Salud Mental

Validation and Adaptation of the Spanish Version of Cancer Survivors’ Unmet Needs survey (CaSUN-MX) for Use in the Mexican Adult Oncology Population

##plugins.themes.bootstrap3.article.main##

Regina Mazatán Orozco
Cecilia Torres Alegre
Omar Zayas-Villanueva
Oscar Ulises Reynoso González
Juan-Manuel Fraga-Sastrias
Mariana A. Sierra-Murguía

Abstract

Introduction. Cancer survivorship in Mexico is a research topic that is still in its infancy. No specific studies have been found on the needs of this population, meaning that there are no validated scales in the Mexican population measuring the needs of cancer survivors.


Objective. To validate and adapt the Cancer Survivors’ Unmet Needs survey, Spanish version (CaSUN-Mx) for use in the Mexican adult oncology population.


Method. One hundred and eighty participants answered the questionnaire (CaSUN-S). For the analysis, the study was divided into three phases: content validity, construct validity, and internal consistency analysis.


Results. The final version of the adapted questionnaire (CaSUN-Mx) has 34 items and one open question. It was divided into five factors with a total Cronbach’s Alpha of .95 and a value of over .85, in all the subscales (psychological care, comprehensive and collaborative care, practical and information needs, and those associated with effects.


Discussion and conclusion. The CaSUN-Mx questionnaire has content validity because it has been adequately linguistically and culturally adapted, and construct validity because of its factorial structure, and reliability, making it suitable for use in the Mexican adult oncology population.

Keywords:
Cancer, survival, needs, validity, reliability

References

Aiken, L. R. (1980). Content validity and reliability of single items or questionnaires. Educational and Psychological Measurement, 40(4), 955-959. https://doi.org/10.1177/001316448004000419

American Cancer Society [ACS]. (2021). Comprensión de un diagnóstico de cáncer de seno. Retrieved from https://www.cancer.org/content/dam/CRC/PDF/Public/9020.00.pdf

American Society of Clinical Oncology [ASCO]. (2021). ¿Qué es la sobrevivencia al cáncer? Retrieved from https://www.cancer.net/es/sobrevivencia/que-es-la-sobrevivencia (Date access 17/08/2023)

Arrighi, E., Jovell, A. J., Navarro, M. D., & Font, A. (2014). Desarrollo del cuestionario español para medir necesidades no Cubiertas de Supervivientes de Cáncer (CESC). Psicooncologia, 11(1), 1063-1064. https://doi.org/10.5209/rev_psic.2014.v11.n1.44921

Boyes, A. W., Girgis, A., D’Este, C., & Zucca, A. C. (2012). Prevalence and correlates of cancer survivors’ supportive care needs 6 months after diagnosis: a population-based cross-sectional study. BMC Cancer, 12, 150. Retrieved from http://www.biomedcentral.com/1471-2407/12/150

Doral-Fábregas, F., Rodríguez-Ardura, I., & Meseguer-Artola, A. (2018). Modelos de ecuaciones estructurales en investigaciones de ciencias sociales: experiencia de uso en Facebook. Revista de Ciencias Sociales, XXIV(1), 22-40.

Escobedo-Portillo, M. T., Hernández Gómez, J. A., Estebané Ortega, V., & Martínez Moreno, G. (2016). Modelos de Ecuaciones Estructurales: Características, Fases, Construcción, Aplicación y Resultados. Ciencia yTrabajo, 18(55), 16-22. http://dx.doi.org/10.4067/S0718-24492016000100004

Fang, S.-Y., Cheng, H.-R., & Lin, C.-Y. (2018). Validation of the modified Chinese Cancer Survivor’s Unmet Needs (CaSUN-C) for women with breast cancer. Psycho-Oncology, 27(1), 236-242. https://doi.org/10.1002/pon.4499

García Veiga, M. de los Á. (2011). Análisis causal con ecuaciones estructurales de la satisfacción ciudadana con los servicios municipales. Universidad de Santiago de Compostela.

Hernández-Sampieri, R., Fernández Collado, C., & Baptista Lucio, M. del P. (2014). Metodología de la Investigación (6th Ed.). Ciudad de México: McGraw Hill.

Hodgkinson, K., Butow, P., Hunt, G. E., Pendlebury, S., Hobbs, K. M., Lo, S. K., & Wain, G. (2007). The development and evaluation of a measure to assess cancer survivors’ unmet supportive care needs: TheCaSUN (Cancer Survivors’ Unmet Needs measure). Psycho-Oncology, 16(9), 796-804. https://doi.org/10.1002/pon.1137

Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural Equation Modelling: Guidelines for Determining Model Fit. Electronic Journal of Business Research Methods, 6, 53-60. Retrieved from www.ejbrm.com

Instituto Nacional de Geografía [INEGI]. (2023). Comunicado de prensa núm. 77/23: Estadísticas a propósito del día mundial contra el cáncer. Datos Nacionales. Retrieved from https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2023/EAP_Cancer.pdf

Keeman, M. C., Bolman, C. A. W., Mesters, I., Willems, R. A., Kanera, I. M., & Lechner, L. (2018). Psychometric properties of the Dutch extended Cancer Survivors’ Unmet Needs measure (CaSUN-NL). European Journal of Cancer Care, 27(2), e12807. https://doi.org/10.1111/ecc.12807

Komatsu, H., Yagasaki, K., Sato, Y., Arao, H., Yamamoto, S., & Hayashida, T. (2020). Evaluation of the Japanese Version of the Cancer Survivors’ Unmet Needs Scale. Asia-Pacific Journal of Oncology Nursing, 7(2), 167-173. https://doi.org/10.4103/apjon.apjon_49_19

Körner, M., Bütof, S., Müller, C., Zimmermann, L., Becker, S., & Bengel, J. (2016). Interprofessional teamwork and team interventions in chronic care: A systematic review. Journal of Interprofessional Care, 30(1), 15-28. https://doi.org/10.3109/13561820.2015.1051616

Martínez Arroyo, O., Andreu Vaíllo, Y., Martínez López, P., & Galdón Garrido, M. J. (2019). Emotional distress and unmet supportive care needs in survivors of breast cancer beyond the end of primary treatment. Supportive Care in Cancer, 27(3), 1049-1057. https://doi.org/10.1007/s00520-018-4394-8

Martínez, P., Andreu, Y., & Conchado, A. (2021). Psychometric properties of the Spanish version of the cancer survivors’ unmet needs (CaSUN-S) measure in breast cancer. Psicothema, 33(1), 155-163. https://doi.org/10.7334/psicothema2020.146

Martínez-Arias, M. del R., Hernández Lloreda, M. V., & Hernández Lloreda, M. J. (2014). Tests psicológicos y educativos: conceptos básicos, clasificación y construcción. In Psicometría (pp. 15-24). Madrid: Alianza Editorial.

Miroševič, Š., Selič-Zupančič, P., Prins, J., Homar, V., & Klemenc-Ketiš, Z. (2022). Psychometric properties of the Slovenian version of the Cancer Survivors’ Unmet Needs (CaSUN-SL) measure in post-treatment cancer survivors. BMC Psychology, 10(175). https://doi.org/10.1186/s40359-022-00878-6

Robalino, P., Vailati, P., & Soto, L. (2021). JASP. A Fresh Way to Do Statistics. Retrieved from https://jasp-stats.org/2021/11/22/la-version-en-espanol-de-jasp-ya-esta-en-linea/ (Date access 20/08/2023)

Sánchez, T., Ordóñez, A., Gilar, R., & Castejón, J. L. (2020). Confirmatory factor analysis of the assessment instrument teacher of the Escuela Politécnica National. In Proceedings of the LACCEI international Multi-conference for Engineering, Education and Technology. Latin American and Caribbean Consortium of Engineering Institutions. https://doi.org/10.18687/LACCEI2020.1.1.110

Simard, S., & Savard, J. (2009). Fear of Cancer Recurrence Inventory: Development and initial validation of a multidimensional measure of fear of cancer recurrence. Supportive Care in Cancer, 17(3), 241-251. https://doi.org/10.1007/s00520-008-0444-y

Summart, U., Sangruangake, M., Songthawat, M., Sangchart, B., Teinprasert, S. T., & Srisuwan, P. (2022). Validation of the Modified Thai Cancer Survivor’s Unmet Needs (T-CaSUN) for Cholangiocarcinoma Patients. Asian Pacific Journal of Cancer Prevention, 23(5), 1769-1776. https://doi.org/10.31557/APJCP.2022.23.5.1769

Vallejo, P. M. (2011). El Análisis Factorial en la construcción e interpretación de tests, escalas y cuestionarios.

World Health Organization [WHO]. (2010). Framework for Action on Interprofessional Education & Collaborative Practice. Health Professions Networks Nursing & Midwifery Human Resources for Health. Retrieved from https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice