Cultural adaptation and validity of the memorial symptom assessment scale in adults with cancer in Colombia
-
Gloria Mabel Carrillo
,
Elizabeth Vargas Rosero
,
Oscar Yesid Franco
,
July Liliana Forero
,
Alejandra Moreno
,
Melisa Castellanos
Abstract
Background & Aim: The Memorial Symptom Assessment Scale measures the presence, frequency, severity, and distress of symptoms. The scale is available in Spanish, but it has not been validated in Colombia. This study aims to translate, validate, and culturally adapt the Memorial Symptom Assessment Scale for adults with cancer in Colombia.
Methods & Materials: Adults with cancer undergoing chemotherapy in an oncological outpatient center in Bogota, Colombia, were invited to participate in the study. Patients in end-of-life care or with cognitive deficits were excluded. Psychometric research was carried out and included: 1) Translation and cultural adaptation of the scale from English, 2) Construct validity and reliability with a convenience sample of 249 cancer patients. A factorial analysis of principal components was carried out with the Varimax rotation method in IBM SPSS v26.0. The reliability of the scale was estimated using Cronbach's Alpha; subsequently, factor analysis was carried out using structural equations in MPlus.
Results: The scale was adapted to the Colombian context. Two factors (physical and psychological) of the scale structure were produced by the factorial analysis that contributes 47.9% of the accumulated variance. The alpha coefficient of Cronbach ranged between 0.75 and 0.79. The final model goodness of fit was also adequate [X2 (128)=184.47, p = 0.008, CFI = 0.94, RMSEA: 0.04 [0.03, 0.06], SRMR: 0.06, TLI= 0.92].
Conclusion: The Memorial Symptom Assessment Scale has adequate validity and reliability to measure the prevalence, frequency, stress, and severity of symptoms in adults with cancer in Colombia.
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10. Llamas Ramos I, Llamas Ramos R, Martín Nogueras AM, Alvarado Omenat JJ, Calvo Arenillas JI, Fonseca Sánchez E, et al. Reliability and Validity of the Spanish Version of the Memorial Symptom Assessment Scale in Oncology Patients. J Pain Symptom Manage. 2016;52(6):884-91.
11. Nho J-H, Kim SR, Chang VT, Nam J-H. Reliability and Validity of the Korean Memorial Symptom Assessment Scale-Short Form in Gynecological Cancer Patients. J Pain Symptom Manage. 2018 Jan;55(1):101–7.
12. Abu-Saad Huijer H, Sagherian K, Tamim H. Validation of the Arabic Version of the Memorial Symptom Assessment Scale Among Lebanese Cancer Patients. J Pain Symptom Manage. 2015 Oct;50(4):559-65.
13. Menezes JR de, Luvisaro BMO, Rodrigues CF, Muzi CD, Guimarães RM. Test-retest reliability of Brazilian version of Memorial Symptom Assessment Scale for assessing symptoms in cancer patients. Einstein (Sao Paulo). 2017;15(2):148-54.
14. Haryani H, Hsu Y-Y, Warsini S, Wang S-T. Measuring the Symptom Experience of Patients With Cancer in Indonesia: Cross-Cultural Adaptation and Validation of the Memorial Symptom Assessment Scale-Indonesian Version. J Pain Symptom Manage. 2018 Dec;56(6):920–7.
15. El Universal. Colombia cuenta con la tasa más baja de escolarización en América Latina [Internet]. El Universal. 2015. Available from: https://www.eluniversal.com.co/educacion/colombia-cuenta-con-la-tasa-mas-baja-de-escolarizacion-en-america-latina-200595-ITEU301548
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20. Wolf EJ, Harrington KM, Clark SL, Miller MW. Sample Size Requirements for Structural Equation Models: An Evaluation of Power, Bias, and Solution Propriety. Educ Psychol Meas. 2013 Dec;76(6):913-34.
21. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec;25(24):3186–91.
22. Portenoy RK, Thaler HT, Kornblith AB, McCarthy Lepore J, Friedlander-Klar H, Kiyasu E, et al. The Memorial Symptom Assessment Scale: an instrument for the evaluation of symptom prevalence, characteristics, and distress. Eur J Cancer. 1994;30(9):1326-36.
23. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model A Multidiscip J. 1999;6(1):1-55.
24. McDonald RP. The dimensionality of tests and items. Br J Math Stat Psychol. 1981;34(1):100–17.
25. Yildirim Y, Tokem Y, Bozkurt N, Fadiloglu C, Uyar M, Uslu R. Reliability and validity of the Turkish version of the Memorial Symptom Assessment Scale in cancer patients. Asian Pac J Cancer Prev. 2011;12(12):3389–96.
26. Browall M, Kenne Sarenmalm E, Nasic S, Wengström Y, Gaston-Johansson F. Validity and reliability of the Swedish version of the Memorial Symptom Assessment Scale (MSAS): an instrument for the evaluation of symptom prevalence, characteristics, and distress. J Pain Symptom Manage. 2013 Jul;46(1):131–41.
27. Cheng KKF, Wong EMC, Ling WM, Chan CWH, Thompson DR. Measuring the symptom experience of Chinese cancer patients: a validation of the Chinese version of the memorial symptom assessment scale. J Pain Symptom Manage. 2009 Jan;37(1):44–57.
28. Chang VT, Hwang SS, Feuerman M, Kasimis BS, Thaler HT. The memorial symptom assessment scale short form (MSAS-SF). Cancer. 2000 Sep;89(5):1162–71.
29. Fu L, Hu Y, Lu Z, Zhou Y, Zhang X, Chang VT, et al. Validation of the Simplified Chinese Version of the Memorial Symptom Assessment Scale-Short Form Among Cancer Patients. J Pain Symptom Manage. 2018 Jul;56(1):113-21.
30. Llamas-Ramos I, Llamas-Ramos R, Buz J, Cortés-Rodríguez M, Martín-Nogueras AM. Construct Validity of the Spanish Versions of the Memorial Symptom Assessment Scale Short Form and Condensed Form: Rasch Analysis of Responses in Oncology Outpatients. J Pain Symptom Manage. 2018 Jun;55(6):1480-91.
2. Aktas A, Walsh D, Kirkova J. The psychometric properties of cancer multisymptom assessment instruments: a clinical review. Support care cancer Off J Multinatl Assoc Support Care Cancer. 2015 Jul;23(7):2189–202.
3. Siefert M Lou, Bonquist TM, Berry DL, Hong F. Symptom-related emergency department visits and hospital admissions during ambulatory cancer treatment. J Community Support Oncol. 2015 May;13(5):188–94.
4. Boele FW, Klein M, Reijneveld JC, Verdonck-de Leeuw IM, Heimans JJ. Symptom management and quality of life in glioma patients. CNS Oncol. 2014 Jan;3(1):37–47.
5. Kristensen A, Solheim TS, Amundsen T, Hjelde HH, Kaasa S, Sørhaug S, et al. Measurement of health-related quality of life during chemotherapy - the importance of timing. Acta Oncol. 2017 May;56(5):737–45.
6. Giesinger JM, Wintner LM, Zabernigg A, Gamper EM, Oberguggenberger AS, Sztankay MJ, et al. Assessing quality of life on the day of chemotherapy administration underestimates patients’ true symptom burden. BMC Cancer. 2014;14:1–7.
7. Ventzel L, Jensen AB, Jensen AR, Jensen TS, Finnerup NB. Chemotherapy-induced pain and neuropathy: A prospective study in patients treated with adjuvant oxaliplatin or docetaxel. Pain. 2016 Mar;157(3):560-8.
8. Röhrl K, Guren MG, Småstuen MC, Rustøen T. Symptoms during chemotherapy in colorectal cancer patients. Support Care Cancer. 2019;27(8):3007-17.
9. Kirkova J, Davis MP, Walsh D, Tiernan E, O’Leary N, LeGrand SB, et al. Cancer symptom assessment instruments: a systematic review. J Clin Oncol Off J Am Soc Clin Oncol. 2006 Mar;24(9):1459–73.
10. Llamas Ramos I, Llamas Ramos R, Martín Nogueras AM, Alvarado Omenat JJ, Calvo Arenillas JI, Fonseca Sánchez E, et al. Reliability and Validity of the Spanish Version of the Memorial Symptom Assessment Scale in Oncology Patients. J Pain Symptom Manage. 2016;52(6):884-91.
11. Nho J-H, Kim SR, Chang VT, Nam J-H. Reliability and Validity of the Korean Memorial Symptom Assessment Scale-Short Form in Gynecological Cancer Patients. J Pain Symptom Manage. 2018 Jan;55(1):101–7.
12. Abu-Saad Huijer H, Sagherian K, Tamim H. Validation of the Arabic Version of the Memorial Symptom Assessment Scale Among Lebanese Cancer Patients. J Pain Symptom Manage. 2015 Oct;50(4):559-65.
13. Menezes JR de, Luvisaro BMO, Rodrigues CF, Muzi CD, Guimarães RM. Test-retest reliability of Brazilian version of Memorial Symptom Assessment Scale for assessing symptoms in cancer patients. Einstein (Sao Paulo). 2017;15(2):148-54.
14. Haryani H, Hsu Y-Y, Warsini S, Wang S-T. Measuring the Symptom Experience of Patients With Cancer in Indonesia: Cross-Cultural Adaptation and Validation of the Memorial Symptom Assessment Scale-Indonesian Version. J Pain Symptom Manage. 2018 Dec;56(6):920–7.
15. El Universal. Colombia cuenta con la tasa más baja de escolarización en América Latina [Internet]. El Universal. 2015. Available from: https://www.eluniversal.com.co/educacion/colombia-cuenta-con-la-tasa-mas-baja-de-escolarizacion-en-america-latina-200595-ITEU301548
16. Polit D, Beck CT. Nursing research: generating evidence and assessing evidence for nursing practice. 10 Ed. Wolters Kluwer Health, editor. Philadelphia; 2017.
17. Montero I, León OG. A guide for naming research studies in Psychology. Int J Clin Heal Psychol. 2007;7(3):847-62.
18. Ministerio de Salud y Protección Social. Resolución Número 8430 de 1993. Colombia; 1993.
19. Organización Panamericana de la Salud, Consejo de Organizaciones Internacionales de las Ciencias Médicas. Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos. Fourth Edi. Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS), editor. Ginebra; 2016.
20. Wolf EJ, Harrington KM, Clark SL, Miller MW. Sample Size Requirements for Structural Equation Models: An Evaluation of Power, Bias, and Solution Propriety. Educ Psychol Meas. 2013 Dec;76(6):913-34.
21. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec;25(24):3186–91.
22. Portenoy RK, Thaler HT, Kornblith AB, McCarthy Lepore J, Friedlander-Klar H, Kiyasu E, et al. The Memorial Symptom Assessment Scale: an instrument for the evaluation of symptom prevalence, characteristics, and distress. Eur J Cancer. 1994;30(9):1326-36.
23. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model A Multidiscip J. 1999;6(1):1-55.
24. McDonald RP. The dimensionality of tests and items. Br J Math Stat Psychol. 1981;34(1):100–17.
25. Yildirim Y, Tokem Y, Bozkurt N, Fadiloglu C, Uyar M, Uslu R. Reliability and validity of the Turkish version of the Memorial Symptom Assessment Scale in cancer patients. Asian Pac J Cancer Prev. 2011;12(12):3389–96.
26. Browall M, Kenne Sarenmalm E, Nasic S, Wengström Y, Gaston-Johansson F. Validity and reliability of the Swedish version of the Memorial Symptom Assessment Scale (MSAS): an instrument for the evaluation of symptom prevalence, characteristics, and distress. J Pain Symptom Manage. 2013 Jul;46(1):131–41.
27. Cheng KKF, Wong EMC, Ling WM, Chan CWH, Thompson DR. Measuring the symptom experience of Chinese cancer patients: a validation of the Chinese version of the memorial symptom assessment scale. J Pain Symptom Manage. 2009 Jan;37(1):44–57.
28. Chang VT, Hwang SS, Feuerman M, Kasimis BS, Thaler HT. The memorial symptom assessment scale short form (MSAS-SF). Cancer. 2000 Sep;89(5):1162–71.
29. Fu L, Hu Y, Lu Z, Zhou Y, Zhang X, Chang VT, et al. Validation of the Simplified Chinese Version of the Memorial Symptom Assessment Scale-Short Form Among Cancer Patients. J Pain Symptom Manage. 2018 Jul;56(1):113-21.
30. Llamas-Ramos I, Llamas-Ramos R, Buz J, Cortés-Rodríguez M, Martín-Nogueras AM. Construct Validity of the Spanish Versions of the Memorial Symptom Assessment Scale Short Form and Condensed Form: Rasch Analysis of Responses in Oncology Outpatients. J Pain Symptom Manage. 2018 Jun;55(6):1480-91.
| Files | ||
| Issue | Vol 9 No 2 (2022): Spring | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v9i2.8896 | |
| Keywords | ||
| neoplasms symptom assessment psychometrics validation study Colombia | ||
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How to Cite
1.
Carrillo G, Vargas Rosero E, Franco O, Forero J, Moreno A, Castellanos M. Cultural adaptation and validity of the memorial symptom assessment scale in adults with cancer in Colombia. NPT. 2022;9(2):136-144.
