Improving Care for Spanish-Speaking Older Adults with Breast Cancer: Feasibility, Reliability, and Validity of a Self-Administered Spanish Language Geriatric Assessment.
Improving Care for Spanish-Speaking Older Adults with Breast Cancer: Feasibility, Reliability, and Validity of a Self-Administered Spanish Language Geriatric Assessment.
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DOI：
10.3390/cancers13112685
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发表时间：
2021-05-29
期刊：
影响因子：
5.2
通讯作者：
Sedrak MS
中科院分区：
文献类型：
--
作者：
Soto-Perez-de-Celis E;Vazquez J;Kim H;Sun CL;Charles K;Celis A;Katheria V;Li D;Dale W;Sedrak MS
进行老年评估代表了老年癌症患者管理的护理标准。然而，大多数老年肿瘤学评估的研究包括生活在发达国家的高教育水平的非西班牙裔白色人群。在这项研究中，我们评估的可行性，可靠性和有效性的两种管理方法（电子触摸屏平板电脑和纸/笔）的西班牙语版本的自我管理的老年评估在美国的老年女性乳腺癌。我们的研究结果表明，使用电子平板电脑或纸/笔实施自我管理的老年评估是可行的，可靠的，有效的讲西班牙语的老年人。然而，为了完成老年评估，教育水平较低的参与者更有可能需要帮助，并且需要更长的时间才能完成。这项研究强调了根据老年癌症患者的文化、社会和教育水平定制评估和问卷的重要性。我们评估了在美国老年（年龄≥ 65岁）讲西班牙语的乳腺癌女性中使用西班牙语自我管理老年评估（GA）的可行性、可靠性和有效性。招募并随机分配合格参与者（n = 181）。可行性被定义为参与者的独立GA完成率，完成时间，以及对容易完成的看法。信度和效度采用斯皮尔曼相关系数进行评估。双侧p < 0.05被认为具有显著性。98%的参与者（n = 177）至少完成了一次GA。中位年龄为70岁（范围：65-95岁），55%的受教育程度≤ 8年级。41%（n = 73）无法在无辅助的情况下完成GA，中位完成时间为28分钟（范围8-90），77%（n = 136）将GA评定为“容易”/“非常容易”。与受教育程度≥ 9级的患者相比，受教育程度≤ 8级的患者完成GA所需时间更长（30 vs. 25 min，p = 0. 0036），需要更多的帮助（59% vs. 19%，p <0. 001）。除社会活动（0.73）外，所有领域的重测信度都很高（≥0.82）。类似的规模之间的有效性被发现。自我管理GA是一个可行的，可靠的，有效的工具，为讲西班牙语的老年妇女乳腺癌。当在多元文化环境中实施工具时，根据患者的教育水平定制GA工具是很重要的。
Conducting a geriatric assessment represents the standard of care for the management of older adults with cancer. However, most studies of the geriatric assessment in oncology have included non-Hispanic white populations with high educational levels living in developed countries. In this study, we assessed the feasibility, reliability, and validity of two methods of administration (electronic touchscreen tablet and paper/pencil) of the Spanish language version of a self-administered geriatric assessment among older women with breast cancer in the United States. Our results show that implementing a self-administered geriatric assessment using either an electronic tablet or paper/pencil is feasible, reliable, and valid in Spanish-speaking older adults. However, in order to complete the geriatric assessment, participants with lower educational levels were more likely to need help and took significantly longer to do so. This study highlights the importance of tailoring assessments and questionnaires to the cultural, social, and educational level of older adults with cancer. We evaluated the feasibility, reliability, and validity of a Spanish-language self-administered geriatric assessment (GA) in older (age ≥ 65) Spanish-speaking women with breast cancer in the United States. Eligible participants (n = 181) were recruited and randomized. Feasibility was defined as the participant’s unassisted GA completion rate, completion time, and perception on ease of completion. Reliability and validity were assessed using Spearman’s correlation coefficients. Two-sided p < 0.05 was considered significant. Ninety-eight percent of participants (n = 177) completed the GA at least once. Median age was 70 years (range: 65–95) and 55% had ≤8th grade education. Forty-one percent (n = 73) were unable to complete the GA unassisted, median completion time was 28 min (range 8–90), and 77% (n = 136) rated the GA as “easy”/“very easy”. Patients with ≤8th grade education took longer to complete the GA (30 vs. 25 min, p = 0.0036) and needed more assistance (59% vs. 19%, p < 0.001) than those with ≥9th grade education. Test–retest reliability was high (≥0.82) for all domains except social activity (0.73). Validity among similar scales was found. The self-administered GA is a feasible, reliable, and valid tool for Spanish-speaking older women with breast cancer. Tailoring GA tools to the patients’ educational level is important when implementing tools in multicultural environments.
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影响因子：
3.8
作者：
Vaportzis E;Giatsi Clausen M;Gow AJ
通讯作者：
Gow AJ
影响因子：
2.1
作者：
Cerezo, O.;Onate-Ocana, L. F.;Vilar-Compte, D.
通讯作者：
Vilar-Compte, D.
DOI：
10.1093/geronj/36.4.428
发表时间：
1981-01-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
FILLENBAUM, GG;SMYER, MA
通讯作者：
SMYER, MA
DOI：
10.1093/jnci/85.5.365
发表时间：
1993-03-03
期刊：
JOURNAL OF THE NATIONAL CANCER INSTITUTE
影响因子：
--
作者：
AARONSON, NK;AHMEDZAI, S;TAKEDA, F
通讯作者：
TAKEDA, F
影响因子：
6.2
作者：
Hurria, A;Gupta, S;Kornblith, AB
通讯作者：
Kornblith, AB