Properties of the Shift and Persist Questionnaire in adolescent and young adult cancer patients and survivors: Validity, consistency, and interpretability.
Properties of the Shift and Persist Questionnaire in adolescent and young adult cancer patients and survivors: Validity, consistency, and interpretability.
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青少年和青年癌症患者和幸存者的转变和坚持问卷的特点：有效性、一致性和可解释性。
DOI：
10.1007/s11136-022-03219-7
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Salsman,JohnM
中科院分区：
文献类型：
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作者：
Murphy,KarlyM;Chen,Edith;Ip,EdwardH;Rosenberg,AbbyR;Snyder,MalloryA;Salsman,JohnM
转移和坚持模型提供了一个信息框架，以了解青少年和年轻成人（AYA）癌症患者和幸存者（15-39岁）如何承受压力，尽管逆境中茁壮成长。本研究的目标是检查的心理测量特性的转变和坚持问卷（SPQ）在这一人群中，并提供interpretation.MethodsAYA癌症患者和幸存者招募通过一个在线研究小组的指导方针。参与者报告了人口统计学和健康史，并完成了SPQ和患者报告结局测量信息系统29项配置文件（PROMIS®-29）。我们评估了SPQ的结构效度、内部一致性和结构效度。结果572名符合条件的受试者完成了问卷调查。平均而言，参与者在评估时年龄为24岁（SD = 7）。在参与者中，43.5%是女性，77.1%是白色，17.5%是西班牙裔（跨种族）。SPQ的双因素结构表现出非常好的结构效度（CFI > 0.95，SRMR < 0.08）和PROMIS-29®域的结构效度（收敛Rs = 0.17至0.43，发散Rs =-0.11至-0.51）。内部一致性良好（ω= 0.76-0.83）。建议的MID为1点的转变分量表，1-2点（S）的坚持分量表，和2-3点的总SPQ score.ConclusionThe SPQ是一个心理测量健全措施的技能，有助于恢复在AYA癌症患者和幸存者。MID的建议增强了SPQ在这一人群中的可解释性。未来的研究检查转移和坚持在这一人群中可能会受益于管理SPQ。
PurposeThe Shift and Persist model provides an informative framework to understand how adolescent and young adult (AYA) cancer patients and survivors (ages 15–39) may withstand stress and thrive despite adversity. The goal of the present study was to examine the psychometric properties of the Shift and Persist Questionnaire (SPQ) in this population and provide guidelines for interpretation.MethodsAYA cancer patients and survivors were recruited via an online research panel. Participants reported demographics and health history and completed the SPQ and Patient-Reported Outcome Measurement Information System 29-item profile (PROMIS®-29). We evaluated the structural validity, internal consistency, and construct validity of the SPQ. Minimally important differences (MIDs) were estimated to inform SPQ score interpretation.Results572 eligible individuals completed the survey. On average, participants were aged 24 (SD = 7) at evaluation. Of the participants, 43.5% were female, 77.1% were white, and 17.5% were Hispanic (across races). The two-factor structure of the SPQ demonstrated very good structural validity (CFI > 0.95, SRMR < 0.08), and construct validity with PROMIS-29® domains (convergentRs = 0.17 to 0.43, divergentRs = − 0.11 to − 0.51). Internal consistency was adequate (ω= 0.76–0.83). Recommended MIDs were 1 point for the Shift subscale, 1–2 point(s) for the Persist subscale, and 2–3 points for the total SPQ score.ConclusionThe SPQ is a psychometrically sound measure of skills that contribute to resilience in AYA cancer patients and survivors. MID recommendations enhance the interpretability of the SPQ in this population. Future studies examining shifting and persisting in this population may benefit from administering the SPQ.