Evidence map›Paper›PMID 41118374›Full record

ArticlePloS one2025

Development and validation of a dual language needs assessment tool for people living with colorectal cancer (NeAT-CC).

Nur Nadiatul Asyikin Bujang, Yek Ching Kong, Muthukkumaran Thiagarajan, April Camilla Roslani, Muhammad Radzi Abu Hassan, Matin Mellor Abdullah, Mehesinder Singh, Wan Zamaniah Wan Ishak, Awang Bulgiba, Mahmoud Danaee and 1 more

Abstract readValidation Study
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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

11 authors.

Nur Nadiatul Asyikin BujangCentre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Yek Ching KongCentre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Muthukkumaran ThiagarajanDepartment of Radiotherapy and Oncology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-7717-9406
April Camilla RoslaniDepartment of Surgery, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Muhammad Radzi Abu HassanMinistry of Health, Putrajaya, Wilayah Persekutuan Putrajaya, Malaysia.
Matin Mellor AbdullahSubang Jaya Medical Centre, Subang Jaya, Malaysia.
Mehesinder SinghColorectal Cancer Survivorship Society Malaysia (CORUM), Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Wan Zamaniah Wan IshakClinical Oncology Unit, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Awang BulgibaCentre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Mahmoud DanaeeCentre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-5014-5684
Nirmala Bhoo-PathyCentre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0003-0568-8863

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeeds assessment tools may guide optimization of clinical services to be more patient-centered. As needs of patients living with and beyond colorectal cancer (CRC) may also be influenced by socio-cultural backgrounds and healthcare ecosystems, we developed and validated a needs assessment questionnaire for CRC in a multi-ethnic, low-and middle-income setting.

methodsThe study methodology was guided by the COSMIN checklist. Items generation was based on findings from independent qualitative inquiries with patients, input from cancer stakeholders, and literature review. Following translation into Malay language, content and face validation were undertaken. The tool was administered to 300 individuals living with and beyond CRC. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed. Criterion validity was assessed using EORTC QLQ-C30 and QLQ-CR29 questionnaires.

resultsThe 48-item bilingual needs assessment tool for colorectal cancer (NeAT-CC) encompassed six domains of needs, namely (i) diagnosis, (ii) psychosocial and information, (iii) healthcare, (iv) practical and living with cancer, (v) financial and (vi) employment. Cronbach's alpha was above 0.70 for all domains, indicating good internal consistency. CFA also demonstrated acceptable convergent and divergent validity with composite reliability >0.70 and Heterotrait-Monotrait index <0.90 for all constructs. Criterion validity was established given the significant correlation with quality of life. The NeAT-CC was easily understandable, took 15-20 minutes for completion and may be self-administered.

conclusionsUtilization of NeAT-CC may facilitate optimization of supportive and survivorship care services following CRC in local settings. The tool has wider potential for adaptation in other multi-ethnic and/or low and middle-income settings.

Indexed as

Colorectal NeoplasmsLanguageNeeds AssessmentAdultAgedFemaleHumansMaleMiddle AgedQuality of LifeReproducibility of ResultsSurveys and Questionnaires

Identifiers

PMID41118374
PMCPMC12539725

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LicenceCC BY
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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.