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The development of a comprehensive needs assessment tool for cancer-caregivers in patient-caregiver dyads.

Authors
 Dong Wook Shin  ;  Jong-Hyock Park  ;  Eun-Jung Shim  ;  Jae-Hyun Park  ;  Jin-Young Choi  ;  Sung Gyeong Kim  ;  Eun-Cheol Park 
Citation
 PSYCHO-ONCOLOGY, Vol.20(12) : 1342-1352, 2011 
Journal Title
 PSYCHO-ONCOLOGY 
ISSN
 1057-9249 
Issue Date
2011
MeSH
Caregivers*/education ; Caregivers*/psychology ; Female ; Humans ; Male ; Middle Aged ; Needs Assessment* ; Neoplasms/psychology ; Neoplasms/therapy* ; Reproducibility of Results ; Social Support ; Surveys and Questionnaires
Keywords
caregiver ; cancer ; needs assessment ; validation ; oncology
Abstract
OBJECTIVE: The assessment of a caregiver's needs is a critical step for determining appropriate support services, providing high quality care, and achieving caregiver satisfaction. However, a systematic assessment of family caregiver's needs is rarely practiced. This study reports the development and validation of a comprehensive needs assessment tool for cancer caregivers (CNAT-C). METHODS: Items of CNAT-C were generated through literature review and refined through expert consultation and caregiver interview, and pilot test. Final 41-item needs assessment tool for cancer was developed and validated in a large-scale multi-center survey involving 600 cancer patients-family caregiver dyads in 10 cancer centers fairly distributed throughout Korea. RESULTS: The content validity of CNAT-C was established throughout the development process. Principal component analysis resulted in a seven-factor structure explaining 66.4% of the total variance: (1) health and psychological problems (6 items), (2) family/social support (5 items), (3) health-care staff (8 items), (4) information (8 items), (5) religious/spiritual support (2 items), (6) hospital facilities and services (6 items), and (7) practical support (6 items). The Cronbach alpha was 0.96 for the total scale, and those for the subscales ranged from 0.79 to 0.95. Caregiver needs were not highly correlated with patient needs when compared domain-by-domain. Known-group validity was also supported by the tool's ability to detect significant differences according to various patient and caregiver characteristics. CONCLUSIONS: The CNAT-C appears to be a valid and reliable measure to assess comprehensive and multidimensional needs in caregivers of cancer patients.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/pon.1857/abstract
DOI
10.1002/pon.1857
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95469
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