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Translation and perceptions of the French version of the Cancer Survivor Profile-Breast Cancer (CSPro-BC): a tool to identify and manage unmet needs

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Worldwide healthcare systems continue to struggle to reduce the unmet needs of a growing population of breast cancer survivors (BCSs). The Cancer Survivor Profile-Breast Cancer (CSPro-BC) survey was developed to address BCS’s specific needs. This study aims to produce a culturally adapted French version of the CSPro-BC.


The CSPro-BC(French) was developed through five steps including back translation, use of a multidisciplinary committee, and pretest with BCS (n = 22). Healthcare providers (HCP) (n = 7) from cancer and primary care settings were also interviewed to obtain perceptions of facilitators and barriers to utilization in daily practice.


BCS were 40–69 years old (50%), ≥ 5 years post-diagnosis (45%), received chemotherapy alone or in combination (73%). Questionnaire instructions were perceived as clear, the number of questions (n = 73) acceptable, the questions non-intrusive and not complicated. Clarity of questions (min = 1; max = 7) ranged from 4 to 7 with a mean score of 5.9 out of 7. HCP perceived the CSPro-BC(French) as useful for improving communication with BCS. However, HCP stressed implementation concerns regarding competencies, BCS acceptability, and limited resources in the healthcare system to meet the identified concerns.


CSPro-BC(French) is a credible tool for assessment in Francophone nations. Our study provides an important perspective in the translation method, including both survivors and HCP perspectives. Further research is required to evaluate its psychometric qualities, sensitivity to change and its clinical signification.

Implications for cancer survivors

Access to assessment tools specific to French-speaking cancer survivors having a potential to improve support from HCP and self-management capacity for BCS.

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  1. Canadian Cancer Society. Canadian cancer statistics 2017. Special topic: pancreatic cancer Canadian Cancer Society, Statistics Canada, Public Health Agency of Canada, Canada 2017 Accessed July 24 2018.

  2. American Society of Clinical Oncology. The state of cancer care in America, 2017: a report by the American Society of Clinical Oncology. J Oncol Pract. 2017;13(4):e353–e94.

    Article  Google Scholar 

  3. Miller KD, Siegel RL, Lin CC, Mariotto AB, Kramer JL, Rowland JH, et al. Cancer treatment and survivorship statistics, 2016. CA Cancer J Clin. 2016;66(4):271–89.

  4. Xie L, Semenciw R, Mery L. Cancer incidence in Canada: trends and projections (1983-2032). Health Promot Chronic Dis Prev Can. 2015;35 (Suppl. 1:2–186.

    Article  PubMed  Google Scholar 

  5. Jacobs LA, Shulman LN. Follow-up care of cancer survivors: challenges and solutions. Lancet Oncol. 2017;18(1):e19–29.

    Article  PubMed  Google Scholar 

  6. Siu M, Catton P, Jones J, Jadad AR. A pilot study examining the unmet needs of cancer survivors living with polypathology. Curr Oncol. 2013;20(3):e266–e9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Burg MA, Adorno G, Lopez EDS, Loerzel V, Stein K, Wallace C, et al. Current unmet needs of cancer survivors: analysis of open-ended responses to the American Cancer Society Study of Cancer Survivors II. Cancer. 2015;121(4):623–30.

  8. Hoekstra RA, Heins MJ, Korevaar JC. Health care needs of cancer survivors in general practice: a systematic review. BMC Fam Pract. 2014;15(1):1–6.

    Article  Google Scholar 

  9. Shi Q, Smith TG, Michonski JD, Stein KD, Kaw C, Cleeland CS. Symptom burden in cancer survivors 1 year after diagnosis. Cancer. 2011;117(12):2779–90.

    Article  PubMed  Google Scholar 

  10. Tremblay D, Latreille J, Bilodeau K, Samson A, Roy L, L’Italien M-F, et al. Improving the transition from oncology to primary care teams: a case for shared leadership. J Oncol Pract. 2016;12(11):1012–9.

  11. Brearley SG, Stamataki Z, Addington-Hall J, Foster C, Hodges L, Jarrett N, et al. The physical and practical problems experienced by cancer survivors: a rapid review and synthesis of the literature. Eur J Oncol Nurs. 2011;15(3):204–12.

  12. Richardson A, Addington-Hall J, Amir Z, Foster C, Stark D, Armes J, et al. Knowledge, ignorance and priorities for research in key areas of cancer survivorship: findings from a scoping review. Br J Cancer. 2011;105(Suppl. 1):S82–94.

  13. Stubblefield MD, McNeely ML, Alfano CM, Mayer DK. A prospective surveillance model for physical rehabilitation of women with breast cancer. Cancer. 2012;118(S8):2250–60.

    Article  PubMed  Google Scholar 

  14. Fitch MI. Transition to survivorship: can there be improvement? Curr Opin Support Palliat Care. 2018;12(1):74–9.

    Article  PubMed  Google Scholar 

  15. Mullan F. Seasons of survival: reflections of a physician with cancer. N Engl J Med. 1985;313(4):270–3.

    Article  CAS  PubMed  Google Scholar 

  16. Lai-Kwon J, Jefford M. Improving care for cancer survivors. Expert Rev Qual Life Cancer Care. 2017;2(5):251–62.

    Article  Google Scholar 

  17. Howell D, Oliver TK, Keller-Olaman S, Davidson J, Garland S, Samuels C, et al. A Pan-Canadian practice guideline: prevention, screening, assessment, and treatment of sleep disturbances in adults with cancer. Support Care Cancer. 2013;21(10):2695–706.

    Article  PubMed  Google Scholar 

  18. Crespi CM, Ganz PA, Petersen L, Castillo A, Caan B. Refinement and psychometric evaluation of the impact of cancer scale. J Natl Cancer Inst. 2008;100(21):1530–41.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Todd BL, Feuerstein M, Gehrke A, Hydeman J, Beaupin L. Identifying the unmet needs of breast cancer patients post-primary treatment: the Cancer Survivor Profile (CSPro). J Cancer Surviv. 2015;9(2):137–60.

    Article  PubMed  Google Scholar 

  20. Todd BL. Development of the cancer survivor profile. Ph.D. thesis. Uniformed Services University Of The Health Sciences Bethesda United States, Bethesda (MD), United States. 2014. Accessed July 24 2018.

  21. Gehrke A, Lee SS, Hilton K, Ganster B, Trupp R, McCullough C, et al. Development of the Cancer Survivor Profile-Breast Cancer (CSPro-BC) app: patient and nurse perspectives on a new navigation tool. J Cancer Surviv. 2018;12(3):291–305.

  22. Vallerand RJ. Vers une méthodologie de validation trans-culturelle de questionnaires psychologiques: implications pour la recherche en langue française. Can Psychol/Psychologie Canadienne. 1989;30(4):662–80.

    Article  Google Scholar 

  23. Epstein J, Santo RM, Guillemin F. A review of guidelines for cross-cultural adaptation of questionnaires could not bring out a consensus. J Clin Epidemiol. 2015;68(4):435–41.

    Article  PubMed  Google Scholar 

  24. Brislin RW. Research instruments. In: Lonner WJ, Berry JW, editors. Field methods in cross-cultural research. Beverly Hills, CA: SAGE Publications; 1986. p. 159–62.

    Google Scholar 

  25. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186–91.

    Article  CAS  PubMed  Google Scholar 

  26. Durand M-J, Vachon B, Hong QN, Imbeau D, Amick BC III, Loisel P. The cross-cultural adaptation of the work role functioning questionnaire in Canadian French. Int J Rehabil Res. 2004;27(4):261–8.

    Article  PubMed  Google Scholar 

  27. Tremblay D. La traduction d’une innovation organisationnelle dans les pratiques professionnelles de réseau: l’infirmiere pivot en oncologie. Ph.D. thesis. Université de Montréal, Montréal (QC), Canada. 2008. Accessed July 24 2018.

  28. Guest G, Namey EE, Mitchell ML. Collecting qualitative data: a field manual for applied research. London: SAGE Publications; 2013.

    Book  Google Scholar 

  29. Charters E. The use of think-aloud methods in qualitative research an introduction to think-aloud methods. Brock Edu J. 2003;12(2):1183–9.

    Article  Google Scholar 

  30. Saldaña J. The coding manual for qualitative researchers. Los Angeles, CA: SAGE Publications; 2015.

    Google Scholar 

  31. Miles MB, Huberman M, Saldana J. Qualitative data analysis. A methods sourcesbook. 3rd ed. Thousand Oaks, CA: SAGE Publications; 2014.

  32. Ray-Kaeser S, Satink T, Andressen M, Martini R, Thommen E, Bertrand AM. European-French cross-cultural adaptation of the developmental coordination disorder questionnaire and pretest in French-speaking Switzerland. Phys Occup Ther Pediatr. 2015;35(2):132–46.

    Article  PubMed  Google Scholar 

  33. Puts MTE, Papoutsis A, Springall E, Tourangeau AE. A systematic review of unmet needs of newly diagnosed older cancer patients undergoing active cancer treatment. Support Care Cancer. 2012;20(7):1377–94.

    Article  CAS  PubMed  Google Scholar 

  34. Page JS, Lederman L, Kelly J, Barry MM, James TA. Teams and teamwork in cancer care delivery: shared mental models to improve planning for discharge and coordination of follow-up care. J Oncol Pract. 2016;12(11):1053–8.

    Article  PubMed  Google Scholar 

  35. Cassi L, Plunket A. Proximity, network formation and inventive performance: in search of the proximity paradox. Ann Reg Sci. 2014;53(2):395–422.

    Article  Google Scholar 

  36. Klemp JR, Frazier LM, Glennon C, Trunecek J, Irwin M. Improving cancer survivorship care: oncology nurses’ educational needs and preferred methods of learning. J Cancer Educ. 2011;26(2):234–42.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Ford ME, Sterba KR, Bearden JD, Gansauer L, Moore LA, Zapka J. Recruiting colorectal cancer survivors to a surveillance study: barriers and successful strategies. Patient Educ Couns. 2017;100(3):526–33.

    Article  PubMed  Google Scholar 

  38. Befort CA, Bennett L, Christafano D, Klemp JR, Krebill H. Effective recruitment of rural breast cancer survivors into a lifestyle intervention. Psychooncology. 2015;24(4):487–90.

    Article  PubMed  Google Scholar 

  39. Pauwels EE, Charlier C, De Bourdeaudhuij I, Lechner L, Van Hoof E. Care needs after primary breast cancer treatment. Survivors’ associated sociodemographic and medical characteristics. Psychooncology. 2013;22(1):125–32.

    Article  PubMed  Google Scholar 

  40. McCabe MS, Partridge AH, Grunfeld E, Hudson MM. Risk-based health care, the cancer survivor, the oncologist, and the primary care physician. Semin Oncol. 2013;40(6):804–12.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Engel L, Beaton DE, Touma Z. Minimal clinically important difference: a review of outcome measure score interpretation. Rheum Dis Clin N Am. 2018;44(2):177–88.

    Article  Google Scholar 

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We would like to acknowledge Michael Feuerstein, PhD., MPH for his support and advice as one of the CSPro-BC developers and all participants of this research project.


This study was supported by the Chaire de recherche sur l’amélioration de la qualité et la sécurité des soins aux personnes atteintes de cancer and the Quebec Network on Nursing Intervention Research (Fonds de recherche du Québec-Santé (FRQS)).

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Correspondence to Dominique Tremblay.

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Ethical approval

The study was approved by the Research Ethics Board of the Centre intégré de santé et services sociaux Montérégie-Centre (AA-HCLM-15-017).

Informed consent

Informed consent was obtained from all breast cancer survivors and healthcare provider participants.

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The authors declare that they have no conflict of interest.

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Tremblay, D., Bilodeau, K., Durand, MJ. et al. Translation and perceptions of the French version of the Cancer Survivor Profile-Breast Cancer (CSPro-BC): a tool to identify and manage unmet needs. J Cancer Surviv 13, 306–315 (2019).

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