ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2011
Comprehensive needs assessment tool in cancer (CNAT): the development and validation.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Caring for the Informal Caregivers: Systematic Review of Unmet Needs in Palliative Care.Nursing open · 2025Pooled it
- Assessing unmet needs in advanced cancer patients: a systematic review of the development, content, and quality of available instruments.Journal of cancer survivorship : research and practice · 2022Pooled it
- Evaluation of psychometric properties of needs assessment tools in cancer patients: A systematic literature review.PloS one · 2019Pooled it
- Cancer survivorship in the Western Pacific: from differences to shared-goals and from challenges to opportunities.The Lancet regional health. Western Pacific · 2025Review
- From patient voices to optimal PROMs: a mixed methods framework for cancer survivorship care.Journal of cancer survivorship : research and practice · 2025Article
- Gender-specific differences in factors influencing supportive care needs in colorectal cancer patients.BMC cancer · 2025Article
- Korean patients with hereditary cancer: a prospective multicentre cohort study protocol exploring psychosocial and health outcomes.BMJ open · 2025Article
- The MASCC COG-IMPACT: An unmet needs assessment for cancer-related cognitive impairment impact developed by the Multinational Association of Supportive Care in Cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Development and initial validation of a palliative care readiness (PALCARE) tool for older adults with cancer: Study protocol.PloS one · 2025Article
- Development and validation of a dual language needs assessment tool for people living with colorectal cancer (NeAT-CC).PloS one · 2025Article
- Feasibility and preliminary effects of a socio-spiritual intervention for adults with cancer and their family caregivers: a pilot randomised controlled trial.Ecancermedicalscience · 2025Article
- Comprehensive needs assessment tool for informal cancer caregivers (CNAT-ICs): Instrument development and cross-sectional validation study.International journal of nursing studies advances · 2024Article
- Protocol for the Development and Initial Validation of the COG-IMPACT Tool: A Purpose-Built Unmet Needs Assessment for Cancer-Related Cognitive Impairment.Methods and protocols · 2024Article
- Comprehensive needs, social support, and disease perception in lung cancer patients treated with immune checkpoint inhibitors: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- A Critical Overview of the Construct of Supportive Care Need in the Cancer Literature: Definitions, Measures, Interventions and Future Directions for Research.International journal of environmental research and public health · 2024Review
- Article
- Investigation and analysis of the comprehensive unmet needs of cancer patients treated with immune checkpoint inhibitors: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Supportive care needs of patients with colorectal cancer undergoing anticancer therapy: A latent class analysis.Asia-Pacific journal of oncology nursing · 2023Article
- Risk factors associated with the comprehensive needs of cancer caregivers in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Development and Validation of a Dual-Language (English and Malay) Needs Assessment Tool for Breast Cancer (NeAT-BC).Diagnostics (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeNeeds assessment is an important step toward quality and patient-centered cancer care, as it identifies patient need, guiding evidence-based cancer care policy, and maximizing care outcome. This study reports on the development and validation of comprehensive needs assessment tool in cancer (CNAT).
methodsThe CNAT, 59-item needs assessment tool for cancer was developed and validated in a large scale multi-center survey involving 2,661 cancer patients in ten fairly distributed cancer centers throughout Korea.
resultsTo ensure content validity of the CNAT, items were derived from major needs assessment tools and input from experts and patients. Exploratory factor analysis confirmed its construct validity and identified seven factors: health care staff, psychological problems, physical symptoms, information, social and religious/spiritual support, practical support, and hospital facilities/services. Cronbach's alpha for the scale was 0.97, and for subscales, it varied from 0.80 to 0.97. Convergent validity was demonstrated by its significant association with the EQ5D. Patients with elevated stress, depressive episodes, or suicidal ideation reported a significantly higher level of psychological and overall need. Known-group validity was also supported by its ability to detect significant differences according to age, gender, education, insurance status, months since diagnosis, and non-surgical anticancer treatment. Needs differed according to SEER stage and cancer type: advanced stage and breast and lung cancer were associated with a greater level of need.
conclusionsThe CNAT constitutes a meaningful and valid response to the challenges of cancer care, enabling assessment of need in cancer with a comprehensive yet concise and psychometrically sound tool.
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