Validation of the Assessment of Rehabilitation Needs Checklist in a Swedish cancer population.

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Patient-Reported Outcomes Pub Date : 2024-12-05 DOI:10.1186/s41687-024-00818-5

Emma Ohlsson-Nevo, Maria Fogelkvist, Lars-Olov Lundqvist, Johan Ahlgren, Jan Karlsson

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Abstract

Background: Assessment of Rehabilitation Needs Checklist (ARNC), has been developed to assess rehabilitation need in cancer patients and is recommended by the Confederation of Regional Cancer Centres in Sweden, known as Hälsoskattningen. The aim of the study was to test the reliability and validity of the ARNC, mainly by comparing it with the Distress thermometer and EORTC QLQ-C30.

Methodology: A sample of 993 persons identified in the Swedish cancer register. The study participants were diagnosed with cancer in 2021 in the Mid Sweden region. The psychometric methods tested reliability and validity including factor analysis.

Results: The response rate was 38%. The test-retest analysis showed that ICC was 0.80 or higher for 12 of the ARNC items. A strong or modarete correlation between ARNC and the other instruments was found in all functional scales and for most items. CFA of the 13-item two-factor model showed a RMSEA value of 0.04, CFI and TLI values of 0.97 and 0.96, and a SRMR value of 0.05, indicating a satisfactory model fit.

Conclusion: The evaluation of the ARNC suggests that it is an acceptable and reliable screening instrument for detecting symptoms and signs indicating a possible need of rehabilitation. The medium to strong correlations between ARNC items and the EORTC QLQ- C30 items and scales suggest that ARNC could be an alternative also for research purposes when a shorter and less comprehensive instrument is needed. The simple design could be an advantage as it lowers the burden on cancer patients.

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瑞典癌症人群康复需求评估清单的验证。

背景：制定了康复需求评估清单（ARNC），以评估癌症患者的康复需求，并由瑞典区域癌症中心联合会（Hälsoskattningen）推荐。本研究的目的是检验ARNC的信度和效度，主要是通过将其与遇险温度计和EORTC QLQ-C30进行比较。方法：在瑞典癌症登记处确定了993人的样本。研究参与者于2021年在瑞典中部地区被诊断出患有癌症。心理测量方法包括因子分析，对信度和效度进行检验。结果：有效率为38%。重测分析显示，12个ARNC项目的ICC值在0.80以上。在所有功能量表和大多数项目中，发现ARNC与其他工具之间存在强烈或密切的相关性。13项双因素模型的CFA RMSEA值为0.04，CFI和TLI值分别为0.97和0.96，SRMR值为0.05，模型拟合满意。结论：ARNC的评估表明，它是一种可接受和可靠的筛查工具，用于检测可能需要康复的症状和体征。ARNC项目与EORTC QLQ- C30项目和量表之间的中强相关性表明，当需要更短、更不全面的工具时，ARNC也可以作为研究目的的替代选择。这种简单的设计可能是一种优势，因为它可以减轻癌症患者的负担。

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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