Development and Preliminary Validation of the Questionnaire "Evaluation of the Constitution of Social Circles" in Patients Treated for Cancer of the Upper Aerodigestive Tract.

IF 1.1 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Folia Phoniatrica et Logopaedica Pub Date : 2023-01-01 DOI:10.1159/000525352

Mathieu Balaguer, Timothy Pommée, Julien Pinquier, Jérôme Farinas, Virginie Woisard, Florence Sordes

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引用次数: 0

Abstract

Purpose: The constitution of social circles around patients treated for cancer of the upper aerodigestive tract (UADT) has a major influence on factors that affect quality of life (QOL) but is poorly assessed, mainly due to a lack of tools. The objective of this study is to develop a questionnaire that assesses the constitution of social circles in a population treated for UADT cancer and to analyze the construct (structural and clinical validity) and criterion validity.

Methods: The Evaluation of the Constitution of Social Circles (ECSC) questionnaire was developed in French by a committee of experts. Structural validity was analyzed using inter-item correlations. The scores of a group of patients treated for UADT cancer were compared with those of a group of healthy subjects (clinical validity). For criterion validity, the ECSC scores were compared to those from various questionnaires that assess social functioning (QFS), psychological status (HAD), perceived speech impairment (PHI), and QOL (EORTC QLQ-H&N35) in patients.

Results: Structural validity shows low to moderate inter-item correlations which is consistent with the construction of the questionnaire not assessing underlying concepts. Clinical validity was satisfactory regarding the frequency of contact (p = 0.01), satisfaction with the frequency of contact in the private circle (p = 0.03), and the size of the social circles of family and friends (p ≤ 0.01). Criterion validity was adequate with moderate correlations between the ECSC scores and the QFS sub-scores of interest (rs > 0.56, p < 0.05). Anxiety (HAD) had a low correlation (|rs| = 0.46, p < 0.05) with satisfaction with exchanges and the frequency of contact with family. Satisfaction with exchanges with the private circle was moderately correlated with the EORTC QLQ-H&N35 score (rs = 0.56, p = 0.01) and showed a negative trend on the PHI (rs < -0.39, p ≥ 0.05).

Conclusion: While the test-retest reliability is yet to be evaluated and the sample size should be increased, this preliminary study shows that the ECSC is a valid tool for assessing the constitution of social circles in patients treated for UADT cancer. It highlights the links between social circles and their functional impact on communication and QOL.

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上消化道肿瘤患者社交圈构成评价问卷的编制与初步验证。

目的:上气消化道癌症(UADT)患者的社交圈构成对影响生活质量(QOL)的因素有重大影响，但由于缺乏工具，对其社交圈构成的评估较差。本研究的目的是开发一份问卷来评估UADT癌症治疗人群的社交圈构成，并分析其结构(结构效度和临床效度)和标准效度。方法:由专家委员会编制法语版社交圈构成评价问卷。采用项目间相关分析结构效度。将一组接受UADT治疗的癌症患者的得分与一组健康受试者的得分进行比较(临床效度)。对于标准效度，将ECSC得分与评估患者社会功能(QFS)、心理状态(HAD)、感知语言障碍(PHI)和生活质量(EORTC QLQ-H&N35)的各种问卷的得分进行比较。结果:结构效度显示低到中等的项目间相关，这与问卷的结构不评估潜在概念是一致的。临床效度对接触频率满意(p = 0.01)，对私人圈子接触频率满意(p = 0.03)，对家人和朋友社交圈大小满意(p≤0.01)。标准效度足够，ECSC评分与QFS感兴趣的子评分之间存在中等相关性(rs > 0.56, p < 0.05)。焦虑(HAD)与交流满意度、与家人接触频率呈低相关(|rs| = 0.46, p < 0.05)。人际交往满意度与EORTC QLQ-H&N35评分呈中度相关(rs = 0.56, p = 0.01)，与人际关系评分呈负相关(rs < -0.39, p≥0.05)。结论:虽然重测信度有待评估，样本量有待增加，但本初步研究表明ECSC是评估UADT肿瘤患者社交圈构成的有效工具。它突出了社交圈之间的联系及其对沟通和生活质量的功能影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Folia Phoniatrica et Logopaedica AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY

CiteScore

2.30

自引率

10.00%

发文量

审稿时长

>12 weeks

期刊介绍： Published since 1947, ''Folia Phoniatrica et Logopaedica'' provides a forum for international research on the anatomy, physiology, and pathology of structures of the speech, language, and hearing mechanisms. Original papers published in this journal report new findings on basic function, assessment, management, and test development in communication sciences and disorders, as well as experiments designed to test specific theories of speech, language, and hearing function. Review papers of high quality are also welcomed.