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Conference Paper: Development and validation of a social adjustment scale for assessing social morbidity in Chinese women after treatment for breast cancer

TitleDevelopment and validation of a social adjustment scale for assessing social morbidity in Chinese women after treatment for breast cancer
Authors
Issue Date2002
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://journals.wiley.com/0020-7136/
Citation
The 18th UICC International Cancer Conference, Oslo, Norway, 30 June–5 July 2002. In International Journal of Cancer, 2002, v. 100 n. S13, p. 467, abstract no. P 1062 How to Cite?
AbstractObjective: To evaluate validity and reliability of social adjust-ment scale (Ch-SAS) for assessing social morbidity in Chinesewomen with BC.Method: Social morbidity is a common problem faced byChinese women after treatment for breast cancer. Using informa-tion gained from the previous qualitative study, a 41-item scale(Ch-SAS) was constructed to measure social adjustment. TheCh-SAS together with 3 measures of treatment decision making,the Medical Interview Satisfaction scale (MISS), and the Gener-alized Self-efficacy scale (SE) were administered to 226 Chinesewomen (mean age 52.32 (SD 11.05) years) diagnosed with breastcancer who were randomly recruited from two regional hospitals.Results: The CH-SAS has five factors, labeled Family relation-ships (10 items), Appearance and body image (7 items), Relation-ships with friends (6 items), Enjoyment of social functioning (4items), and Sexuality (4 items). A sixth factor, Work, (10 items)was deleted due to poor psychometrics. The sub-scales demon-strated adequate internal reliability (Cronbach’sa.63-.93) andgood divergent validity, showing very low correlations with MISS(r-.04 to 0.1) and an appropriate pattern of correlations with SE(r.07 to .30). Good construct validity was evidenced (1) indifferences between surgical types on the Appearance and bodyimage (F3.85, df 3, p.01) and Sexuality (F4.6, df 3, p.004)sub-scales and (2) in negative correlations with perceived difficul-ties in making treatment decisions (r-.14, p.05) and negativeevaluations of treatment outcome (r-.24, p.000), while corre-lating positively with confidence for making right decision (r.31,p.000).Conclusion: The Ch-SAS provides a reliable and culturallyvalid measure of social adjustment in Chinese women with breastcancer. It demonstrates good psychometric properties and appro-priate sensitivity, including to patients’ satisfaction with treatmentdecision.
OBJECTIVE: To evaluate validity and reliability of social adjustment scale (Ch-SAS) for assessing social morbidity in Chinese women with BC. METHOD: Social morbidity is a common problem faced by Chinese women after treatment for breast cancer. Using information gained from the previous qualitative study, a 41-item scale (Ch-SAS) was constructed to measure social adjustment. The Ch-SAS together with 3 measures of treatment decision making, the Medical Interview Satisfaction scale (MISS), and the Generalized Self-efficacy scale (SE) were administered to 226 Chinese women (mean age 52.32 (SD 11.05) years) diagnosed with breast cancer who were randomly recruited from two regional hospitals. RESULTS: The CH-SAS has five factors, labeled Family relationships (10 items), Appearance and body image (7 items), Relationships with friends (6 items), Enjoyment of social functioning (4 items), and Sexuality (4 items). A sixth factor, Work, (10 items) was deleted due to poor psychometrics. The sub-scales demonstrated adequate internal reliability (Cronbach’s a =.63-.93) and good divergent validity, showing very low correlations with MISS (r =-.04 to 0.1) and an appropriate pattern of correlations with SE (r = .07 to .30). Good construct validity was evidenced (1) in differences between surgical types on the Appearance and body image (F = 3.85, df 3, p = .01) and Sexuality (F = 4.6, df 3, p = .004) sub-scales and (2) in negative correlations with perceived difficulties in making treatment decisions (r = -.14, p = .05) and negative evaluations of treatment outcome (r = -.24, p <.000), while correlating positively with confidence for making right decision (r = .31, p <.000). CONCLUSION: The Ch-SAS provides a reliable and culturally valid measure of social adjustment in Chinese women with breast cancer. It demonstrates good psychometric properties and appropriate sensitivity, including to patients’ satisfaction with treatment decision.
Persistent Identifierhttp://hdl.handle.net/10722/86474
ISSN
2015 Impact Factor: 5.531
2015 SCImago Journal Rankings: 2.657

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorFielding, Ren_HK
dc.contributor.authorMui, LSNen_HK
dc.contributor.authorLai, MKen_HK
dc.date.accessioned2010-09-06T09:17:29Z-
dc.date.available2010-09-06T09:17:29Z-
dc.date.issued2002en_HK
dc.identifier.citationThe 18th UICC International Cancer Conference, Oslo, Norway, 30 June–5 July 2002. In International Journal of Cancer, 2002, v. 100 n. S13, p. 467, abstract no. P 1062en_HK
dc.identifier.issn0020-7136en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86474-
dc.description.abstractObjective: To evaluate validity and reliability of social adjust-ment scale (Ch-SAS) for assessing social morbidity in Chinesewomen with BC.Method: Social morbidity is a common problem faced byChinese women after treatment for breast cancer. Using informa-tion gained from the previous qualitative study, a 41-item scale(Ch-SAS) was constructed to measure social adjustment. TheCh-SAS together with 3 measures of treatment decision making,the Medical Interview Satisfaction scale (MISS), and the Gener-alized Self-efficacy scale (SE) were administered to 226 Chinesewomen (mean age 52.32 (SD 11.05) years) diagnosed with breastcancer who were randomly recruited from two regional hospitals.Results: The CH-SAS has five factors, labeled Family relation-ships (10 items), Appearance and body image (7 items), Relation-ships with friends (6 items), Enjoyment of social functioning (4items), and Sexuality (4 items). A sixth factor, Work, (10 items)was deleted due to poor psychometrics. The sub-scales demon-strated adequate internal reliability (Cronbach’sa.63-.93) andgood divergent validity, showing very low correlations with MISS(r-.04 to 0.1) and an appropriate pattern of correlations with SE(r.07 to .30). Good construct validity was evidenced (1) indifferences between surgical types on the Appearance and bodyimage (F3.85, df 3, p.01) and Sexuality (F4.6, df 3, p.004)sub-scales and (2) in negative correlations with perceived difficul-ties in making treatment decisions (r-.14, p.05) and negativeevaluations of treatment outcome (r-.24, p.000), while corre-lating positively with confidence for making right decision (r.31,p.000).Conclusion: The Ch-SAS provides a reliable and culturallyvalid measure of social adjustment in Chinese women with breastcancer. It demonstrates good psychometric properties and appro-priate sensitivity, including to patients’ satisfaction with treatmentdecision.-
dc.description.abstractOBJECTIVE: To evaluate validity and reliability of social adjustment scale (Ch-SAS) for assessing social morbidity in Chinese women with BC. METHOD: Social morbidity is a common problem faced by Chinese women after treatment for breast cancer. Using information gained from the previous qualitative study, a 41-item scale (Ch-SAS) was constructed to measure social adjustment. The Ch-SAS together with 3 measures of treatment decision making, the Medical Interview Satisfaction scale (MISS), and the Generalized Self-efficacy scale (SE) were administered to 226 Chinese women (mean age 52.32 (SD 11.05) years) diagnosed with breast cancer who were randomly recruited from two regional hospitals. RESULTS: The CH-SAS has five factors, labeled Family relationships (10 items), Appearance and body image (7 items), Relationships with friends (6 items), Enjoyment of social functioning (4 items), and Sexuality (4 items). A sixth factor, Work, (10 items) was deleted due to poor psychometrics. The sub-scales demonstrated adequate internal reliability (Cronbach’s a =.63-.93) and good divergent validity, showing very low correlations with MISS (r =-.04 to 0.1) and an appropriate pattern of correlations with SE (r = .07 to .30). Good construct validity was evidenced (1) in differences between surgical types on the Appearance and body image (F = 3.85, df 3, p = .01) and Sexuality (F = 4.6, df 3, p = .004) sub-scales and (2) in negative correlations with perceived difficulties in making treatment decisions (r = -.14, p = .05) and negative evaluations of treatment outcome (r = -.24, p <.000), while correlating positively with confidence for making right decision (r = .31, p <.000). CONCLUSION: The Ch-SAS provides a reliable and culturally valid measure of social adjustment in Chinese women with breast cancer. It demonstrates good psychometric properties and appropriate sensitivity, including to patients’ satisfaction with treatment decision.-
dc.languageengen_HK
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://journals.wiley.com/0020-7136/en_HK
dc.relation.ispartofInternational Journal of Canceren_HK
dc.rightsInternational Journal of Cancer. Copyright © John Wiley & Sons, Inc.en_HK
dc.titleDevelopment and validation of a social adjustment scale for assessing social morbidity in Chinese women after treatment for breast canceren_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0020-7136&volume=Suppl 13&spage=467&epage=&date=2002&atitle=Development+and+validation+of+as+social+adjustment+scale+for+assessing+social+morbidity+in+Chinese+women+after+treatment+for+breast+canceren_HK
dc.identifier.emailLam, WWT: wwtlam@hku.hken_HK
dc.identifier.emailFielding, R: fielding@hkusua.hku.hken_HK
dc.identifier.emailLai, MK: h9408159@graduate.hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1002/ijc.9986-
dc.identifier.hkuros74485en_HK
dc.identifier.volume100-
dc.identifier.issuesuppl. 13-
dc.identifier.spage467, abstract no. P 1062-
dc.identifier.epage467, abstract no. P 1062-

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