Psychometric properties of the Sexual Attitudes and Beliefs Scale (SABS-C8) for health professionals in cancer care settings

Background

Cancer and associated treatment can have a significant and detrimental impact on a person’s sexual wellbeing. Sexual attitudes and beliefs of healthcare professionals (HPs) working in cancer care settings can affect the support provided to help patients and partners to manage these concerns. This study evaluated psychometric properties of the Sexual Attitudes and Beliefs Scale (SABS-C8) adapted for use in cancer care settings.

Methods

Adaptation of original SABS was informed by evidence reviews and an expert panel of researchers. The 12-item SABS was completed by HPs working in cancer care (n = 391) prior to completing an eLearning intervention aimed at promoting provision of sexual support to patients and partners. Exploratory (EFA) and confirmatory factor analysis (CFA) were conducted, reliability and validity of the scale were also explored.

Results

EFA showed potential for a three-factor model, with CFA indicating a better model fit (CMIN/DF < 3; GFI > .9; CFI > .9 and < RMSEA < .08) for 8 of the SABS-C items, lending support for a unidimensional model, with moderately acceptable reliability of.69. The 8-item scale was also able to discriminate between known groups with lower attitudinal barriers to providing sexual support apparent in HPs with over 12 years of experience, in nurses compared with other HPs, and in those with previous sexual wellbeing education (p < 0.001).

Conclusion

The SABS-C8 is a brief scale with acceptable reliability that can be used to assess attitudinal barriers to sexual support and help to identify HPs learning needs around providing sexual support in cancer care.