Abstract
The objective of this study was to test the psychometric properties of the Chinese version of the Supportive Care Needs Survey for Partners and Caregivers (SCNS-P&C-C) among the caregivers of Chinese patients with cancer. The original English version of SCNS-P&C was translated into Chinese using a forward and backward translation approach. The psychometric properties of the SCNS-P&C-C including factor structure, convergent, and discriminative validities and internal consistency were then tested. A convenience sample of 498 caregivers of hospitalized patients with cancer was recruited from oncology units in three tertiary public hospitals in Hefei city, mainland China. Exploratory factor analysis revealed four domains of the SCNS-P&C-C, which resemble the original English version scale. The convergent validity of the SCNS-P&C-C has established with statistically significant correlations between the SCNS-P&C-C and the Chinese version of Kessler Psychological Distress Scale (r = 0.327, P < 0.01). The SCNS-P&C-C has also good internal consistency with Cronbach’s alpha coefficients ranging from 0.79 to 0.89 for the four subscales and 0.94 for the total scale. The Chinese version of the SCNS-P&C was found to be reliable and valid to assess the supportive care needs for partners and caregivers of Chinese patients with cancer. The SCNS-P&C-C can be used to assess and understand the supportive care needs of Chinese caregivers of patients with cancer. Such information will help the healthcare professionals to formulate tailored supportive care services for the caregivers of Chinese patients with cancer.
Similar content being viewed by others
References
Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A (2015) Global cancer statistics, 2012. CA Cancer J Clin 65(2):87–108. https://doi.org/10.3322/caac.21262
Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, Jemal A, Yu XQ, He J (2016) Cancer statistics in China, 2015. CA Cancer J Clin 66:115–132. https://doi.org/10.3322/caac.21338
Chen WC (2015) Cancer statistics: updated cancer burden in China. Chin J Cancer Res 27(1):1
Kim Y, Kashy DA, Spillers RL, Evans TV (2010) Needs assessment of family caregivers of cancer survivors: three cohorts comparison. Psychooncology 19(6):573–582. https://doi.org/10.3978/j.issn.1000-9604
Sklenarova H, Krumpelmann A, Haun MW, Friederich HC, Huber J, Thomas M, Winkler EC, Herzog W, Hartmann M (2015) When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer 121(9):1513–1519. https://doi.org/10.1002/cncr.29223
Deshields TL, Rihanek A, Potter P, Zhang Q, Kuhrik M, Kuhrik N, O’Neill J (2012) Psychosocial aspects of caregiving: perceptions of cancer patients and family caregivers. Support Care Cancer 20(2):349–356. https://doi.org/10.1007/s00520-011-1092-1
Campbell SH, Carey M, Sanson-Fisher R, Barker D, Turner D, Taylor-Brown J, Hall A (2014) Measuring the unmet supportive care needs of cancer support persons: the development of the support Person’s unmet needs survey- short form. Eur J Cancer Care (Engl) 23(2):255–262. https://doi.org/10.1111/ecc.12138
Papastavrou E, Charalambous A, Tsangari H (2012) How do informal caregivers of patients with cancer cope: a descriptive study of the coping strategies employed. Eur J Oncol Nurs 16(3):258–263. https://doi.org/10.1016/j.ejon.2011.06.001
Lkhoyaali S, El Haj MA, El Omrani F, Layachi M, Ismaili N, Mrabti H, Errihani H (2015) The burden among family caregivers of elderly cancer patients: prospective study in a Moroccan population. BMC Res Notes 8(347). https://doi.org/10.1186/s13104-015-1307-5
Santin O, Treanor C, Mills M, Donnelly M (2014) The health status and health service needs of primary caregivers of cancer survivors: a mixed methods approach. Eur J Cancer Care (Engl) 23(3):333–339. https://doi.org/10.1111/ecc.12157
Livingston PM, Osborne RH, Botti M, Mihalopoulos C, McGuigan S, Heckel L, Gunn K, Chirgwin J, Ashley DM, Williams M (2014) Efficacy and cost-effectiveness of an outcall program to reduce carer burden and depression among carers of cancer patients: rationale and design of a randomized controlled trial. BMC Health Serv Res 14(5). https://doi.org/10.1186/1472-6963-14-5
Lambert SD, Harrison JD, Smith E, Bonevski B, Carey M, Lawsin C, Paul C, Girgis A (2012) The unmet needs of partners and caregivers of adults diagnosed with cancer: a systematic review. BMJ Support Palliat Care 2(3):224–230. https://doi.org/10.1136/bmjspcare-2012-000226
Knijnenburg SL, Kremer LC, van den Bos C, Braam KI, Jaspers MW (2010) Health information needs of childhood cancer survivors and their family. Pediatr Blood Cancer 54(1):123–127. https://doi.org/10.1002/pbc.22207
Rumpold T, Schur S, Amering M, Kirchheiner K, Masel EK, Watzke H, Schrank B (2016) Informal caregivers of advanced-stage cancer patients: every second is at risk for psychiatric morbidity. Support Care Cancer 24(5):1975–1982. https://doi.org/10.1007/s00520-015-2987-z
Senden C, Vandecasteele T, Vandenberghe E, Versluys K, Piers R, Grypdonck M, Van Den Noortgate N (2015) The interaction between lived experiences of older patients and their family caregivers confronted with a cancer diagnosis and treatment: a qualitative study. Int J Nurs Stud 52(1):197–206. https://doi.org/10.1016/j.ijnurstu.2014.07.012
Hodgkinson K, Butow P, Hobbs KM, Hunt GE, Lo SK, Wain G (2007) Assessing unmet supportive care needs in partners of cancer survivors: the development and evaluation of the Cancer Survivors’ Partners Unmet Needs measure (CaSPUN). Psychooncology 16(9):805–813. https://doi.org/10.1002/pon.1138
Doubova SV, Aguirre-Hernandez R, Infante-Castaneda C, Martinez-Vega I, Perez-Cuevas R (2015) Needs of caregivers of cancer patients: validation of the Mexican version of the Support Person Unmet Needs Survey (SPUNS-SFM). Support Care Cancer 23(10):2925–2935. https://doi.org/10.1007/s00520-015-2658-0
Dall’Armi L, Simpson GK, Forstner D, Simpson T, Roydhouse JK, White KJ (2013) The information needs of patients with head and neck cancer and their caregivers: a short report of instrument development and testing. Appl Nurs Res 26(1):40–44. https://doi.org/10.1016/j.apnr.2012.08.001
Patterson P, McDonald FE, Butow P, White KJ, Costa DS, Millar B, Bell ML, Wakefield CE, Cohn RJ (2014) Psychometric evaluation of the Sibling Cancer Needs Instrument (SCNI): an instrument to assess the psychosocial unmet needs of young people who are siblings of cancer patients. Support Care Cancer 22(3):653–665. https://doi.org/10.1007/s00520-013-2020-3
Shin DW, Park JH, Shim EJ, Park JH, Choi JY, Kim SG, Park EC (2011) The development of a comprehensive needs assessment tool for cancer-caregivers in patient-caregiver dyads. Psychooncology 20(12):1342–1352. https://doi.org/10.1002/pon.1857
Hileman JW, Lackey NR, Hassanein RS (1992) Identifying the needs of home caregivers of patients with cancer. Oncol Nurs Forum 19(5):771–777
Longman AJ, Atwood JR, Sherman JB, Benedict J, Shang TC (1992) Care needs of home-based cancer patients and their caregivers. Quantitative findings. Cancer Nurs 15(3):182–190. https://doi.org/10.1097/00002820-199206000-00004
Harrington V, Lackey NR, Gates MF (1996) Needs of caregivers of clinic and hospice cancer patients. Cancer Nurs 19(2):118–125
Buck HG, McMillan SC (2012) A psychometric analysis of the spiritual needs inventory in informal caregivers of patients with cancer in hospice home care. Oncol Nurs Forum 39(4):E332–E339. https://doi.org/10.1188/12.ONF.E332-E339
Girgis A, Lambert S, Lecathelinais C (2011) The supportive care needs survey for partners and caregivers of cancer survivors: development and psychometric evaluation. Psychooncology 20(4):387–393. https://doi.org/10.1002/pon.1740
Mitchell GK, Girgis A, Jiwa M, Sibbritt D, Burridge LH, Senior HE (2013) Providing general practice needs-based care for carers of people with advanced cancer: a randomised controlled trial. Br J Gen Pract 63(615):e683–e690. https://doi.org/10.3399/bjgp13X673694
Lambert SD, Girgis A, Lecathelinais C, Stacey F (2013) Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis. Support Care Cancer 21(1):75–85. https://doi.org/10.1007/s00520-012-1495-7
Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 25(24):3186–3191. https://doi.org/10.1097/00007632-200012150-00014
Lam SC, Yeung CCY, Chan JHM, Lam DWC, Lam AHY, Annesi-Maesano I, Bousquet J (2017) Adaptation of the score for allergic rhinitis in the Chinese population: psychometric properties and diagnostic accuracy. Int Arch Allergy Immunol 173(4):213–224. https://doi.org/10.1159/000477727
Yekaninejad MS, Pakpour AH, Tadakamadla J, Kumar S, Mosavi SH, Fridlund B, Bottomley A, Aaronson NK (2015) Oral-health-related quality of life in patients with cancer: cultural adaptation and the psychometric testing of the Persian version of EORTC QLQ-OH17. Support Care Cancer 23(5):1215–1224. https://doi.org/10.1007/s00520-014-2468-9
Sklenarova H, Haun MW, Krumpelmann A, Friederich HC, Huber J, Thomas M, Winkler EC, Girgis A, Dinkel A, Herzog W, Hartmann M (2015) Psychometric evaluation of the German version of the Supportive Care Needs Survey for Partners and Caregivers (SCNS-P&C-G) of cancer patients. Eur J Cancer Care (Engl) 24(6):884–897. https://doi.org/10.1111/ecc.12325
Schofield P, Gough K, Lotfi-Jam K, Aranda S (2012) Validation of the Supportive Care Needs Survey-short form 34 with a simplified response format in men with prostate cancer. Psychooncology 21(10):1107–1112. https://doi.org/10.1002/pon.2016
Guerra F, Mannocci A, Colamesta V, De Luca G, Fiore M, Firenze A, Ferrara M, Langiano E, De Vito E, Bonaccorsi G, La Torre G (2017) Reliability of adapted version of Italian label tobacco Impact Index for the adolescent: ALII. Clin Ter 168(4):e258–e261. https://doi.org/10.7417/T.2017.2016
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60(1):34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012
Lyu QY, Kong SK, Wong FK, You LM (2015) Validation of Hospitalization Impact Scale among families with children hospitalized for cancer treatment. J Adv Nurs 71(8):1958–1969. https://doi.org/10.1111/jan.12670
Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32:959–976. https://doi.org/10.1017/S0033291702006074
Zhou CC, Chu J, Wang T, Peng QQ, He JJ, Zheng WG, Liu DM, Wang XZ, Ma HF, Xu LZ (2008) Reliability and validity of 10-item Kessler Scale (K10) Chinese version in evaluation of mental status of Chinese population. Chin J Clin Psych (China) 16(6):627–629
Polit DF, Beck CT, Owen SV (2007) Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 30(4):459–467. https://doi.org/10.1002/nur.20199
Acknowledgements
The authors thank Professor Afaf Girgis for offering an English version of the SCNS-P&C and giving lots of beneficial suggestions. Thanks to Associate Professor Wei Pang and the doctor Shi Rui for providing the translated versions of the SCNS-P&C. We thank all the cancer caregivers for their participation.
Funding Source
This study was funded by the project grants from the National Natural Science Foundation of China (approval numbers 81573017, 81101750) and the Anhui Provincial Key Natural Science Project funding (approval number KJ2015A083).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics approval was granted from the hospital Ethics Committee of the Anhui Medical University (approval no. 20150328) and permission to conduct the study was also obtained from the directors of each study site. All participants were informed the aim and procedure of the study, and they were assured that they have the right to choose participating or withdrawing from the study at any time without being penalized. The confidentiality of their data was also assured
Conflict of Interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Jing-jing Liu, Qun-hui Liu, Hong-ye He, and Tian Zhang are co-first authors and contribute equally to this work.
Rights and permissions
About this article
Cite this article
Liu, Jj., Liu, Qh., He, Hy. et al. Psychometric Testing of the Chinese Version of Supportive Care Needs Survey for Partners and Caregivers of Cancer Patients. J Canc Educ 35, 76–85 (2020). https://doi.org/10.1007/s13187-018-1442-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-018-1442-5