Italian Version of Cancer Dyspnea Scale: Cultural-Linguistic and Clinical Validation in Patients With Advanced Cancer Disease in Palliative Care Settings.


Journal

Journal of pain and symptom management
ISSN: 1873-6513
Titre abrégé: J Pain Symptom Manage
Pays: United States
ID NLM: 8605836

Informations de publication

Date de publication:
03 2021
Historique:
received: 13 07 2020
revised: 06 10 2020
accepted: 08 10 2020
pubmed: 16 10 2020
medline: 24 6 2021
entrez: 15 10 2020
Statut: ppublish

Résumé

The Cancer Dyspnea Scale (CDS) is a self-reported multidimensional tool used for the assessment of dyspnea, a subjective experience of breathing discomfort, in patients with cancer. The scale describes dyspnea using three distinct factors: physical, psychological, and discomfort at rest. To crossculturally validate the Italian version of CDS (CDS-IT) and examine its content validity, feasibility, internal consistency, and construct validity in patients with advanced cancer. A cross-sectional study was conducted. CDS-IT was forward-backward translated, and its content was validated among a group of experts. Cronbach's α coefficients were used to assess the internal consistency. Construct validity was examined in terms of structural validity through confirmatory factor analysis, and convergent validity was examined with Visual Analogue Scale Dyspnea through the Pearson's correlation coefficient (r). Cancer Quality of life (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative Care) and Italian Palliative Outcome Scale were also tested. The CDS-IT was crossculturally validated and showed satisfactory content validity. A total of 101 patients (mean age = 76 [SD = 12]; 53% females) were recruited in palliative care settings. CDS-IT reported a good internal consistency in the total score and its factors (α = 0.74-0.83). The factor analysis corresponded acceptably but not completely with the original study. CDS-IT strongly correlated with Visual Analogue Scale Dyspnea (r = 0.68) and moderately with Italian Palliative Outcome Scale and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative Care (r = 0.33-0.36, respectively). The study findings supported the crosscultural validity of the CDS-IT. Its feasibility, internal consistency, and construct validity are satisfactory for clinical practice. The CDS-IT is available to health care professionals as a useful tool to assess dyspnea in patients with cancer.

Identifiants

pubmed: 33059018
pii: S0885-3924(20)30803-4
doi: 10.1016/j.jpainsymman.2020.10.008
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

571-578.e1

Informations de copyright

Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

Auteurs

Stefania Tinti (S)

Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy. Electronic address: stefania.tinti@unimi.it.

Beatrice De Maria (B)

IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy.

Monica Parati (M)

IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy; Neuroengineering and Medical Robotics Laboratory, Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.

Stefano Terzoni (S)

ASST- Santi Paolo e Carlo, University of Milan, Milan, Italy.

Maria Cristiana Rossi (MC)

ASST-Rhodense, Palliative Care, Hospice and Pain Therapy Department, Garbagnate Milanese, Milan, Italy.

Daria Da Col (D)

ASST Grande Ospedale Metropolitano Niguarda, Palliative Care - Hospice, Milan, Italy.

Giulia Pairona (G)

ASST Grande Ospedale Metropolitano Niguarda, Palliative Care - Hospice, Milan, Italy.

Carla Longhi (C)

ASST-Lariana, Palliative Care - Hospice, Mariano Comense, Como, Italy.

Elisa Giudici (E)

ASST-Lariana, Palliative Care - Hospice, Mariano Comense, Como, Italy.

Irene Pidone (I)

ASST-Lariana, Palliative Care - Hospice, Mariano Comense, Como, Italy.

Annalisa Alberti (A)

ASST-Rhodense Bachelor School of Nursing, University of Milan, Rho, Milan, Italy.

Michele Sofia (M)

ASST-Rhodense, Palliative Care, Hospice and Pain Therapy Department, Garbagnate Milanese, Milan, Italy.

Ida Ramponi (I)

ASST-Rhodense, Garbagnate Milanese, Milan, Italy.

Nicla Urbano (N)

ASST-Rhodense, Garbagnate Milanese, Milan, Italy.

Keiko Tanaka (K)

Palliative Care Department Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.

Anne Destrebecq (A)

Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.

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