Seminars in Oncology Nursing最新文献

{"title":"Healthcare Professionals’ Wishes Toward End-of-Life Conversations: A Descriptive Correlational Study (ConVita Study)","authors":"Gianluca Catania ,&nbsp;Michela Calzolari ,&nbsp;Milko Zanini ,&nbsp;Paola Pilastri ,&nbsp;Patrizia Borsellino ,&nbsp;Lorena Forni ,&nbsp;Camilla Guglielmelli ,&nbsp;Melanie Valera ,&nbsp;Silvia Marenco ,&nbsp;Michele Gallucci ,&nbsp;Bruno Cavaliere ,&nbsp;Roberta Rapetti ,&nbsp;Marco Di Nitto ,&nbsp;Loredana Sasso ,&nbsp;Annamaria Bagnasco","doi":"10.1016/j.soncn.2025.151844","DOIUrl":"10.1016/j.soncn.2025.151844","url":null,"abstract":"<div><h3>Objective</h3><div>End-of-life conversations could improve anxiety, depression, and quality of life of patients and their families. Most patients believe it is important to discuss prognosis with their healthcare professionals, however only a minority reports to do so. The aim of this study was to describe healthcare professionals’ wishes regarding end-of-life if they were in hypothetical end-of-life condition.</div></div><div><h3>Methods</h3><div>In this descriptive-correlational study, 467 healthcare providers were selected using the census sampling method. Physicians, nurses, or nursing assistants who worked in the oncohematology, internal medicine, intermediate care, surgical areas, or hospices of three hospitals in the northwest of Italy were included. All participants were included if they agreed to participate in the study and signed a written informed consent. A modified version of the guide \"Your Conversation Starter Kit,” the ConVita Questionnaire, was used. A logistic regression to analyze possible associations between personal and professional characteristics and end-of-life wishes of healthcare professionals was performed.</div></div><div><h3>Results</h3><div>Of the 747 professionals who agreed to participate, 467 questionnaires were returned. Compared to physicians, nurses (OR = 2.551 [95% CI 1.306-4.982], <em>P</em> = .006) and nursing assistants (OR = 2.755 [95% CI 1.218-6.23], <em>P</em> = .015) were more likely to prefer receiving treatments regardless the discomfort these might cause. This was less likely to occur when professionals attended palliative care courses (OR = 0.655 [95% CI 0.431-0.997], <em>P</em> = .048). Professionals with longer working experience in the same unit were more likely to give more importance to the quality of life than to the amount of medical care (OR = 1.041 [95% CI 1.006-1.078], <em>P</em> = .022). Compared to physicians, nurses were more likely to worry about not receiving sufficient treatments (OR = 2.883 [95% CI 1.526-5.446], <em>P</em> = .001).</div></div><div><h3>Conclusions</h3><div>This study contributes to a better understanding of healthcare professionals’ wishes if they were in the hypothetical condition of end of life. Healthcare professionals need support to gain insight into end-of-life issues.</div></div><div><h3>Implication for Nursing Practice</h3><div>By better understanding healthcare professionals’ perspective on end of life, this study may help build the support they need to feel better equipped to address end-of-life conversations with patients and families. Palliative care courses may raise healthcare professionals’ awareness toward a timely start of end-of-life conversations.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151844"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Experience of Patients with Cancer and Their Informal Caregivers Related to Adoptive Cell Therapy: A Qualitative Systematic Review.","authors":"Nina Canova, Kylie Teggart, Alexia Cavin-Trombert, Manuela Eicher, Francesca Bosisio, Sara Colomer-Lahiguera","doi":"10.1016/j.soncn.2025.151912","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151912","url":null,"abstract":"<p><strong>Objectives: </strong>Adoptive cell therapy (ACT) is a growing personalized immuno-oncology approach, delivered both in standard of care (SOC) and clinical trial (CT) settings. Understanding patient and informal caregivers (ICs) experiences is crucial to optimizing care. This qualitative systematic review explores the ACT experience across three elements: actors (patients and ICs), settings (CT and SOC), and phases of the care continuum.</p><p><strong>Methods: </strong>A systematic search was conducted across Medline, Embase, CINAHL, APA PsycInfo, Cochrane, Web of Science, ProQuest Dissertations & Theses, and Google Scholar up to May 8, 2024. Studies were appraised using the JBI Critical Appraisal Checklist for Qualitative Research, with data extracted and synthesized using a meta-aggregation approach. MAXQDA was used to generate co-occurrence networks between key elements and inductively derived codes. A comparative sentiment analysis highlighted emotional differences between CT and SOC settings.</p><p><strong>Results: </strong>Nineteen qualitative studies were included, capturing experiences of patients (n = 19) and ICs (n = 7) receiving chimeric antigen receptor T cell (n = 17) and tumor-infiltrating lymphocyte (n = 2) therapy in CT (n = 13) and SOC (n = 9) settings. Findings revealed phase-specific challenges across physical, cognitive, psychological, emotional, social, financial, professional, communication, and informational domains. These challenges originate from ACT-related toxicities, care pathway complexity, and the novel nature of the therapy.</p><p><strong>Conclusions: </strong>This review identifies the key challenges faced by patients and ICs throughout the ACT care pathway, emphasizing the need for tailored interventions based on the phase and setting, as well as improved support systems.</p><p><strong>Implications for nursing practices: </strong>Recommended strategies include developing decision support tools, establishing caregiver support programs, and implementing navigation services to enhance patient and ICs experiences.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151912"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations for Improving Equitability of Care for Pediatric Oncology Patients in Lebanon","authors":"Ammar Zahreddine ,&nbsp;Nadine Ghobreel ,&nbsp;Myrna Abi Abdallah Doumit","doi":"10.1016/j.soncn.2025.151882","DOIUrl":"10.1016/j.soncn.2025.151882","url":null,"abstract":"<div><h3>Objectives</h3><div>There is a severe economic crisis in Lebanon that has significantly impacted its healthcare system, particularly pediatric oncology. With a high cancer incidence rate and increasing pediatric cancer burden, it remains inequitable to access specialized care, particularly among rural and refugee communities. Pediatric oncology services are centralized in few tertiary care centers within Beirut, with no access to specialized healthcare professionals.</div></div><div><h3>Methods</h3><div>This review addresses the provision of care for pediatric oncology in Lebanon through the deployment of healthcare personnel, the availability of diagnostic and therapeutic services, and the operation of national and international assistance systems. Information was gathered from hospital records, government reports, and studies on child cancer care in Lebanon with a focus on the availability of services, workforce, and barriers to equal access.</div></div><div><h3>Results</h3><div>The economic crisis has severely limited access to treatment, diagnostics, and basic supportive care, including psychosocial and palliative support. Although centers such as the Children's Cancer Institute of the American University of Beirut Medical Center provide high-quality, donor-funded care, financial and logistical barriers deprive many children of timely therapy. In addition, maintaining cancer registries is also an issue, particularly for refugees, and therefore planning services and distributing resources is even more challenging.</div></div><div><h3>Conclusions</h3><div>Scaling up decentralized pediatric oncology care, integrating digital health technologies, and strengthening international partnerships are essential to bridging these gaps. Further, investment in healthcare workforce capacity building, particularly in nursing and psychosocial support, is crucial to sustaining care delivery. Lebanon's National Cancer Plan provides a framework for bridging these disparities, but greater governmental investment and long-term international partnerships are required.</div></div><div><h3>Implications for Nursing Practice</h3><div>This review highlights the urgent need for systemic reforms to ensure equitable access to pediatric oncology care, improve patient outcomes, and mitigate the long-term impact of Lebanon's healthcare crisis.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151882"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Enablers to Cancer Prevention, Screening and Early Detection Among Travellers in Ireland: Healthcare Professionals Perspectives","authors":"Patricia Fox ,&nbsp;Reuel Jalal ,&nbsp;Regina Joye ,&nbsp;Patricia Fitzpatrick ,&nbsp;Lynsey Kavanagh ,&nbsp;Mary Brigid Collins ,&nbsp;Una Kennedy ,&nbsp;Triona McCarthy ,&nbsp;Maria McEnery ,&nbsp;Aine Lyng ,&nbsp;Brigid Quirke ,&nbsp;Aela O’Flynn ,&nbsp;Kate Frazer","doi":"10.1016/j.soncn.2025.151889","DOIUrl":"10.1016/j.soncn.2025.151889","url":null,"abstract":"<div><h3>Objectives</h3><div>Travellers, a minority ethnic group in Ireland, experience higher-than-expected cancer-specific mortality. This codesigned research study explored the perceptions of community-based primary healthcare professionals (HCPs) regarding the barriers and enablers for Travellers in the context of cancer prevention and early detection behaviors (ie, screening participation, and timely reporting of cancer symptoms).</div></div><div><h3>Methods</h3><div>Semistructured phone/Zoom interviews were conducted with 15 community-based HCPs. Thematic analysis was used to analyze the data.</div></div><div><h3>Results</h3><div>A total of 4 key themes were generated. (1) Poverty and exclusion: the corrosive impact of the social determinants of health (SDoH); (2) Health system barriers include health services access challenges, cultural insensitivity and discrimination; (3) Certain individual and/or cultural barriers impact cancer prevention and early detection behaviors; (4) National and local level strategies are warranted for improved cancer prevention and early detection behaviors among Travellers. A whole-of-government approach is required to address these barriers while working in partnership with Traveller organizations.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses must engage in cultural sensitivity training to enhance their understanding of the barriers and enablers to cancer prevention and early detection behaviors among minority ethnic groups. Nurses can advocate for and engage in actions to address these barriers at a national, local and individual level.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151889"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive Role of Perceived Social Support and Psychological Distress on Caregiver Burden in Parents of Children With Cancer","authors":"Mehrnaz Ahmadi ,&nbsp;Samira Beiranvand ,&nbsp;Shayesteh Haghighi ,&nbsp;Sakineh Akbari","doi":"10.1016/j.soncn.2025.151851","DOIUrl":"10.1016/j.soncn.2025.151851","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the predictors of caregiver burden among parents of children with cancer.</div></div><div><h3>Methods</h3><div>A descriptive correlational study was conducted on 254 parents of children with cancer in the oncology department of Baghaei 2 Hospital in Ahvaz, Iran from September 2022 to July 2023. The study's data was collected through the demographic information questionnaire, the caregiver burden scale (CBS), the perceived social support (PSS), and the General Health Questionnaire (GHQ). Data were analyzed using an independent t-test, 1-way ANOVA, Pearson's correlation coefficient, and multiple linear regression in SPSS-22.</div></div><div><h3>Results</h3><div>Parents experienced a moderate level of CBS (54.74 ± 10.17), PSS (41.52 ± 12.94), and GHQ (18.95 ± 4.47). Regression models showed that PSS (β = -0.381, <em>P &lt; .</em>001), GH (β = 0.199, <em>P &lt; .</em>001), caregiving responsibilities for others (β = 0.195, <em>P &lt; .</em>001), satisfaction with income (β = -0.151, <em>P</em> = .005), and hospitalization number (β = 0.142, <em>P</em> = .007) were significantly associated with the CB of parents of children with cancer. These variables accounted for 32% of the variance in CB.</div></div><div><h3>Conclusion</h3><div>This study demonstrated various degrees of CB among parents of children with cancer. A better understanding of the predictive factors of CB is needed to provide suitable interventions such as caregiving skills, and coping strategies to alleviate CB among parents and subsequently improve the quality of caregiving.</div></div><div><h3>Implication for Nursing Practice</h3><div>Pediatric oncology nurses should adopt a holistic approach that addresses both the emotional and social needs of parents, in addition to the medical needs of the child. Developing support programs tailored to parents' experiences, educating them on managing caregiving challenges, and facilitating effective communication regarding treatment processes can help alleviate parental CB.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151851"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the Decision Support System Developed for Symptom Self-Management on Symptom Management, Quality of Life and Unplanned Hospital Admissions in Patients With Non-Hodgkin's Lymphoma: A Randomized Active-Controlled Trial","authors":"Merve Gözde Sezgin ,&nbsp;Hicran Bektaş ,&nbsp;Ozan Salim","doi":"10.1016/j.soncn.2025.151883","DOIUrl":"10.1016/j.soncn.2025.151883","url":null,"abstract":"<div><h3>Objectives</h3><div>The development of web-based decision support systems that can support the management of symptoms at home may improve patients' quality of life (QoL) and patient outcomes. This study aimed to develop a decision support system for symptom self-management (<strong>Lymphoma Symptom CARE [LympCARE]</strong>) in patients with NHL and to evaluate the effect of the application on symptom management, QoL, and unplanned hospital admissions.</div></div><div><h3>Methods</h3><div>A 2-group pre- and post-test randomized active-controlled trial was conducted in 56 patients with NHL from a university hospital in Turkey. A mobile-friendly decision support system (DSS) (LympCARE) was developed for patients with NHL. The patients in the intervention group evaluated symptom severity and applied self-management strategies with the DSS developed for symptom self-management on the 3^rd, 7^th, and 10^th days after the 3^rd, 4^th, and 5^th cycles of chemotherapy via LympCARE, respectively. Multiple linear regression analysis was used to assess the effects of within-group, time-dependent changes.</div></div><div><h3>Results</h3><div>In the LympCARE group, 18% were male and 85.7% were ≤60 years old, and in the active control group, 18% were male and 64.3% were ≤60 years old. LympCARE expert opinions showed a high level of agreement. The difference between symptom management and QoL post-test mean scores of the LympCARE and active control groups were statistically significant. The number of unplanned hospital admissions decreased in both groups. In the LympCARE group, 89.9% and 78% of the active control group found the mobile-compatible DSS effective, respectively.</div></div><div><h3>Conclusions</h3><div>The developed symptom self-management DSS increased patients' symptom management and QoL levels and decreased the level of unplanned hospital admission.</div></div><div><h3>Implications for nursing practice</h3><div>By demonstrating the efficacy of DSS in significantly reducing pre- and post-intervention symptom management, QoL, and unplanned hospital admissions, the study offers an accessible, nonpharmacological, and engaging intervention that can be seamlessly integrated into existing healthcare practices.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151883"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fertility Intention Scale in Breast Cancer Survivors: Turkish Validity and Reliability Study","authors":"Filiz Ünal Toprak ,&nbsp;Neşe Uysal ,&nbsp;Zekiye Turan ,&nbsp;Funda Akduran","doi":"10.1016/j.soncn.2025.151894","DOIUrl":"10.1016/j.soncn.2025.151894","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to adapt the fertility intention scale (FIS) for Breast Cancer Survivors into Turkish and assess its validity and reliability.</div></div><div><h3>Data Sources</h3><div>The study sample consisted of 157 women of reproductive age who had completed chemotherapy and radiotherapy for breast cancer. The Turkish version of the scale was developed using the translate-back translation method for language validity. Expert opinions were sought for content validity, and the content validity index was calculated. For construct validity, confirmatory factor analysis was performed using Structural Equation Modeling in Amos 23.0. Reliability was assessed through Cronbach’s alpha, Pearson correlation for scale dimensions, and intraclass correlation coefficient for test-retest reliability, with <em>P</em> &lt; .05 considered significant.</div></div><div><h3>Results</h3><div>The reliability coefficients for the total FIS and its four subdimensions ranged from 0.77 to 0.97. Intraclass correlation coefficient analysis showed a significant fit (0.87-0.97) between test-retest measurements for the FIS and its subdimensions. Pearson correlation revealed a significant positive relationship between the FIS and the Post-traumatic Growth Inventory (<em>r</em> = 0.238, <em>P</em> &lt; .001). Exploratory factor analysis confirmed the scale’s four subdimensions: “Pregnancy risk,” “Disease control,” “Social support,” and “Happiness.”</div></div><div><h3>Conclusions</h3><div>As a result, the 15-item scale and four factors were found to be theoretically and statistically acceptable. The FIS for Breast Cancer Survivors is a valid and reliable measurement tool.</div></div><div><h3>Implications for Nursing Practice</h3><div>The FIS can help nurses assess breast cancer survivors’ fertility concerns, enabling them to provide personalized counseling and support related to reproductive health options.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151894"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’, Patients’, and Family Carers’ Views of Energy Hardship and Palliative Home Care in Ireland: A Mixed-Methods Examination","authors":"Suzanne Denieffe ,&nbsp;Margaret Denny ,&nbsp;Martina Gooney ,&nbsp;Patricia Hunt ,&nbsp;Lannah Kent ,&nbsp;Peter May ,&nbsp;Mary Nevin ,&nbsp;Muireann Prendergast ,&nbsp;Mary Rabbitte ,&nbsp;Pilar Luz Rodrigues ,&nbsp;Colin Barry ,&nbsp;Ashna Ephraim","doi":"10.1016/j.soncn.2025.151893","DOIUrl":"10.1016/j.soncn.2025.151893","url":null,"abstract":"<div><h3>Objectives</h3><div>The authors aim to investigate energy hardship and palliative care at home. The objectives were to explore the views of home care nurses, patients, and family carers on the possible extent of energy hardship and to make informed recommendations, which could help alleviate energy hardship for people receiving palliative care at home.</div></div><div><h3>Methods</h3><div>This study used a cross-sectional mixed-methods design, including an online survey with palliative home care nurses and semistructured individual or group interviews with patients receiving palliative home care or their family carers.</div></div><div><h3>Results</h3><div>The results show that energy hardship is an issue witnessed by night nurses and palliative home care nurses in their line of work. Patients and family carers in the study confirmed that keeping their homes warm was a major issue for many of them, and the rising costs of energy, and other living costs, have posed challenges and caused significant stress to some participants.</div></div><div><h3>Conclusions</h3><div>Energy hardship worsens health issues for patients and carers, aligning with previous research on its detrimental effects. Addressing energy hardship requires a multisectoral approach, including better coordination between governments, health care providers, and community organizations to ensure vulnerable people have access to support services. Further research is needed to better understand the causal relationships between energy hardship and health.</div></div><div><h3>Implications for Nursing Practice</h3><div>Raising awareness of energy hardship among health care staff is crucial, focusing on at-risk populations and available interventions. Educational training for staff is key to help staff identify and address energy hardship, framing support as a health right. A standardized information pack and self-assessment tool are needed, and nurses should encourage patients to apply for support that may be available, such as registering as medically vulnerable with energy suppliers.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151893"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Tools for Assessing Fear of Cancer Recurrence in Adults for Nursing Practice: A Systematic Review","authors":"Cristina Díaz-Periánez ,&nbsp;Rafaela Camacho-Bejarano ,&nbsp;Susanne Cruickshank ,&nbsp;Gerry Humphris ,&nbsp;Eloisa Bayo-Lozano ,&nbsp;Dolores Merino-Navarro","doi":"10.1016/j.soncn.2025.151850","DOIUrl":"10.1016/j.soncn.2025.151850","url":null,"abstract":"<div><h3>Objective</h3><div>To identify, assess and compare internationally validated tools that measure the fear of recurrence in adult survivors of cancer.</div></div><div><h3>Methods</h3><div>This systematic review was based on the PRISMA reporting guidelines and COSMIN methodology was applied to analyses the psychometric properties and the validation process of the selected assessment tools. The search was conducted on 6 databases: PubMed/Medline, Cochrane Library, CINAHL, Web of Science, Scopus and LILACS, from 2001 to 2023. The descriptors used were: “fear of cancer recurrence,” “tools,” “validity,” “reliability” and “cancer survivors.” Studies focused on the design, validation or cultural adaptation of fear of cancer recurrence tools in adult cancer patients were selected. The COSMIN checklist was used to compare the tools measurement properties, including the following dimensions: conceptual suitability, applicability and psychometric features, and also to assess the methodological quality and the risk of bias of the different studies.</div></div><div><h3>Results</h3><div>18 studies have been included. Three validated tools were identified for measuring fear of cancer recurrence in adults: CARS, FCRI and FCR7, which were also adapted in various languages. Although there are differences in the validation process, most of the tools were validated with acceptable psychometric properties and with a suitable cultural adaptation.</div></div><div><h3>Conclusions</h3><div>The 3 main tools identified are valid to measure fear for cancer recurrence although vary on their level of development, being FCR4/7 the most recent and consistent 1. Despite the availability of these tools, there is a lack of validated instruments in Spanish-speaking contexts. Regular use of these tools in Nursing practice would contribute to early detect fear of cancer recurrence and to effectively manage it, improving the quality of life of cancer patients. Recently, shorter versions have arisen to facilitate its applicability.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151850"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the Turkish Adaptive Coping with Disease Scale in Adult Cancer Patients","authors":"Cansu Akdag Topal ,&nbsp;Reyyan Gurel ,&nbsp;Tugce Ucgun ,&nbsp;Betul Sahin Kılınc","doi":"10.1016/j.soncn.2025.151847","DOIUrl":"10.1016/j.soncn.2025.151847","url":null,"abstract":"<div><h3>Objectives</h3><div>We evaluated the psychometric properties of the Turkish version of the Adaptive Coping with Disease Scale (ACDS) questionnaire for Turkish patients with cancer.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>The scale demonstrated high validity (content validity index = 0.97, interclass coefficient = 0.721, <em>P</em> &lt; .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 (<em>P</em> &lt; .001). Fit indices indicated a good model fit (<em>χ</em>²/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%.</div></div><div><h3>Conclusions</h3><div>The Turkish version of ACDS in patients with cancer is a reliable and valid questionnaire that can be used in clinics and research.</div></div><div><h3>Implications for Nursing Practice</h3><div>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.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151847"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}