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Gepubliceerd in: Quality of Life Research 12/2023

26-06-2023

Development and initial psychometric evaluation of a COVID-related psychosocial experiences questionnaire for cancer survivors

Auteurs: Estefany Saez-Clarke, Amy K. Otto, Sarah Prinsloo, Akina Natori, Richard W. Wagner, Telma I. Gomez, Jewel M. Ochoa, Shelley S. Tworoger, Cornelia M. Ulrich, Cassandra A. Hathaway, Anita R. Peoples, Michael H. Antoni, Julienne E. Bower, Lorenzo Cohen, Frank J. Penedo

Gepubliceerd in: Quality of Life Research | Uitgave 12/2023

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Abstract

Background

Cancer survivors are at elevated risk of psychological problems related to COVID-19, yet no published measure adequately assesses their psychosocial experiences during the pandemic.

Purpose

Describe the development and factor structure of a comprehensive, self-report measure (COVID-19 Practical and Psychosocial Experiences questionnaire [COVID-PPE]) assessing the pandemic’s impact on US cancer survivors.

Methods

The sample (n = 10,584) was divided into three groups to assess COVID-PPE factor structure by conducting: (1) initial calibration/exploratory analysis of the factor structure of 37 items (n = 5070), (2) confirmatory factor analysis of the best-fitting model (36 items after item removal; n = 5140), and (3) post-hoc confirmatory analysis with an additional six items not collected in the first two groups (42 items; n = 374).

Results

The final COVID-PPE was divided into two sets of subscales, conceptualized as Risk Factors and Protective Factors. The five Risk Factors subscales were labeled Anxiety Symptoms, Depression Symptoms, Health Care Disruptions, Disruptions to Daily Activities and Social Interactions, and Financial Hardship. The four Protective Factors subscales were labeled Perceived Benefits, Provider Satisfaction, Perceived Stress Management Skills, and Social Support. Internal consistency was acceptable for seven subscales (αs = 0.726–0.895; ωs = 0.802–0.895) but poor or questionable for the remaining two subscales (αs = 0.599–0.681; ωs = 0.586–0.692).

Conclusions

To our knowledge, this is the first published self-report measure comprehensively capturing psychosocial impact—both positive and negative—of the pandemic on cancer survivors. Future work should evaluate predictive utility of COVID-PPE subscales, particularly as the pandemic evolves, which may inform recommendations for cancer survivors and facilitate identification of survivors most in need of intervention.
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Literatuur
6.
11.
go back to reference Reed, S. C., Bell, J. F., Miglioretti, D. L., Nekhlyudov, L., Fairman, N., & Joseph, J. G. (2020). Fear of cancer recurrence and associations with mental health status and individual characteristics among cancer survivors: Findings from a nationally representative sample. Journal of Psychosocial Oncology, 38(2), 125–142. https://doi.org/10.1080/07347332.2019.1649338CrossRefPubMed Reed, S. C., Bell, J. F., Miglioretti, D. L., Nekhlyudov, L., Fairman, N., & Joseph, J. G. (2020). Fear of cancer recurrence and associations with mental health status and individual characteristics among cancer survivors: Findings from a nationally representative sample. Journal of Psychosocial Oncology, 38(2), 125–142. https://​doi.​org/​10.​1080/​07347332.​2019.​1649338CrossRefPubMed
35.
go back to reference Kira, I. A., Shuwiekh, H. A. M., Rice, K. G., Ashby, J. S., Elwakeel, S. A., Sous, M. S. F., Alhuwailah, A., Baali, S. B. A., Azdaou, C., Oliemat, E. M., & Jamil, H. J. (2021). Measuring COVID-19 as traumatic stress: Initial psychometrics and validation. Journal of Loss and Trauma, 26(3), 220–237. https://doi.org/10.1080/15325024.2020.1790160CrossRef Kira, I. A., Shuwiekh, H. A. M., Rice, K. G., Ashby, J. S., Elwakeel, S. A., Sous, M. S. F., Alhuwailah, A., Baali, S. B. A., Azdaou, C., Oliemat, E. M., & Jamil, H. J. (2021). Measuring COVID-19 as traumatic stress: Initial psychometrics and validation. Journal of Loss and Trauma, 26(3), 220–237. https://​doi.​org/​10.​1080/​15325024.​2020.​1790160CrossRef
36.
go back to reference Mira, J. J., Cobos, A., Martínez García, O., Bueno Domínguez, M. J., Astier-Peña, M. P., Pérez Pérez, P., Carrillo, I., Guilabert, M., Perez-Jover, V., Fernandez, C., Vicente, M. A., Lahera-Martin, M., Silvestre Busto, C., Lorenzo Martínez, S., Sanchez Martinez, A., Martin-Delgado, J., Mula, A., Marco-Gomez, B., Abad Bouzan, C., … Aranaz-Andres, J. (2021). An acute stress scale for health care professionals caring for patients with COVID-19: Validation study. JMIR Formative Research, 5(3), e27107. https://doi.org/10.2196/27107CrossRefPubMedPubMedCentral Mira, J. J., Cobos, A., Martínez García, O., Bueno Domínguez, M. J., Astier-Peña, M. P., Pérez Pérez, P., Carrillo, I., Guilabert, M., Perez-Jover, V., Fernandez, C., Vicente, M. A., Lahera-Martin, M., Silvestre Busto, C., Lorenzo Martínez, S., Sanchez Martinez, A., Martin-Delgado, J., Mula, A., Marco-Gomez, B., Abad Bouzan, C., … Aranaz-Andres, J. (2021). An acute stress scale for health care professionals caring for patients with COVID-19: Validation study. JMIR Formative Research, 5(3), e27107. https://​doi.​org/​10.​2196/​27107CrossRefPubMedPubMedCentral
40.
go back to reference Kuderer, N. M., Choueiri, T. K., Shah, D. P., Shyr, Y., Rubinstein, S. M., Rivera, D. R., Shete, S., Hsu, C.-Y., Desai, A., de Lima Lopes, G., Grivas, P., Painter, C. A., Peters, S., Thompson, M. A., Bakouny, Z., Batist, G., Bekaii-Saab, T., Bilen, M. A., & Bouganim, N. (2020). Clinical impact of COVID-19 on patients with cancer (CCC19): A cohort study. The Lancet, 395(10241), 1907–1918. https://doi.org/10.1016/S0140-6736(20)31187-9CrossRef Kuderer, N. M., Choueiri, T. K., Shah, D. P., Shyr, Y., Rubinstein, S. M., Rivera, D. R., Shete, S., Hsu, C.-Y., Desai, A., de Lima Lopes, G., Grivas, P., Painter, C. A., Peters, S., Thompson, M. A., Bakouny, Z., Batist, G., Bekaii-Saab, T., Bilen, M. A., & Bouganim, N. (2020). Clinical impact of COVID-19 on patients with cancer (CCC19): A cohort study. The Lancet, 395(10241), 1907–1918. https://​doi.​org/​10.​1016/​S0140-6736(20)31187-9CrossRef
41.
go back to reference Williamson, E. J., Walker, A. J., Bhaskaran, K., Bacon, S., Bates, C., Morton, C. E., Curtis, H. J., Mehrkar, A., Evans, D., Inglesby, P., Cockburn, J., McDonald, H. I., MacKenna, B., Tomlinson, L., Douglas, I. J., Rentsch, C. T., Mathur, R., Wong, A. Y. S., & Grieve, R. (2020). Factors associated with COVID-19-related death using OpenSAFELY. Nature, 584(7821), 430–436. https://doi.org/10.1038/s41586-020-2521-4CrossRefPubMedPubMedCentral Williamson, E. J., Walker, A. J., Bhaskaran, K., Bacon, S., Bates, C., Morton, C. E., Curtis, H. J., Mehrkar, A., Evans, D., Inglesby, P., Cockburn, J., McDonald, H. I., MacKenna, B., Tomlinson, L., Douglas, I. J., Rentsch, C. T., Mathur, R., Wong, A. Y. S., & Grieve, R. (2020). Factors associated with COVID-19-related death using OpenSAFELY. Nature, 584(7821), 430–436. https://​doi.​org/​10.​1038/​s41586-020-2521-4CrossRefPubMedPubMedCentral
46.
go back to reference Pollari, C. D., Brite, J., Brackbill, R. M., Gargano, L. M., Adams, S. W., Russo-Netzer, P., Davidov, J., Banyard, V., & Cone, J. E. (2020). World trade center exposure and posttraumatic growth: Assessing positive psychological change 15 years after 9/11. International Journal of Environmental Research and Public Health, 18(1), 104. https://doi.org/10.3390/ijerph18010104CrossRefPubMedPubMedCentral Pollari, C. D., Brite, J., Brackbill, R. M., Gargano, L. M., Adams, S. W., Russo-Netzer, P., Davidov, J., Banyard, V., & Cone, J. E. (2020). World trade center exposure and posttraumatic growth: Assessing positive psychological change 15 years after 9/11. International Journal of Environmental Research and Public Health, 18(1), 104. https://​doi.​org/​10.​3390/​ijerph18010104CrossRefPubMedPubMedCentral
47.
go back to reference R Studio Team. (2022). Rstudio: Integrated development for r. In RStudio, Inc. R Studio Team. (2022). Rstudio: Integrated development for r. In RStudio, Inc.
56.
go back to reference Little, R. J. A., & Rubin, D. B. (2002). Statistical analysis with missing data (2nd ed.). Wiley.CrossRef Little, R. J. A., & Rubin, D. B. (2002). Statistical analysis with missing data (2nd ed.). Wiley.CrossRef
59.
go back to reference Watkins, M. W. (2021). A step-by-step guide to exploratory factor analysis with R and Rstudio. Routledge.CrossRef Watkins, M. W. (2021). A step-by-step guide to exploratory factor analysis with R and Rstudio. Routledge.CrossRef
61.
go back to reference Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2019). Using multivariate statistics (7th ed.). Pearson. Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2019). Using multivariate statistics (7th ed.). Pearson.
63.
go back to reference Van Buuren, S., & Groothuis-Oudshoorn, K. (2011). Mice: Multivariate Imputation by Chained Equations in R. Journal of Statistical Software, 45(3), 1–67.CrossRef Van Buuren, S., & Groothuis-Oudshoorn, K. (2011). Mice: Multivariate Imputation by Chained Equations in R. Journal of Statistical Software, 45(3), 1–67.CrossRef
64.
go back to reference Van Buuren, S. (2018). Flexible imputation of missing data (2nd ed.). Chapman & Hall/CRC.CrossRef Van Buuren, S. (2018). Flexible imputation of missing data (2nd ed.). Chapman & Hall/CRC.CrossRef
65.
go back to reference Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. Wiley.CrossRef Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. Wiley.CrossRef
68.
go back to reference Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). The Guilford Press. Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). The Guilford Press.
70.
go back to reference Finney, S. J., & DiStefano, C. (2013). Nonnormal and categorical data in structural equation modeling. Structural equation modeling: A second course (2nd ed., pp. 439–492). IAP Information Age Publishing. Finney, S. J., & DiStefano, C. (2013). Nonnormal and categorical data in structural equation modeling. Structural equation modeling: A second course (2nd ed., pp. 439–492). IAP Information Age Publishing.
74.
go back to reference Velicer, W. F., Eaton, C. A., & Fava, J. L. (2000). Construct explication through factor or component analysis: A review and evaluation of alternative procedures for determining the number of factors or components. In V. Shal (Ed.), Problems and solutions in human assessment: Honoring Douglas N. Jackson at seventy (pp. 41–71). Kluwer Academic. https://doi.org/10.1007/978-1-4615-4397-8_3CrossRef Velicer, W. F., Eaton, C. A., & Fava, J. L. (2000). Construct explication through factor or component analysis: A review and evaluation of alternative procedures for determining the number of factors or components. In V. Shal (Ed.), Problems and solutions in human assessment: Honoring Douglas N. Jackson at seventy (pp. 41–71). Kluwer Academic. https://​doi.​org/​10.​1007/​978-1-4615-4397-8_​3CrossRef
77.
go back to reference Morin, A. J. S., Myers, N. D., & Lee, S. (2020). Modern factor analytic techniques. In G. Tenenbaum & R. C. Eklund (Eds.), Handbook of sport psychology (4th ed., pp. 1044–1073). Wiley.CrossRef Morin, A. J. S., Myers, N. D., & Lee, S. (2020). Modern factor analytic techniques. In G. Tenenbaum & R. C. Eklund (Eds.), Handbook of sport psychology (4th ed., pp. 1044–1073). Wiley.CrossRef
78.
go back to reference Norman, G. R., & Streiner, D. L. (2014). Biostatistics: The bare essentials (4th ed.). People’s Medical Publishing House-USA. Norman, G. R., & Streiner, D. L. (2014). Biostatistics: The bare essentials (4th ed.). People’s Medical Publishing House-USA.
80.
go back to reference Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). The Guilford Press. Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). The Guilford Press.
83.
go back to reference Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., Bouter, L. M., & de Vet, H. C. (2010). The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. Journal of Clinical Epidemiology, 63(7), 737–745. https://doi.org/10.1016/j.jclinepi.2010.02.006CrossRefPubMed Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., Bouter, L. M., & de Vet, H. C. (2010). The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. Journal of Clinical Epidemiology, 63(7), 737–745. https://​doi.​org/​10.​1016/​j.​jclinepi.​2010.​02.​006CrossRefPubMed
84.
93.
go back to reference Lee, K. A., Ma, W., Sikavi, D. R., Drew, D. A., Nguyen, L. H., Bowyer, R. C. E., Cardoso, M. J., Fall, T., Freidin, M. B., Gomez, M., Graham, M., Guo, C.-G., Joshi, A. D., Kwon, S., Lo, C.-H., Lochlainn, M. N., Menni, C., Murray, B., & Mehta, R. (2021). Cancer and risk of COVID-19 through a general community survey. The Oncologist, 26(1), e182–e185. https://doi.org/10.1634/theoncologist.2020-0572CrossRefPubMed Lee, K. A., Ma, W., Sikavi, D. R., Drew, D. A., Nguyen, L. H., Bowyer, R. C. E., Cardoso, M. J., Fall, T., Freidin, M. B., Gomez, M., Graham, M., Guo, C.-G., Joshi, A. D., Kwon, S., Lo, C.-H., Lochlainn, M. N., Menni, C., Murray, B., & Mehta, R. (2021). Cancer and risk of COVID-19 through a general community survey. The Oncologist, 26(1), e182–e185. https://​doi.​org/​10.​1634/​theoncologist.​2020-0572CrossRefPubMed
94.
go back to reference Puricelli Perin, D. M., Elfström, K. M., Bulliard, J.-L., Burón, A., Campbell, C., Flugelman, A. A., Giordano, L., Kamineni, A., Ponti, A., Rabeneck, L., Saraiya, M., Smith, R. A., & Broeders, M. J. M. (2021). Early assessment of the first wave of the COVID-19 pandemic on cancer screening services: The international cancer screening network COVID-19 survey. Preventive Medicine, 151, 106642. https://doi.org/10.1016/j.ypmed.2021.106642CrossRefPubMedPubMedCentral Puricelli Perin, D. M., Elfström, K. M., Bulliard, J.-L., Burón, A., Campbell, C., Flugelman, A. A., Giordano, L., Kamineni, A., Ponti, A., Rabeneck, L., Saraiya, M., Smith, R. A., & Broeders, M. J. M. (2021). Early assessment of the first wave of the COVID-19 pandemic on cancer screening services: The international cancer screening network COVID-19 survey. Preventive Medicine, 151, 106642. https://​doi.​org/​10.​1016/​j.​ypmed.​2021.​106642CrossRefPubMedPubMedCentral
Metagegevens
Titel
Development and initial psychometric evaluation of a COVID-related psychosocial experiences questionnaire for cancer survivors
Auteurs
Estefany Saez-Clarke
Amy K. Otto
Sarah Prinsloo
Akina Natori
Richard W. Wagner
Telma I. Gomez
Jewel M. Ochoa
Shelley S. Tworoger
Cornelia M. Ulrich
Cassandra A. Hathaway
Anita R. Peoples
Michael H. Antoni
Julienne E. Bower
Lorenzo Cohen
Frank J. Penedo
Publicatiedatum
26-06-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 12/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03456-4

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