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Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC)

Background: Needs assessment tools may be used to guide the optimisation of cancer survivorship services. We sought to develop and validate a dual-language needs assessment tool for women with breast cancer. Methods: The study comprised two phases; (I) co-design, and (II) psychometric testing. In Ph...

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Main Authors:	Kong, Yek-Ching, Danaee, Mahmoud, Kaur, Ranjit, Thiagarajan, Muthukkumaran, Zaharah, Hafizah, Sener, Mustafa, Rajah, Harenthri Devy Alagir, Taib, Nur Aishah, Chinna, Karuthan, Yip, Cheng-Har, Bhoo-Pathy, Nirmala
Format:	Article
Published:	MDPI 2023
Subjects:	R Medicine (General) RC Internal medicine
Online Access:	http://eprints.um.edu.my/39024/
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spelling	my.um.eprints.390242023-10-24T04:19:18Z http://eprints.um.edu.my/39024/ Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC) Kong, Yek-Ching Danaee, Mahmoud Kaur, Ranjit Thiagarajan, Muthukkumaran Zaharah, Hafizah Sener, Mustafa Rajah, Harenthri Devy Alagir Taib, Nur Aishah Chinna, Karuthan Yip, Cheng-Har Bhoo-Pathy, Nirmala R Medicine (General) RC Internal medicine Background: Needs assessment tools may be used to guide the optimisation of cancer survivorship services. We sought to develop and validate a dual-language needs assessment tool for women with breast cancer. Methods: The study comprised two phases; (I) co-design, and (II) psychometric testing. In Phase I, items were generated based on focus group discussions with patients and a literature review. These items were then translated into the Malay language. Content and face validation were undertaken with an expert panel. In phase II, 315 Malaysian women living with breast cancer were recruited. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to determine construct validity and reliability. Criterion validity was assessed using the EORTC QLQ-C30 questionnaire. Results: We co-designed and validated a 48-item dual-language needs assessment tool for breast cancer (NeAT-BC). Five underlying constructs were revealed in the EFA: (1) emotional support, (2) social and intimate relationships, (3) hospital appointments, (4) personal care and health, and (5) information and services. The NeAT-BC demonstrated good reliability across all constructs (Cronbach's alpha: 0.90 to 0.96). CFA also demonstrated acceptable convergent and divergent validity, composite reliability >= 0.87, and Heterotrait-Monotrait index < 0.85 for all constructs. Criterion validity was established given the significant negative correlation between overall needs and quality of life (r = -0.14; p = 0.02). The NeAT-BC took approximately 25 min to be completed and could be interviewer-administered or self-administered. Conclusion: The utilization of the NeAT-BC is expected to guide establishment of evidence-based cancer survivorship services in Malaysia, with wider potentials for adoption in other multi-ethnic and/or low-and-middle income settings. MDPI 2023-01 Article PeerReviewed Kong, Yek-Ching and Danaee, Mahmoud and Kaur, Ranjit and Thiagarajan, Muthukkumaran and Zaharah, Hafizah and Sener, Mustafa and Rajah, Harenthri Devy Alagir and Taib, Nur Aishah and Chinna, Karuthan and Yip, Cheng-Har and Bhoo-Pathy, Nirmala (2023) Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC). Diagnostics, 13 (2). ISSN 2075-4418, DOI https://doi.org/10.3390/diagnostics13020241 <https://doi.org/10.3390/diagnostics13020241>. 10.3390/diagnostics13020241
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine (General) RC Internal medicine
spellingShingle	R Medicine (General) RC Internal medicine Kong, Yek-Ching Danaee, Mahmoud Kaur, Ranjit Thiagarajan, Muthukkumaran Zaharah, Hafizah Sener, Mustafa Rajah, Harenthri Devy Alagir Taib, Nur Aishah Chinna, Karuthan Yip, Cheng-Har Bhoo-Pathy, Nirmala Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC)
description	Background: Needs assessment tools may be used to guide the optimisation of cancer survivorship services. We sought to develop and validate a dual-language needs assessment tool for women with breast cancer. Methods: The study comprised two phases; (I) co-design, and (II) psychometric testing. In Phase I, items were generated based on focus group discussions with patients and a literature review. These items were then translated into the Malay language. Content and face validation were undertaken with an expert panel. In phase II, 315 Malaysian women living with breast cancer were recruited. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to determine construct validity and reliability. Criterion validity was assessed using the EORTC QLQ-C30 questionnaire. Results: We co-designed and validated a 48-item dual-language needs assessment tool for breast cancer (NeAT-BC). Five underlying constructs were revealed in the EFA: (1) emotional support, (2) social and intimate relationships, (3) hospital appointments, (4) personal care and health, and (5) information and services. The NeAT-BC demonstrated good reliability across all constructs (Cronbach's alpha: 0.90 to 0.96). CFA also demonstrated acceptable convergent and divergent validity, composite reliability >= 0.87, and Heterotrait-Monotrait index < 0.85 for all constructs. Criterion validity was established given the significant negative correlation between overall needs and quality of life (r = -0.14; p = 0.02). The NeAT-BC took approximately 25 min to be completed and could be interviewer-administered or self-administered. Conclusion: The utilization of the NeAT-BC is expected to guide establishment of evidence-based cancer survivorship services in Malaysia, with wider potentials for adoption in other multi-ethnic and/or low-and-middle income settings.
format	Article
author	Kong, Yek-Ching Danaee, Mahmoud Kaur, Ranjit Thiagarajan, Muthukkumaran Zaharah, Hafizah Sener, Mustafa Rajah, Harenthri Devy Alagir Taib, Nur Aishah Chinna, Karuthan Yip, Cheng-Har Bhoo-Pathy, Nirmala
author_facet	Kong, Yek-Ching Danaee, Mahmoud Kaur, Ranjit Thiagarajan, Muthukkumaran Zaharah, Hafizah Sener, Mustafa Rajah, Harenthri Devy Alagir Taib, Nur Aishah Chinna, Karuthan Yip, Cheng-Har Bhoo-Pathy, Nirmala
author_sort	Kong, Yek-Ching
title	Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC)
title_short	Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC)
title_full	Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC)
title_fullStr	Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC)
title_full_unstemmed	Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC)
title_sort	development and validation of a dual-language (english and malay) needs assessment tool for breast cancer (neat-bc)
publisher	MDPI
publishDate	2023
url	http://eprints.um.edu.my/39024/
_version_	1781704510024974336
score	13.211869

Development and validation of a dual-language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC)

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