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

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

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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.

Item Type: Article
Funders: None
Uncontrolled Keywords: Needs assessment; Breast cancer; Questionnaire; Development; Validation; Asia
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Social & Preventive Medicine
Faculty of Medicine > Surgery Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 17 Oct 2023 03:05
Last Modified: 24 Oct 2023 04:19

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