Evidence map›Paper›PMID 22284545›Full record

ArticleHealth and quality of life outcomes2012

Preliminary development and psychometric evaluation of an unmet needs measure for adolescents and young adults with cancer: the Cancer Needs Questionnaire - Young People (CNQ-YP).

Tara Clinton-McHarg, Mariko Carey, Rob Sanson-Fisher, Catherine D'Este, Anthony Shakeshaft

Abstract readComparative Study
In one paragraph

Article in Health and quality of life outcomes, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systematic review of the health-related quality of life issues facing adolescents and young adults with cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Pooled it
  2. Article
  3. Article
  4. Advancing the call towards implementing AYA screening of needs in adult oncology settings.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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  8. The relationship between unmet cancer care needs and self-rated health among adolescents and young adults with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  9. Identifying health-related quality of life cut-off scores that indicate the need for supportive care in young adults with cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  10. Article
  11. An actionable needs assessment for adolescents and young adults with cancer: the AYA Needs Assessment & Service Bridge (NA-SB).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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  15. Developmentally appropriate care for adolescents and young adults with cancer: how well is Australia doing?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tara Clinton-McHargHealth Behaviour Research Group, Priority Research Centre for Health Behaviour, University of Newcastle and the Hunter Medical Research Institute, Callaghan, New South Wales, Australia. tara.clinton-mcharg@newcastle.edu.au
Mariko Carey
Rob Sanson-Fisher
Catherine D'Este
Anthony Shakeshaft

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescents and young adult (AYA) cancer survivors may have unique physical, psychological and social needs due to their cancer occurring at a critical phase of development. The aim of this study was to develop a psychometrically rigorous measure of unmet need to capture the specific needs of this group.

methodsItems were developed following a comprehensive literature review, focus groups with AYAs, and feedback from health care providers, researchers and other professionals. The measure was pilot tested with 32 AYA cancer survivors recruited through a state-based cancer registry to establish face and content validity. A main sample of 139 AYA cancer patients and survivors were recruited through seven treatment centres and invited to complete the questionnaire. To establish test-retest reliability, a sub-sample of 34 participants completed the measure a second time. Exploratory factor analysis was performed and the measure was assessed for internal consistency, discriminative validity, potential responsiveness and acceptability.

resultsThe Cancer Needs Questionnaire - Young People (CNQ-YP) has established face and content validity, and acceptability. The final measure has 70 items and six factors: Treatment Environment and Care (33 items); Feelings and Relationships (14 items); Daily Life (12 items); Information and Activities (5 items); Education (3 items); and Work (3 items). All domains achieved Cronbach's alpha values greater than 0.80. Item-to-item test-retest reliability was also high, with all but four items reaching weighted kappa values above 0.60.

conclusionsThe CNQ-YP is the first multi-dimensional measure of unmet need which has been developed specifically for AYA cancer patients and survivors. The measure displays a strong factor structure, and excellent internal consistency and test-retest reliability. However, the small sample size has implications for the reliability of the statistical analyses undertaken, particularly the exploratory factor analysis. Future studies with a larger sample are recommended to confirm the factor structure of the measure. Longitudinal studies to establish responsiveness and predictive validity should also be undertaken.

Indexed as

Health Care SurveysQuality of LifeAdolescentAge DistributionCancer Care FacilitiesChi-Square DistributionConfidence IntervalsCross-Sectional StudiesFemaleFocus GroupsHealth Services AccessibilityHealth Services Needs and DemandHumansMaleNeoplasmsNew South Wales

Identifiers

PMID22284545
PMCPMC3317875

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.