Scale Validation of the Mandarin-Language Supportive Care Needs Survey-Adolescent Form

Wei-Wen Wu; Chia-Chun Tang; Shiann-Tang Jou; Giun-Yi Hung

doi:10.1016/j.soncn.2023.151442

Scale Validation of the Mandarin-Language Supportive Care Needs Survey-Adolescent Form

Semin Oncol Nurs. 2023 Aug;39(4):151442. doi: 10.1016/j.soncn.2023.151442. Epub 2023 May 10.

Authors

Wei-Wen Wu¹, Chia-Chun Tang², Shiann-Tang Jou³, Giun-Yi Hung⁴

Affiliations

¹ School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan. Electronic address: weiwen@ntu.edu.tw.
² School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
³ Department of Pediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan; Department of Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
⁴ Division of Pediatric Hematology and Oncology, Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.

PMID: 37173234
DOI: 10.1016/j.soncn.2023.151442

Abstract

Objectives: To (1) modify the Mandarin-language 34-item Supportive Care Needs Survey-Adult Form into the Adolescent Form and (2) examine the psychometric properties of the Adolescent Form.

Data sources: A multiphase, iterative scale validation process was used in this methodological study. Participants who were 13 to 18 years old and receiving cancer treatment in inpatient or outpatient settings, or receiving follow-up care in outpatient settings, were recruited using a convenience sampling method. Confirmatory factor analysis demonstrated good fitness of indices, and all factor loadings for the 18-item Adolescent Form were >0.50, which supported the scale's construct validity. The Adolescent Form score was significantly correlated with the symptom distress score (r = 0.56, P < .01) and quality of life score (r = -0.65, P < .01), which indicated the scale's convergent validity. The correlated item-total correlations (0.30-0.78), Cronbach's alpha (.93), and test-retest reliability coefficient (0.79) confirmed the scale's stability.

Conclusion: This study successfully modified the 34-item Adult Form into the 18-item Adolescent Form. Given its adequate psychometric properties, this concise scale has great promise as a useful, feasible, and age-appropriate tool for evaluating care needs among adolescents with cancer who speak Mandarin.

Implications for nursing practice: This scale can screen for unmet care needs in busy pediatric oncology settings or large-scale clinical trials. It allows for cross-sectional comparison of unmet care needs between adolescent and adult populations and for longitudinal follow-up into how unmet care needs change from adolescence into adulthood.

Keywords: Adolescents; Care need; Nursing care; Oncologic care; Scale development.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adult
Child
Cross-Sectional Studies
Humans
Language*
Quality of Life*
Reproducibility of Results
Surveys and Questionnaires