Psychometric Validation of the M. D. Anderson Symptom Inventory-Head and Neck Module in the Spanish Language

Context The assessment of cancer-related symptoms requires culturally adapted and psychometrically validated symptom assessment tools. The M. D. Anderson Symptom Inventory-Head and Neck Module (MDASI-HN) is a useful instrument for measuring symptom burden that was specifically developed for head and neck cancer patients. Objectives To validate the Spanish version of the MDASI-HN. Methods We evaluated the psychometric features of the MDASI-HN in patients with head and neck cancer. We evaluated the item-scale correlations and the internal consistency. We conducted principal axis factoring to identify the underlying dimensions as a measure of construct validity. The convergence/concurrent validity was assessed with the University of Washington Quality of Life Questionnaire for Head and Neck Patients, and known-group validity and test-retest reliability also were assessed. Results One hundred thirty patients were included. The mean ± SD age was 60.5 ± 13.6 years; 68% of patients were male, 42% had laryngeal tumors, and 45.9% had Stage III tumors. Forty-seven percent of the patients underwent surgery, 55% underwent radiotherapy, and 36% underwent chemotherapy. The global Cronbach alpha for the HN module was 0.81. The factor analysis identified two factors (Factor 1: speech, mucus, coughing, and constipation; Factor 2: teeth, taste, sores, swallowing, and skin). The correlation with the global score of the University of Washington Quality of Life was -0.68. The difference in the MDASI-HN scores according to Eastern Cooperative Oncology Group performance status was statistically significant (2.72 vs. 4.01, P = 0.006). The intraclass test-retest correlation was 0.62. Conclusion The Spanish version of the MDASI-HN is reliable and valid for evaluating cancer-related symptoms in head and neck cancer patients. © 2016 American Academy of Hospice and Palliative Medicine.

• Fecha de publicación: 2016
• Institución: Universidad del Rosario
• Repositorio: Repositorio EdocUR - U. Rosario
• Idioma: eng
• OAI Identifier: oai:repository.urosario.edu.co:10336/22415
• Acceso en línea: https://doi.org/10.1016/j.jpainsymman.2015.12.320; https://repository.urosario.edu.co/handle/10336/22415
• Palabra clave: Adolescent; Adult; Aged; Article; Cancer chemotherapy; Cancer radiotherapy; Cancer staging; Cancer surgery; Clinical assessment tool; Concurrent validity; Constipation; Construct validity; Cronbach alpha coefficient; Distress syndrome; Drowsiness; Dysphagia; Dyspnea; Educational status; Employment status; Fatigue; Female; Gastrostomy; Head and neck cancer; Human; Internal consistency; Larynx tumor; Loss of appetite; M; D; Anderson symptom inventory head and neck module; Major clinical study; Male; Marriage; Nausea; Pain; Psychometry; Quality of life assessment; Rash; Sadness; Skin pain; Sleep disorder; Sore throat; Test retest reliability; Tracheostomy; Validation study; Very elderly; Vomiting; Xerostomia; Clinical trial; Cross-sectional study; Factor analysis; Head and neck tumor; Middle aged; Multicenter study; Pathophysiology; Psychometry; Quality of life; Reproducibility; Severity of illness index; Translating (language); Young adult; Adolescent; Adult; Aged; Aged, 80 and over; Cross-sectional studies; Female; Head and neck neoplasms; Humans; Male; Middle aged; Psychometrics; Quality of life; Reproducibility of results; Severity of illness index; Translating; Young adult; Head and neck cancer; Inventory; M; D; Anderson; Quality of life; Symptoms; statistical; Factor analysis
• License: Abierto (Texto Completo)