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Psychometric evaluation of the Chinese version of the breast cancer perception scale for community women: a translation and validation study

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Abstract

Background

Breast cancer perception is closely associated with the incidence of breast cancer among community-dwelling women. Consequently, it is crucial to enhance their breast cancer survival rate by assessing their cognitive status and implementing targeted interventions. This study aimed to translate the breast cancer perception scale into Chinese and validate its psychometric properties among community women.

Design

A cross-sectional study method was introduced in this study.

Methods

After obtaining the original author’s authorization, the breast cancer perception scale was translated into Chinese using the Brislin back-translation method. Item analysis was employed to examine the discriminative power of the items, and the Delphi method was utilized to assess content validity. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to evaluate the scale’s construct validity. Internal consistency and test–retest reliability were calculated to analyze reliability.

Results

A total of 24 items were retained in the item analysis, and the content validity index of the translated scale was 0.964. In the EFA, six common factors were extracted, namely perceived knowledge, perceived treatment belief, perceived need for health checks, perceived stigma, perceived fear, and perceived risk, accounting for 74.911% of the cumulative variance. The CFA results were as follows: χ2/df = 1.301, GFI = 0.903, NFI = 0.913, TLI = 0.975, CFI = 0.978, IFI = 0.979, RMSEA = 0.037. The Cronbach’s α coefficients, split-half reliability, and test–retest reliability of the translated scale were 0.895, 0.661, and 0.865, respectively.

Conclusions

The Chinese version of the breast cancer perception scale demonstrated suitable psychometric properties among community women. By evaluating results according to the scale, medical staff can enhance breast cancer prevention awareness and care for community-dwelling women and subsequently implement corresponding modifications.

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Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

Thank all participants who provided data for this study, and thank professor Seçil Taylan for providing the breast cancer perception scale.

Funding

No funding was obtained for this study.

Author information

Authors and Affiliations

  1. Department of Nursing, Jinzhou Medical University, Jinzhou, China

    Linghui Kong, Chen Zheng, Tingting Lu & Huijun Zhang

  2. The First Affiliated Hospital of China Medical University, Shenyang, China

    Zhen Yang

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  1. Linghui Kong
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  2. Zhen Yang
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  3. Chen Zheng
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  4. Tingting Lu
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  5. Huijun Zhang
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Contributions

LK did the data collection and analysis and drafted the manuscript, CZ and TL made significant contributions to the collection of data, ZY and HZ made key modifications to the manuscript in order to obtain important academic content.

Corresponding author

Correspondence to Huijun Zhang.

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Conflict of interest

The authors declare that they have no competing interests.

Ethics approval

All the procedures were carried out in accordance with the 1964 Helsinki Declaration, and the research proposal was approved by the Ethics Committee of Jinzhou Medical University (JZMULL2022080).

Informed consent

Before filling in the questionnaire, all participants obtained informed consent to the content and significance of this study, and then filled in anonymously.

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Kong, L., Yang, Z., Zheng, C. et al. Psychometric evaluation of the Chinese version of the breast cancer perception scale for community women: a translation and validation study. Breast Cancer 31, 42–52 (2024). https://doi.org/10.1007/s12282-023-01508-8

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  • DOI: https://doi.org/10.1007/s12282-023-01508-8

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