Development of a measurement tool to assess public awareness of cancer.

Development of a measurement tool to assess public awareness of cancer.
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DOI:
10.1038/sj.bjc.6605385
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发表时间:
2009-12-03
影响因子:
8.8
通讯作者:
Wardle, J.
Wardle, J.
中科院分区:
医学1区
文献类型:
--
作者:
Stubbings, S.;Robb, K.;Waller, J.;Ramirez, A.;Austoker, J.;Macleod, U.;Hiom, S.;Wardle, J.

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我们的目的是开发和验证一种测量工具来评估普通人群的癌症意识:癌症意识测量(CAM)。评估人们对癌症警告信号、危险因素、发病率、筛查项目和寻求帮助态度的项目摘自文献或由专家组生成。为了确定可靠性,对一个大学参与者小组(n=148)进行了CAM,并在2周后再次完成了一个子样本(n=94)。为了建立结构效度,我们将癌症专家(n=12)的CAM分数与非医学学者(n=21)的CAM分数进行比较。最后,大学生(n=49)被随机分配在完成测量之前阅读癌症信息传单或对照信息传单,以确保CAM对变化敏感。认知访谈表明,CAM被理解为有意的。内部信度(Cronbach’s α=0.77)和重测信度(r=0.81)较高。癌症专家的得分明显高于非医学学者(t(31)=6.8, P<0.001)。接受干预单张的学生的CAM得分高于对照组(t(47)=4.8, P<0.001)。这些研究显示了CAM的心理测量特性,并支持其作为普通人群癌症意识测量的有效性。
We aimed to develop and validate a measurement tool to assess cancer awareness in the general population: the cancer awareness measure (CAM). Items assessing awareness of cancer warning signs, risk factors, incidence, screening programmes and attitudes towards help seeking were extracted from the literature or generated by expert groups. To determine reliability, the CAM was administered to a university participant panel (n=148), with a sub-sample (n=94) completing it again 2 weeks later. To establish construct validity, CAM scores of cancer experts (n=12) were compared with those of non-medical academics (n=21). Finally, university students (n=49) were randomly assigned to read either a cancer information leaflet or a leaflet with control information before completing the measure, to ensure the CAM was sensitive to change. Cognitive interviewing indicated that the CAM was being interpreted as intended. Internal reliability (Cronbach's α=0.77) and test–retest reliability (r=0.81) were high. Scores for cancer experts were significantly higher than those for non-medical academics (t(31)=6.8, P<0.001). CAM scores were higher among students who received an intervention leaflet than the control leaflet (t(47)=4.8, P<0.001). These studies show the psychometric properties of the CAM and support its validity as a measure of cancer awareness in the general population.
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