关键词: child neoplasm pediatric nursing psychometrics spirituality

来  源:   DOI:10.3389/fpsyg.2022.1065854   PDF(Pubmed)

Abstract:
UNASSIGNED: Spiritual well-being is a strength for childhood cancer patients to cope with cancer. The availability of a valid and reliable instrument for assessing spiritual well-being is crucial. This study translated and adapted the Functional Assessment of Chronic Illness Therapy Spiritual Well-being scale (FACIT-Sp) for Chinese childhood cancer patients and examined the psychometric properties and factor structure in this population.
UNASSIGNED: This was a methodological study. The FACIT-Sp was translated into Chinese. Adaptation was based on our qualitative study. For psychometric evaluation, a convenience sample of 412 were recruited based on the suggested sample size for the exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Childhood cancer patients were included if they aged 8-17 years, with parental consent to participate, able to communicate that they were being treated for cancer, and able to communicate and read Chinese. Participants answered the Chinese version of the adapted FACIT-Sp, the Center for Epidemiology Studies Depression Scale for Children (CES-DC), and the Pediatric Quality of Life Inventory 3.0 Cancer Module (PedsQL). Content validity, convergent validity, internal consistency and test-retest reliability were examined. Both EFA and CFA assessed the structural validity of the adapted FACIT-Sp.
UNASSIGNED: The content validity index values for items ranged 0.8-1.0 and that for the scale was 0.84, indicating appropriate content validity. The scale had good internal consistency, with a Cronbach\'s alpha of 0.815. The FACIT-Sp scores positively correlated with the CES-DC scores, and negatively correlated with PedsQL scores, suggesting that the Chinese version of the adapted FACIT-Sp had reasonable convergent validity. EFA yielded a four-factor (meaning, peace, faith, and connection with others) model. The CFA results revealed that the four-factor model achieved a better fit than the original three-factor model (Chi-Square Mean/Degree of Freedom = 2.240 vs. 3.557, Comparative Fit Index = 0.953 vs. 0.916, Goodness of Fit Index = 0.909 vs. 0.884, Root Mean Square Error of Approximation = 0.078 vs. 0.112).
UNASSIGNED: The Chinese version of the adapted FACIT-Sp is a reliable and valid instrument for assessing spiritual well-being among Chinese childhood cancer patients. This instrument can be applied in clinical settings for routine assessment.
摘要:
未经授权:精神健康是儿童癌症患者应对癌症的力量。提供有效和可靠的工具来评估精神福祉至关重要。这项研究翻译并改编了中国儿童癌症患者的慢性病治疗精神幸福感量表(FACIT-Sp),并检查了该人群的心理测量特性和因子结构。
未经评估:这是一项方法学研究。FACIT-Sp被翻译成中文。适应是基于我们的定性研究。对于心理测量评估,根据探索性因素分析(EFA)和验证性因素分析(CFA)的建议样本量,我们招募了412个便利样本.如果儿童癌症患者年龄在8-17岁,在父母同意的情况下参加,能够传达他们正在接受癌症治疗,能够沟通和阅读中文。与会者回答了改编的FACIT-Sp的中文版,流行病学研究中心儿童抑郁量表(CES-DC),和儿科生活质量量表3.0癌症模块(PedsQL)。内容有效性,收敛有效性,检查了内部一致性和重测信度。EFA和CFA都评估了适应的FACIT-Sp的结构有效性。
UNASSIGNED:项目的内容有效性指数值范围为0.8-1.0,量表的内容有效性指数值为0.84,表明适当的内容有效性。量表具有良好的内部一致性,克朗巴赫的阿尔法为0.815。FACIT-Sp得分与CES-DC得分呈正相关,与PedsQL得分呈负相关,这表明改编后的FACIT-Sp中文版具有合理的收敛效度。全民教育产生了四个因素(意思是,和平,信仰,以及与他人的联系)模式。CFA结果显示,四因素模型比原始三因素模型实现了更好的拟合(卡方均值/自由度=2.240vs.3.557,比较拟合指数=0.953与0.916,拟合优度指数=0.909与0.884,均方根近似误差=0.078与0.112)。
未经评估:改编的FACIT-Sp的中文版是评估中国儿童癌症患者精神健康的可靠有效工具。该仪器可应用于临床设置以进行常规评估。
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