{"title":"Psychometric Properties of the Turkish Adaptive Coping with Disease Scale in Adult Cancer Patients.","authors":"Cansu Akdag Topal, Reyyan Gurel, Tugce Ucgun, Betul Sahin Kılınc","doi":"10.1016/j.soncn.2025.151847","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>We evaluated the psychometric properties of the Turkish version of the Adaptive Coping with Disease Scale (ACDS) questionnaire for Turkish patients with cancer.</p><p><strong>Methods: </strong>A total of 175 patients with cancer aged 18 to 65 years were referred to a university hospital in Ankara, Türkiye. The patients, selected by convenience sampling in 2024, completed the Descriptive Form and Turkish versions of the ACDS questionnaire. The construct validity of the scale was assessed through confirmatory factor analysis and exploratory factor analysis. Pearson's correlation analysis was conducted to evaluate the relationships between item-total scores and item-subscale total scores. The reliability of the scale was determined using Cronbach's alpha coefficient. In addition, the scale language validity and test-retest reliability were evaluated. The data were analyzed using the IBM SPSS Statistics and AMOS 25.</p><p><strong>Results: </strong>The scale demonstrated high validity (content validity index = 0.97, interclass coefficient = 0.721, P < .001), indicating high stability and consistency of test scores over time. The comparative fit index confirmed the six-factor structure of the ACDS scale, excluding item 13. The Kaiser-Meyer-Olkin coefficient was 0.738, and Bartlett's test yielded a value of 2305.623 (P < .001). Fit indices indicated a good model fit (χ²/degrees of freedom = 1.98, root mean square error of approximation = 0.074, comparative fit index = 0.815). The scale exhibited acceptable internal consistency, with an overall Cronbach's alpha of 0.78. The total explained variance ratio was 57.14%.</p><p><strong>Conclusions: </strong>The Turkish version of ACDS in patients with cancer is a reliable and valid questionnaire that can be used in clinics and research.</p><p><strong>Implications for nursing practice: </strong>Nurses can use the ACDS to assess the level of disease-related stress experienced by patients with cancer. In addition, they can guide the patients to develop effective coping methods and a better quality of life.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151847"},"PeriodicalIF":2.3000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Oncology Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.soncn.2025.151847","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: We evaluated the psychometric properties of the Turkish version of the Adaptive Coping with Disease Scale (ACDS) questionnaire for Turkish patients with cancer.
Methods: A total of 175 patients with cancer aged 18 to 65 years were referred to a university hospital in Ankara, Türkiye. The patients, selected by convenience sampling in 2024, completed the Descriptive Form and Turkish versions of the ACDS questionnaire. The construct validity of the scale was assessed through confirmatory factor analysis and exploratory factor analysis. Pearson's correlation analysis was conducted to evaluate the relationships between item-total scores and item-subscale total scores. The reliability of the scale was determined using Cronbach's alpha coefficient. In addition, the scale language validity and test-retest reliability were evaluated. The data were analyzed using the IBM SPSS Statistics and AMOS 25.
Results: The scale demonstrated high validity (content validity index = 0.97, interclass coefficient = 0.721, P < .001), indicating high stability and consistency of test scores over time. The comparative fit index confirmed the six-factor structure of the ACDS scale, excluding item 13. The Kaiser-Meyer-Olkin coefficient was 0.738, and Bartlett's test yielded a value of 2305.623 (P < .001). Fit indices indicated a good model fit (χ²/degrees of freedom = 1.98, root mean square error of approximation = 0.074, comparative fit index = 0.815). The scale exhibited acceptable internal consistency, with an overall Cronbach's alpha of 0.78. The total explained variance ratio was 57.14%.
Conclusions: The Turkish version of ACDS in patients with cancer is a reliable and valid questionnaire that can be used in clinics and research.
Implications for nursing practice: Nurses can use the ACDS to assess the level of disease-related stress experienced by patients with cancer. In addition, they can guide the patients to develop effective coping methods and a better quality of life.
期刊介绍：
Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.
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