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Gepubliceerd in: Quality of Life Research 8/2009

01-10-2009

Using cognitive interviews to evaluate items for measuring sexual functioning across cancer populations: improvements and remaining challenges

Auteurs: Alice K. Fortune-Greeley, Kathryn E. Flynn, Diana D. Jeffery, Megan S. Williams, Francis J. Keefe, Bryce B. Reeve, Gordon B. Willis, Kevin P. Weinfurt

Gepubliceerd in: Quality of Life Research | Uitgave 8/2009

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Abstract

Purpose

One goal of the Patient-Reported Outcomes Measurement Information System™ (PROMIS™) is to develop a measure of sexual functioning that broadens the definition of sexual activity and incorporates items that reflect constructs identified as important by patients with cancer. We describe how cognitive interviews improved the quality of the items and discuss remaining challenges to assessing sexual functioning in research with cancer populations.

Methods

We conducted 39 cognitive interviews of patients with cancer and survivors on the topic of sexual experience. Each of the 83 candidate items was seen by 5–24 participants. Participants included both men and women and varied by cancer type, treatment trajectory, race, and literacy level. Significantly revised items were retested in subsequent interviews.

Results

Cognitive interviews provided useful feedback about the relevance, sensitivity, appropriateness, and clarity of the items. Participants identified broad terms (e.g., “sex life”) to assess sexual experience and exposed the challenges of measuring sexual functioning consistently, considering both adjusted and unadjusted sexual experiences.

Conclusions

Cognitive interviews were critical for item refinement in the development of the PROMIS measure of sexual function. Efforts are underway to validate the measure in larger cancer populations.
Literatuur
2.
go back to reference Committee on Cancer Survivorship. (2006). Improving care and quality of life, institute of medicine. Washington, DC: National Academies Press. Committee on Cancer Survivorship. (2006). Improving care and quality of life, institute of medicine. Washington, DC: National Academies Press.
3.
go back to reference Bober, S. L., & Park, E. R. (2008). Let’s talk about sex and cancer. Boston Globe, A11. Bober, S. L., & Park, E. R. (2008). Let’s talk about sex and cancer. Boston Globe, A11.
4.
go back to reference Schover, L. R. (2005). Sexuality and fertility after cancer. Hematology (American Society of Hematology Education Program, 52, 3–527. Schover, L. R. (2005). Sexuality and fertility after cancer. Hematology (American Society of Hematology Education Program, 52, 3–527.
5.
go back to reference Krebs, L. U. (2008). Sexual assessment in cancer care: Concepts, methods, and strategies for success. Seminars in Oncology Nursing, 24(2), 80–90. PubMedCrossRef Krebs, L. U. (2008). Sexual assessment in cancer care: Concepts, methods, and strategies for success. Seminars in Oncology Nursing, 24(2), 80–90. PubMedCrossRef
7.
go back to reference Hordern, A., & Street, A. (2007). Communicating about patient sexuality and intimacy after cancer: Mismatched expectations and unmet needs. Medical Journal of Australia, 186(5), 224–227. PubMed Hordern, A., & Street, A. (2007). Communicating about patient sexuality and intimacy after cancer: Mismatched expectations and unmet needs. Medical Journal of Australia, 186(5), 224–227. PubMed
8.
go back to reference Jeffery, D. D., Tzeng, J. P., Keefe, F. J., Porter, L. S., Hahn, E. A., Flynn, K. E., et al. (2009). Initial report of the cancer patient-reported outcomes measurement information system (PROMIS) sexual function committee: Review of sexual function measures and domains used in oncology. Cancer, 115(6), 1142–1153. PubMedCrossRef Jeffery, D. D., Tzeng, J. P., Keefe, F. J., Porter, L. S., Hahn, E. A., Flynn, K. E., et al. (2009). Initial report of the cancer patient-reported outcomes measurement information system (PROMIS) sexual function committee: Review of sexual function measures and domains used in oncology. Cancer, 115(6), 1142–1153. PubMedCrossRef
9.
go back to reference Arrington, R., CoFrancesco, J., & Wu, A. W. (2004). Questionnaires to measure sexual quality of life. Quality of Life Research, 13(10), 1643–1658. PubMedCrossRef Arrington, R., CoFrancesco, J., & Wu, A. W. (2004). Questionnaires to measure sexual quality of life. Quality of Life Research, 13(10), 1643–1658. PubMedCrossRef
10.
go back to reference Reeve, B. B., Hays, R. D., Bjorner, J. B., Cook, K. F., Crane, P. K., Teresi, J. A., et al. (2007). Psychometric evaluation and calibration of health-related quality of life item banks: Plans for the patient-reported outcomes measurement information system (PROMIS). Medical Care, 45(5 Suppl 1), S22–S31. Reeve, B. B., Hays, R. D., Bjorner, J. B., Cook, K. F., Crane, P. K., Teresi, J. A., et al. (2007). Psychometric evaluation and calibration of health-related quality of life item banks: Plans for the patient-reported outcomes measurement information system (PROMIS). Medical Care, 45(5 Suppl 1), S22–S31.
11.
go back to reference Garcia, S. F., Cella, D., Clauser, S. B., Flynn, K. E., Lad, T., Lai, J. S., et al. (2007). Standardizing patient-reported outcomes assessment in cancer clinical trials: A patient-reported outcomes measurement information system initiative. Journal of Clinical Oncology, 25(32), 5106–5112. PubMedCrossRef Garcia, S. F., Cella, D., Clauser, S. B., Flynn, K. E., Lad, T., Lai, J. S., et al. (2007). Standardizing patient-reported outcomes assessment in cancer clinical trials: A patient-reported outcomes measurement information system initiative. Journal of Clinical Oncology, 25(32), 5106–5112. PubMedCrossRef
12.
go back to reference DeWalt, D. A., Rothrock, N., Yount, S., Stone, A. A., & PROMIS Cooperative Group. (2007). Evaluation of item candidates: The Promis qualitative item review. Medical Care, 45(5), S12–S21. PubMedCrossRef DeWalt, D. A., Rothrock, N., Yount, S., Stone, A. A., & PROMIS Cooperative Group. (2007). Evaluation of item candidates: The Promis qualitative item review. Medical Care, 45(5), S12–S21. PubMedCrossRef
13.
go back to reference Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Toronto, NY: Bantam. Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Toronto, NY: Bantam.
14.
go back to reference Flynn, K. E., Tzeng, J., Jeffery, D. D., Reeve, B. B., Weinfurt, K. P., & The PROMIS Sexual Function Domain Subcommittee. (2007). Conceptualizations of sexual functioning and intimacy among cancer sufferers and survivors. Psychooncology, 16(S2), S135–S136. Flynn, K. E., Tzeng, J., Jeffery, D. D., Reeve, B. B., Weinfurt, K. P., & The PROMIS Sexual Function Domain Subcommittee. (2007). Conceptualizations of sexual functioning and intimacy among cancer sufferers and survivors. Psychooncology, 16(S2), S135–S136.
15.
go back to reference Forsyth, B. H., & Lessler, J. T. (1991). Cognitive laboratory methods: A taxonomy. In P. P. Biemer, L. E. Lyberg, N. A. Mathiowetz, & S. Sudman (Eds.), Measurement errors in surveys (pp. 393–418). New York: Wiley. Forsyth, B. H., & Lessler, J. T. (1991). Cognitive laboratory methods: A taxonomy. In P. P. Biemer, L. E. Lyberg, N. A. Mathiowetz, & S. Sudman (Eds.), Measurement errors in surveys (pp. 393–418). New York: Wiley.
16.
go back to reference Willis, G. B. (2005). Cognitive interviewing. Thousand Oaks, CA: Sage. Willis, G. B. (2005). Cognitive interviewing. Thousand Oaks, CA: Sage.
17.
go back to reference McColl, E., Meadows, K., & Barofsky, I. (2003). Cognitive aspects of survey methodology and quality of life assessment. Quality of Life Research, 12(3), 217–218. PubMedCrossRef McColl, E., Meadows, K., & Barofsky, I. (2003). Cognitive aspects of survey methodology and quality of life assessment. Quality of Life Research, 12(3), 217–218. PubMedCrossRef
18.
go back to reference Willis, G. B., Reeve, B. B., & Barofsky, I. (2005). The use of cognitive interviewing techniques in quality of life and patient-reported outcomes assessment. In J. Lipscomb, C. C. Gotay, & C. Snyder (Eds.), Outcomes assessment in cancer: Measures, methods, and applications (pp. 610–623). New York: Cambridge University Press. Willis, G. B., Reeve, B. B., & Barofsky, I. (2005). The use of cognitive interviewing techniques in quality of life and patient-reported outcomes assessment. In J. Lipscomb, C. C. Gotay, & C. Snyder (Eds.), Outcomes assessment in cancer: Measures, methods, and applications (pp. 610–623). New York: Cambridge University Press.
19.
go back to reference Broderick, J. E., Schwartz, J. E., Vikingstad, G., Pribbernow, M., Grossman, S., & Stone, A. A. (2008). The accuracy of pain and fatigue items across different reporting periods. Pain, 139(1), 146–157. PubMedCrossRef Broderick, J. E., Schwartz, J. E., Vikingstad, G., Pribbernow, M., Grossman, S., & Stone, A. A. (2008). The accuracy of pain and fatigue items across different reporting periods. Pain, 139(1), 146–157. PubMedCrossRef
20.
go back to reference Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997). The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49(6), 822–830. PubMedCrossRef Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997). The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49(6), 822–830. PubMedCrossRef
21.
go back to reference Litwin, M. S., Hays, R. D., Fink, A., Ganz, P. A., Leake, B., & Brook, R. H. (1998). The UCLA prostate cancer index: Development, reliability, and validity of a health-related quality of life measure. Medical Care, 36(7), 1002–1012. PubMedCrossRef Litwin, M. S., Hays, R. D., Fink, A., Ganz, P. A., Leake, B., & Brook, R. H. (1998). The UCLA prostate cancer index: Development, reliability, and validity of a health-related quality of life measure. Medical Care, 36(7), 1002–1012. PubMedCrossRef
Metagegevens
Titel
Using cognitive interviews to evaluate items for measuring sexual functioning across cancer populations: improvements and remaining challenges
Auteurs
Alice K. Fortune-Greeley
Kathryn E. Flynn
Diana D. Jeffery
Megan S. Williams
Francis J. Keefe
Bryce B. Reeve
Gordon B. Willis
Kevin P. Weinfurt
Publicatiedatum
01-10-2009
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 8/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9523-x