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Development and validation of the smart management strategy for health assessment tool-short form (SAT-SF) in cancer survivors

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Abstract

Purpose

The aim of this study was to develop and validate a short form (SF) of the Smart Management Strategy for Health Assessment Tool (SAT) for cancer patients.

Methods

Data for item reduction were derived from cancer patient data (n = 300) previously used to develop the original SAT. We used regression methods to select and score the new SAT-SF. To assess the instrument’s reliability and validity, we recruited another 354 cancer patients from the same hospitals who were older than 18 years and accustomed to using the web. All results were compared with that of the long-form SAT (original SAT).

Results

The SAT-SF used is the shorter version, a 30-item (from the original 91-item) instrument, to measure cancer patient’s health. The 30-item SAT-SF explained 97.7% of total variance of the full 91-item long-form SAT. All SAT-SF subscales demonstrated a high reliability with good internal consistency compared with the original SAT. The total short-form scores of the three SAT sets (SAT-Core, SAT-Preparation, SAT-Implementation) differentiated participant groups according to their stage of goal implementation and percentage of actions taken in the 10 Rules for Highly Effective Health Behavior. We found acceptable correlations between the three SAT-SF sets and the additional assessment tools compared with the original SAT.

Conclusions

The 30-item SAT-SF had a satisfactory internal consistency and validity for cancer patients with minimal loss of information compared with the original SAT.

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Abbreviations

SAT-SF:

Smart management strategy for health assessment tool-short form

SAT-C:

SAT-core (SF-C), SAT-preparation (SF-P), and SAT-implementation (SF-I)

SAT-P:

SAT-preparation

SAT-I:

SAT-implementation

SF-C:

Short-form SAT-core

SF-P:

Short-form SAT-preparation

SF-I:

Short-form SAT-implementation

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Acknowledgements

We thank for Amanda Weiskoff from Bio Science Writers who provided language edition and C. Hyung Keun Park from Seoul National University Hospital who translated the SAT questionnaire into English version.

Funding

This study was funded by grants from the National R&D Program for Cancer Control, Ministry of Health and Welfare, Republic of Korea (Grant Number 1320330); and the R&D Program for National Research Foundation of Korea (NRF) (Grant Number 20100028631).

Author information

Authors and Affiliations

  1. Department of Biomedical Science, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 10-799, South Korea

    Young Ho Yun, Ju Youn Jung & Jin Ah Sim

  2. Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea

    Young Ho Yun, Dong-Young Noh, Wonshik Han, Seung-Yong Jeong, Ji Won Park & Young Tae Kim

  3. National Cancer Center, Research Institute and Hospital, Goyang, South Korea

    JongMog Lee, Eun Sook Lee & Jae Hwan Oh

  4. Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea

    Dong-Young Noh, Wonshik Han, Kyu Joo Park, Seung-Yong Jeong & Ji Won Park

  5. Department of Radiation Oncology, Seoul National University College of Medicine, Seoul, South Korea

    Hong-Gyun Wu, Eui Kyu Chie & Hak Jae Kim

  6. Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea

    Kyung Hae Jung

  7. Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

    Jae-Ill Zo & Young Mog Shim

  8. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

    Sung Kim, Jeong Eon Lee & Seok Jin Nam

  9. Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul, South Korea

    Young Tae Kim

  10. Department of Cancer Policy and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, Goyang, South Korea

    Young-Woo Kim

Authors
  1. Young Ho Yun
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  2. Ju Youn Jung
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  3. Jin Ah Sim
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  4. JongMog Lee
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  7. Kyu Joo Park
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  8. Seung-Yong Jeong
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  9. Ji Won Park
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  13. Kyung Hae Jung
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  15. Sung Kim
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  20. Young-Woo Kim
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  21. Young Tae Kim
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Contributions

YHY participated in the study design, provided financial support and study materials, collected and assembled the data, interpreted the analyses, participated in the sequence alignment, drafted the manuscript, and finally approved the paper. JYJ participated in the study design and coordination, collected study materials, conducted data analyses, and wrote the manuscript. JAS participated in the study design, collected study materials, and wrote the manuscript. JML participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. DYN participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. WSH participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. KJP participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. SYJ participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. JWP participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. HGW participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. EKC participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. HJK participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. KHJ participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. JIZ participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. SK participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. JEL participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. SJN participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. ESL participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. JHO participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. YWK participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. YTK participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. YMS participated in the design of the study, provided study materials and patients, collected and assembled the data, and wrote the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Young Ho Yun.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Yun, Y.H., Jung, J.Y., Sim, J.A. et al. Development and validation of the smart management strategy for health assessment tool-short form (SAT-SF) in cancer survivors. Qual Life Res 27, 347–354 (2018). https://doi.org/10.1007/s11136-017-1723-1

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  • DOI: https://doi.org/10.1007/s11136-017-1723-1

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