Evaluation in Education and Psychology 2017;8(1):63-78.
  • Koo TK, Li MY. A Guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine 2016;15(2):155-163.
  • Bujang MA, Omar ED, Baharum NA. A review on sample size determination for cronbach's alpha test: A simple guide for researchers. Malaysian Journal of Medicine Sciences 2018;25(6):85-99.
Year 2023, , 85 - 94, 30.09.2023
https://doi.org/10.30621/jbachs.1213402

Abstract

Project Number

SBF210621L03

References

  • GLOBOCAN (2020). International agency for research on cancer, World Health Organization. https://gco.iarc.fr/today/data/factsheets/cancers/20-Breast-fact-sheet.pdf
  • Türkiye kanser istatistikleri (2017). https://hsgm.saglik.gov.tr/depo/birimler/kanserdb/istatistik/Turkiye_Kanser_Istatistikleri_2017.pdf
  • Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of ıncidence and mortality worldwide for 36 cancers in 185 countries. Cancer Journal of Clinicians 2021;71(3):209-249.
  • Güzel N, Bayraktar N. Determination of women’s awareness and practices on early diagnosis of breast cancer. Journal of Hacettepe University Faculty of Nursing 2019;6(2): 101-110.
  • Kozan R, Tokgöz VY. Screening program and breast cancer awareness in Turkey. Acıbadem University Health Sciences Journal 2016;(4):185-188.
  • Tazhibi M, Feizi A. Awareness levels about breast cancer risk factors, early warning signs, and screening and therapeutic approaches among Iranian adult women: a large population based study using latent class analysis. Biomed Research International 2014;2014:306352.
  • Çapık C, Gözüm S, Aksayan S. Intercultural scale adaptation stages, language and culture adaptation: Updated guideline. FNJN Florence Nightingale Journal of Nursing 2018;26(3):199-210. Linsell L, Forbes LJ, Burgess C, Kapari M, Thurnham A, Ramirez AJ. Validation of a measurement tool to assess awareness of breast cancer. European Journal of Cancer 2010;46(8):1374-1381.
  • Altuntuğ K, Koçak V, Ege E. The Evaluation of the validity and reliability of the breast cancer awareness scale (for Turkish women). Turkish Journal of Oncology 2021;36(2):154–64.
  • Solikhah S, Promthet S, Rakkapao N, Hurst CP. Validation of an Indonesian Version of the Breast Cancer Awareness Scale (BCAS-I). Asian Pacific Journal of Cancer Prevention 2017;18(2):515-522.
  • Rakkapao N, Promthet S, Moore MA, Solikhah S, Hurst C. Assessing Breast Cancer Awareness in Thai Women: Validation of the Breast Cancer Awareness Scale (B-CAS). Asian Pacific Journal of Cancer Prevention 2017;18(4):995-1005.
  • Al-Khasawneh EM, Leocadio M, Seshan V, Siddiqui ST, Khan AN, Al-Manaseer MM. Transcultural adaptation of the breast cancer awareness measure. International Nursing Review 2016;63(3):445-454.
  • Wachira J, Busakhala A, Chite F, et al. Refining a questionnaire to assess breast cancer knowledge and barriers to screening in Kenya: Psychometric assessment of the BCAM. BMC Health Services Research 2017;17(1):110.
  • Heidari Z, Feizi A. Transcultural adaptation and validation of the Persian version of the breast cancer awareness measure (BCAM) questionnaire. Cancer Medicine 2018;7(10):5237-5251.
  • Liu N, Li P, Wang J, et al. Psychometric properties of the breast cancer awareness measurement among Chinese women: a cross-sectional study. BMJ Open 2020;10(3):e035911.
  • Htay M, Donnelly M, Schliemann D, et al. Translation and validation of the breast cancer awareness measurement tool in Malaysia (B-CAM-M). Asian Pacific Journal of Cancer Prevention 2020;21(1):217–223.
  • Abdou A, Van Hal GF, Dille I. Validation of a BCAM (Breast Cancer Awareness Measure) tool for women and midwives in Niger. Journal of Cancer Policy 2020; 26, 100253.
  • Güngör D. Guide to development and adaptation of assessment tools in psychology. Turkish Psychology Writings 2016;19(38):104-114.
  • Bahar Z, Cal A, Beser A, Cavusoglu F, Deveci A, Badur S, Bahar IH. A study on the adaptation of the HIV/AIDS-related Stigma Scale into Turkish. Perspectives in Psychiatric Care 2022; 58(2):509-517.
  • Çelik MY, Ciğdem Z. Vulnerable baby scale: A validity and reliability study. Journal of Psychiatric Nursing 2020;11(3):188-194.
  • Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health 2006;29(5):489-497.
  • Yaşlıoğlu MM. Factor analysis and validity in social sciences: application of exploratory and confirmatory factor analyses. Istanbul University Journal of the School of Business 2017;46:74-85.
  • İlhan M, Çetin B. Comparing the analysis results of the structural equation models (SEM) conducted using LISREL and AMOS. Journal of Measurement and Evaluation in Education and Psychology 2014;5(2):26-42.
  • Kline RB. Principles and practice of structural equation modeling. 4th ed. The Guilford Press; 2016.
  • Tabachnick BG, Fidell LS. Using multivariate statistics. 7th ed. Pearson; 2019.
  • Bilgen ÖB, Doğan N. The comparison of interrater reliability estimating techniques. Journal of Measurement and Evaluation in Education and Psychology 2017;8(1):63-78.
  • Koo TK, Li MY. A Guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine 2016;15(2):155-163.
  • Bujang MA, Omar ED, Baharum NA. A review on sample size determination for cronbach's alpha test: A simple guide for researchers. Malaysian Journal of Medicine Sciences 2018;25(6):85-99.
There are 27 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Sennur Baş 0000-0001-6455-9047

Figen Erol Ursavaş 0000-0002-7212-6468

Project Number SBF210621L03
Publication Date September 30, 2023
Submission Date December 2, 2022
Published in Issue Year 2023

Cite

APA Baş, S., & Erol Ursavaş, F. (2023). Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire. Journal of Basic and Clinical Health Sciences, 7(3), 85-94. https://doi.org/10.30621/jbachs.1213402
AMA Baş S, Erol Ursavaş F. Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire. JBACHS. September 2023;7(3):85-94. doi:10.30621/jbachs.1213402
Chicago Baş, Sennur, and Figen Erol Ursavaş. “Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire”. Journal of Basic and Clinical Health Sciences 7, no. 3 (September 2023): 85-94. https://doi.org/10.30621/jbachs.1213402.
EndNote Baş S, Erol Ursavaş F (September 1, 2023) Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire. Journal of Basic and Clinical Health Sciences 7 3 85–94.
IEEE S. Baş and F. Erol Ursavaş, “Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire”, JBACHS, vol. 7, no. 3, pp. 85–94, 2023, doi: 10.30621/jbachs.1213402.
ISNAD Baş, Sennur - Erol Ursavaş, Figen. “Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire”. Journal of Basic and Clinical Health Sciences 7/3 (September 2023), 85-94. https://doi.org/10.30621/jbachs.1213402.
JAMA Baş S, Erol Ursavaş F. Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire. JBACHS. 2023;7:85–94.
MLA Baş, Sennur and Figen Erol Ursavaş. “Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire”. Journal of Basic and Clinical Health Sciences, vol. 7, no. 3, 2023, pp. 85-94, doi:10.30621/jbachs.1213402.
Vancouver Baş S, Erol Ursavaş F. Transcultural Adaptation and Validation of the Turkish Version of the Breast Cancer Awareness Measure (BCAM) Questionnaire. JBACHS. 2023;7(3):85-94.