害怕疾病惡化簡明量表中文版之信效度測試與現況探討 -以頭頸癌病人為例

詩蕓瑄

doi:10.6342/NTU202003598

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害怕疾病惡化簡明量表中文版之信效度測試與現況探討 -以頭頸癌病人為例

Validation of the Fear of Progression Questionnaire-Short Form Chinese Version (FoP-Q-SF-C) in Patients with Head and Neck Cancer in Taiwan

詩蕓瑄 , Masters　　Advisor：賴裕和　　

繁體中文 DOI： 10.6342/NTU202003598

害怕疾病惡化；頭頸癌；心理測量；信效度； Fear of progression ； Head and neck cancer ； Psychometrics ； Validation

Abstract │ Reference (94)

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Background: 
     Fear of progression (FoP) is one of the most distressful psychological concerns for cancer patients. However, relatively limited information has provided in Chinese speaking society due to a lack of psychometrically validated tools in Chinese. The purposes of this study are to: (1) translate and evaluate the face and content validity of the ‘Fear of Progression Questionnaire Short Form (FoP-Q-SF)’. (2) Examine the Psychometrics of the FoP-Q-SF which include internal reliability, test-retest reliability and construct validity, and (3) explore the current status of FoP in Head and Neck Cancer Patients (HNC).
Methods: 
     This is a cross-sectional study using consecutive sampling to recruit HNC patients in both OPD and Inpatient ward at a medical center in northern Taiwan. In phase I, there were 30 eligible subjects were explored for face validity. Content validity was examined by 5 experts in this field. For phase II, 186 subjects are recruited (OPD: 121, inpatient ward: 62). Construct validity was measured using theoretically supported correlations between the FoP-Q-SF and related constructs. Discriminant validity would also be assessed between. A 2-week test-retest reliability of FoP-Q-SF will be examined and randomly selected from OPD subjects in phase II (n=45). 
Results: 
     The Chinese version of the Fear of Progression Questionnaire Short Form (FoP-Q-SF) explored two-dimensional structure and had satisfactory internal and test-retest reliability. Validation was also demonstrated through convergent and discriminant validity. FoP-Q-SF scores correlated positively with the degree with physical symptom anxiety, and depression, but correlated negatively with the level of quality of life, and performance status.
Conclusions: 
     FoP-Q-SF is a valid instrument for the examination of the fear of progression in HNC. Clinicians can assess the clinical level of fear of progression, and better understand the relevance of illness-related and personal or social factors for dysfunctional fear of progression, to provide more intervention and improve the quality of psychosocial care to cancer patients.

Reference ( 94 ) 〈TOP〉

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