Evidence map›Paper›PMID 42295549›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2026

Translation and psychometric properties of the Chinese version of the inventory to measure and assess image disturbance in head and neck cancer (IMAGE-HN).

Wenjie Xu, Shuman Wang, Yu Zhu, Kelsey A Duckett, Jing Yang, Yukun Zhang, Lina Xiang, Rong Ge, Yumei Dai, Mimi Zheng and 2 more

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2026. 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

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12 authors.

Wenjie Xu *Department of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Shuman Wang *Department of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Yu Zhu *Department of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Kelsey A DuckettDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Jing YangCancer Hospital of Shandong First Medical University, Shandong, China.
Yukun ZhangYale University School of Nursing, New Haven, CT, USA.
Lina XiangDepartment of Nursing, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Rong GeDepartment of Nursing, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yumei DaiDepartment of Nursing, Fudan University Shanghai Cancer Center, Shanghai, China.
Mimi ZhengDepartment of Nursing, Zhongshan Hospital, Fudan University, Shanghai, China.
Evan M GraboyesDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Hongwei WanDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China. 1341074403@qq.com.

Funding

A Randomized Controlled Trial to Evaluate a Novel Treatment Strategy for Body Image-Related Distress Among Head and Neck Cancer SurvivorsR37CA269385 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Evan Michael Graboyes · 2023 to 2026
$2.5M
NCI NIH HHS R37 CA269385the Science and Technology and Economic Program of Shanghai Pudong New District PKJ2024-Y56
6 · The paper itself

Abstract

purposeHead and neck cancer and its treatments often lead to significant functional and cosmetic changes, resulting in body image disturbance (BID), which is a prevalent and distressing psychosocial issue affecting up to 75% of patients. To address the clinical limitations of existing tools for assessing BID in Chinese patients, this study culturally adapted the English-language IMAGE-HN into Mandarin Chinese and evaluated its psychometric properties.

methodsFollowing the 2017 EORTC Translation Procedure Manual, a forward translation, reconciliation, backward translation, reporting, expert panel review, and cognitive debriefing were conducted to develop a culturally adapted Chinese version. The translated instrument was administered to 387 patients from two tertiary medical centers. Psychometric evaluation included classical test theory and item response theory, with confirmatory factor analysis to examine unidimensionality and local independence, and Rasch analysis to assess model fit, monotonicity, reliability, and separation indices.

resultsConfirmatory factor analysis confirmed the unidimensionality and local independence of the four hypothesized domains and the overall scale. Rasch analysis indicated acceptable model fit (infit and outfit mean squares < 2.0) and monotonicity across all rating scale categories. Person reliability ranged from 0.85 to 0.92, separation indices from 2.43 to 3.34, and item reliability from 0.71 to 0.95. All 24 items and subscales were retained without modification.

conclusionThe Chinese version of IMAGE-HN demonstrates satisfactory psychometric properties, supporting its reliability and validity for assessing body image disturbance in head and neck cancer patients in China. It is recommended for use in future clinical research and practice with this population.

Indexed as

Body ImageHead and Neck NeoplasmsPsychometricsAdultAgedChinaFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedQuality of LifeReproducibility of ResultsSurveys and QuestionnairesTranslatingTranslationsBody image disturbanceChineseHead and neck cancerMental healthPsychometric properties

Identifiers

PMID42295549
PMCPMC13333927

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