Evidence map›Paper›PMID 24859036›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2014

Assessing the invariance of a culturally competent multi-lingual unmet needs survey for immigrant and Australian-born cancer patients: a Rasch analysis.

J A McGrane, P N Butow, M Sze, M Eisenbruch, D Goldstein, M T King

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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5citing papers in PubMed, 1 pooled it
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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.

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3 · Its place in the literature

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

J A McGranePearson Psychometric Laboratory, Faculty of Education, University of Western Australia, M428, 35 Stirling Hwy, Crawley, Perth, WA, 6009, Australia, joshua.mcgrane@uwa.edu.au.
P N Butow
M Sze
M Eisenbruch
D Goldstein
M T King

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to assess the invariance of a culturally competent multi-lingual unmet needs survey.

methodsA cross-sectional study was conducted among immigrants of Arabic-, Chinese- and Greek-speaking backgrounds, and Anglo-Australian-born controls, recruited through Cancer Registries (n = 591) and oncology clinics (n = 900). The survey included four subscales, with newly developed items addressing unmet need in culturally competent health information and patient support (CCHIPS), and items adapted from existing questionnaires addressing physical and daily living (PDL), sexuality (SEX) and survivorship (SURV) unmet need. The survey was translated into Arabic, Chinese and Greek. Rasch analysis was carried out on the four domains.

resultsWhilst many items were mistargeted to less prevalent areas of unmet need, causing substantial floor effects in person estimates, reliability indices were acceptable. The CCHIPS domain showed differential item functioning (DIF) for cultural background and language, and the PDL domain showed DIF for treatment phase and gender. The results for SEX and SURV domains were limited by floor effects and missing responses. All domains showed adequate fit to the model after DIF was resolved and a small number of items were deleted.

conclusionsThe study highlights the intricacies in designing a culturally competent survey that can be applied to culturally and linguistically diverse groups across different treatment contexts. Overall, the results demonstrate that this survey is somewhat invariant with respect to these factors. Future refinements are suggested to enhance the survey's cultural competence and general validity.

Indexed as

Cultural CompetencyHealthcare DisparitiesHealth Services Needs and DemandHealth Status DisparitiesNeeds AssessmentAdultAgedAustraliaCross-Sectional StudiesCultureEmigrants and ImmigrantsEthnicityFemaleHumansLanguageMale

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