Cognitive testing of tobacco use items for administration to patients with cancer and cancer survivors in clinical research.
Cognitive testing of tobacco use items for administration to patients with cancer and cancer survivors in clinical research.
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作者：
Land SR;Warren GW;Crafts JL;Hatsukami DK;Ostroff JS;Willis GB;Chollette VY;Mitchell SA;Folz JN;Gulley JL;Szabo E;Brandon TH;Duffy SA;Toll BA
目前还没有诊断为癌症的患者的烟草使用和二手烟暴露的标准化措施，这一差距阻碍了研究烟草对癌症治疗结果影响的研究。我们的目标是评估和完善专家工作队提出的评估烟草使用的问卷项目。训练有素的采访者对美国国立卫生研究院临床中心（马里兰州贝塞斯达）招募的21岁或以上、有吸烟史和任何阶段和器官部位癌症诊断的癌症患者进行了认知测试。进行迭代测试和项目修改，以识别和解决认知问题（理解、记忆检索、决策/判断、反应映射）和仪器导航问题，直到没有项目需要进一步重大修改。2014年9月至2015年2月入组了30例受试者（6例当前吸烟者，1例当前雪茄吸烟者，23例既往吸烟者）。大多数项目运作良好。然而，定性测试发现了与癌症诊断和治疗轨迹相关的措辞模糊，例如“治疗”和“手术”;终生回忆困难;估计数量的错误;以及仪器导航困难。对项目措辞、格式、顺序、回答选项和说明进行修订后，生成了一份问卷，该问卷显示了导航的便利性以及良好的问题理解和回答准确性。NCI-AACR癌症患者烟草使用问卷（C-TUQ）可用作标准化项目集，以加速癌症背景下烟草使用的调查。
There are currently no standardized measures of tobacco use and secondhand smoke exposure in patients diagnosed with cancer, and this gap hinders the conduct of studies examining the impact of tobacco on cancer treatment outcomes. Our objective was to evaluate and refine questionnaire items proposed by an expert task force to assess tobacco use. Trained interviewers conducted cognitive testing with cancer patients age 21 or older with a history of tobacco use and cancer diagnosis of any stage and organ site, recruited at the National Institutes of Health Clinical Center (Bethesda, MD). Iterative rounds of testing and item modification were conducted to identify and resolve cognitive issues (comprehension, memory retrieval, decision/judgment, response mapping) and instrument navigation issues until no items warranted further significant modification. Thirty participants (6 current cigarette smokers, 1 current cigar smoker, 23 former cigarette smokers) were enrolled from September 2014 to February 2015. Most items functioned well. However, qualitative testing identified wording ambiguities related to cancer diagnosis and treatment trajectory, such as “treatment” and “surgery”; difficulties with lifetime recall; errors in estimating quantities; and difficulties with instrument navigation. Revisions to item wording, format, order, response options, and instructions resulted in a questionnaire that demonstrated navigational ease as well as good question comprehension and response accuracy. The NCI-AACR Cancer Patient Tobacco Use Questionnaire (C-TUQ) can be utilized as a standardized item set to accelerate investigation of tobacco use in the cancer setting.
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影响因子：
--
作者：
Ronis, David L.;Duffy, Sonia A.;Terrell, Jeffrey E.
通讯作者：
Terrell, Jeffrey E.
影响因子：
6.6
作者：
Boorjian, Stephen;Cowan, Janet E.;Kane, Christopher J.
通讯作者：
Kane, Christopher J.
影响因子：
6.2
作者：
Park ER;Japuntich SJ;Rigotti NA;Traeger L;He Y;Wallace RB;Malin JL;Zallen JP;Keating NL
通讯作者：
Keating NL
影响因子：
4.5
作者：
Patrick, Donald L.;Burke, Laurie B.;Ring, Lena
通讯作者：
Ring, Lena
影响因子：
6.7
作者：
Rothrock, N. E.;Kaiser, K. A.;Cella, D.
通讯作者：
Cella, D.