Development and preliminary validation of self-management scale for breast cancer patients in a tertiary hospital in southeastern Nigeria
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Abstract
Background: Self-management process of diseases aims to equip patients with specific information that will improve compliance with prescribed medication and develop strategies that will help maintain quality of life. Methods: A set of 35-potential self-management model was developed for the breast cancer patients in 2 domains from extensive literature search. The Instrument was validated using Delphi technique, item-total correlation analysis, factor analysis, construct validity and reliability analysis. Consensus was reached on the content validation of the self-management scale with mean score > 3.5, median > 3.5, absolute value between the median and mode < 1.00. Results: Forty-three items emerged after content validation in 2 domains: demographic characteristics of patients, and self-management content. Construct validity for selected items of the instrument showed values above 0.5. Item-total correlation analysis resulted in 31-items of the instrument. Factor analysis revealed a multi-dimensional instrument. The internal consistency of the instrument was determined with values between 0.5 - 0.8. Conclusion: Preliminary validation of the instrument showed the instrument to be valid but the internal consistency needs to be evaluated further with larger population size. The self-management scale revealed level of self-management among the breast cancer patients. This instrument should form a reliable tool for evaluating self-management in breast cancer patients in Nigeria.
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13. Grady PA and Gough LL (2014). Self-management: a comprehensive approach to management of chronic conditions. AM J Public Health 104 (8): e25-31
14. Richard AA, Shea K. Delineation of self-care and associated concepts. Journal of Nursing Scholarship. 2011 43:255–264
15. Rimmer B, Sharp L. Implementation of self-management interventions in cancer survivors: why are we not there yet? Journal of cancer education 2021 36: 1355-1358
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21. Liang SY, Wu WW, Kuo CY, Lu YY. Development and Preliminary Evaluation of Psychometric Properties of Symptom-Management Self-Efficacy Scale for Breast Cancer Related to Chemotherapy. Asian Nursing Research. 2015 9(4): 312-317
22. Champion VL, Ziner KW, Monahan PO, Stuop TE, Cella D, Smith LG et al. Development and psychometric testing of a breast cancer survivor self-efficacy scale. Oncol Nurs Forum 2013 40(6): E403-E410
23. Badger TA, Segrin C, Meek P. Development and validation of an instrument for rapidly assessing symptoms: the general symptom distress scale. Journal of Pain and Symptom Management. 2010 41(3):535-548
24. Cimprich B, Janz NK, Northouse L, Wren PA, Given B, Given CW. Taking charge: a self-management program for women following breast cancer treatment. Psycho-oncology. 2005 14: 704-717
25. Okpalanma N, Ekwunife O. Development of quality indicators for pharmaceutical care performance assessment in Nigerian community pharmacies: A Delphi panel. Int. J Pharm Pharm. Sci 2021 13(2):
26. Martin F, Wright H, Moody L, Whiteman B, McGillio M, Clyne W, et al. Help to Overcome Problems Effectively for Cancer Survivors: Development and Evaluation of a Digital Self-Management Program. J Med Internet Res. 2020 May; 22(5): e17824
27. Bujang MA, Omar ED, Baharum NA. A review on sample size determination for Cronbach’s alpha test: a simple guide for researchers. Malays J Med Sci 2018 25 (6): 85-99
28. Gomez-Garcia M, Matosas-Lopez L, Ruiz-Palmero J. Social network use pattern among University youth: The validity and reliability of an updated measurement instrument. Sustainability 2020 12 (3503): 1-14
29. Okpalanma NN, Okonta MJ, Ilodigwe EE. Development and validation of questionnaire for the assessment of pharmaceutical care by community pharmacists in a state in Nigeria. Journal of Biology, Agriculture and Healthcare 2013 3 (7): 16-25
30. Zhu S, Li UF, Li J, Guan Y, Meng M, Li X, et al. Development and validation of a self-management scale for Chinese adults. Journal of international Medicinal research 2020 48(8): 0300060520947588
31. Li J, Zhang L, Zhou J, Wang G, Zhang R, Liu J, et al. Development and validation of self-management scale for tuberculosis patients. BMC Infec Dis 2022 22: 502
32. Lo SHS, Chau JPC, Choi KC. Development and psychometric evaluation of a questionnaire for assessing self-management behaviors in stroke survivors. Journal of stroke and cerebrovascular disease 2022 31(4): 106389
33. Du X, Jiang H, Fu L, Wang A (2022). Development and validation of self-management behavior questionnaire for Chinese interostory patients. International Journal of Nursing Science. 9(2): 252-258
34. Kuang G, Meng X, Wang Y, Xu R, Zhang M. Development and psychometric evaluation of self-management scale for pregnant woman with gestational diabetes mellitus in China. Nursing Open 2022 9(3): 1757-1765
35. Planalp EM, Kliems H, Chewning BA, Palta M, Lecaire T, Young LA, et al. Development and validation of the self-management barriers and support. Evaluation for working-aged adults with type 1 diabetes mellitus. BMJ 2021 10 (1)
36. Liu Y, Zhou CI, Zhou JG, Deng ST, He RH. Development and validation of self-management scale for neurogenic bladder patients. Journal of Nursing 2021 28(7): 64-68
37. Lee R, Kim SH, Lee KS, Seo MK. Development and validation of self-efficacy scale for self-management of breast cancer. J Korean Acad Nurs. 2012 42(3): 385-95
38. Xue G, Sun X. Construction and validation of self-management scale for undergraduate studies. Creative education 2011 2(2): 142-147
39. Saidi SS, Slew NM. Investigating the validity and reliability of survey attitude towards statistics instrument among rural secondary school students. International Journal of educational methodology 2019 5(4): 651-661
2. Hammer MJ, Ercolano EA, Wright F, Dickson VV, Chyun D, Melkus GD. Cancer Nursing 2015 38(2): E10-E26
3. Lau KH, Tan AM, Shi Y. New and Emerging Targeted Therapies for Advanced Breast Cancer. Int. J. Mol. Sci. 2022 23, 2288: 1-20
4. Dobrolecki LE, Airhart SD, Alferez DG, Aparicio S, Behbod F, Bentires Alj et al. Patient-derived Xenograft (PDX) Models In Basic and Translational Breast Cancer Research. Cancer Metastasis Med. 2016 35(4): 547–573
5. Al-Mahmood S, Sapiezynski J, Garbuzenko OB, Minko T. Metastatic and triple-negative breast cancer: challenges and treatment options. Drug Deliv. Transl. Res. 2018 8(5): 1483–1507
6. Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast Cancer: Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies-An Updated Review. Cancers (Basel). 2021 13(17): 4287.
7.WHO. Cancer 2021 [Updated 2022 May 15, cited 15 May, 2022]. Available from https://www.who.int/news-room/fact-sheets/detail/cancer
8. DeSantis C, Ma J, Bryan L, Jemal A. Breast cancer statistics. CA: A Cancer Journal For Clinicians 2013 64(1), 52-62. https://doi.org/10.3322/
9. Hou IC, Lin HY, Shan SH, Chang KJ, Tai HC, Tsai AJ. Quality of Life of Women After a First Diagnosis of Breast Cancer Using a Self-Management Support m Health App in Taiwan: Randomized Controlled Trial. JMIR MHealth and UHealth 2022 8(3): e17084
10. Cimprich B, Janz NK, Northouse L, Wren PA, Given B, Given CW. Taking charge: a self-management program for women following breast cancer treatment. Psycho-oncology. 2005 14: 704-717
11. Magharei M, Jaafari S, Mansouri P, Safarpour A, Taghavi SA. Effects of self-management education on self-efficacy and quality of life in patients with ulcerative colitis: a randomized controlled clinical trial. Int. J Community based Nurs. Midwifery. 2019 7(1): 32-42
12. Wilkinson A, Whitehead L. Evolution of the concept of self-care and implications for nurses: A literature review. International Journal of Nursing Studies. 2009 46, 1143– 1147.
13. Grady PA and Gough LL (2014). Self-management: a comprehensive approach to management of chronic conditions. AM J Public Health 104 (8): e25-31
14. Richard AA, Shea K. Delineation of self-care and associated concepts. Journal of Nursing Scholarship. 2011 43:255–264
15. Rimmer B, Sharp L. Implementation of self-management interventions in cancer survivors: why are we not there yet? Journal of cancer education 2021 36: 1355-1358
16. Peng Q, Wu W. Development and validation of oralchemotherapy self-management scale. BMC Cancer. 2020 Pp1-7
17. McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K. Self-Management: Enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin. 2011 61(1): 60-62
18. Di Meglio A, Havas J, Soldato D , Presti D, Martin E, Pistilli B, et al. Development and Validation of a Predictive Model of Severe Fatigue After Breast Cancer Diagnosis: Toward a Personalized Framework in Survivorship Care. Journal of Clinical Oncology. 2022
19. Kim SH, Choe YH, Han AR, Yeon GJ, Lee GH, Lee BG et al. Design of a randomized controlled trial of a partnership-based, needs-tailored self-management support intervention for post-treatment breast cancer survivors. BMC Cancer. 2020 20: 367
20. Feng Y, Spezia M, Huang S, Yuan C, Zeng Z, Zhang L (2018). Breast cancer development and progression: Risk factors, cancer stem cells, signaling pathways, genomics, and molecular pathogenesis. Genes Dis. 2018 5(2): 77–106.
21. Liang SY, Wu WW, Kuo CY, Lu YY. Development and Preliminary Evaluation of Psychometric Properties of Symptom-Management Self-Efficacy Scale for Breast Cancer Related to Chemotherapy. Asian Nursing Research. 2015 9(4): 312-317
22. Champion VL, Ziner KW, Monahan PO, Stuop TE, Cella D, Smith LG et al. Development and psychometric testing of a breast cancer survivor self-efficacy scale. Oncol Nurs Forum 2013 40(6): E403-E410
23. Badger TA, Segrin C, Meek P. Development and validation of an instrument for rapidly assessing symptoms: the general symptom distress scale. Journal of Pain and Symptom Management. 2010 41(3):535-548
24. Cimprich B, Janz NK, Northouse L, Wren PA, Given B, Given CW. Taking charge: a self-management program for women following breast cancer treatment. Psycho-oncology. 2005 14: 704-717
25. Okpalanma N, Ekwunife O. Development of quality indicators for pharmaceutical care performance assessment in Nigerian community pharmacies: A Delphi panel. Int. J Pharm Pharm. Sci 2021 13(2):
26. Martin F, Wright H, Moody L, Whiteman B, McGillio M, Clyne W, et al. Help to Overcome Problems Effectively for Cancer Survivors: Development and Evaluation of a Digital Self-Management Program. J Med Internet Res. 2020 May; 22(5): e17824
27. Bujang MA, Omar ED, Baharum NA. A review on sample size determination for Cronbach’s alpha test: a simple guide for researchers. Malays J Med Sci 2018 25 (6): 85-99
28. Gomez-Garcia M, Matosas-Lopez L, Ruiz-Palmero J. Social network use pattern among University youth: The validity and reliability of an updated measurement instrument. Sustainability 2020 12 (3503): 1-14
29. Okpalanma NN, Okonta MJ, Ilodigwe EE. Development and validation of questionnaire for the assessment of pharmaceutical care by community pharmacists in a state in Nigeria. Journal of Biology, Agriculture and Healthcare 2013 3 (7): 16-25
30. Zhu S, Li UF, Li J, Guan Y, Meng M, Li X, et al. Development and validation of a self-management scale for Chinese adults. Journal of international Medicinal research 2020 48(8): 0300060520947588
31. Li J, Zhang L, Zhou J, Wang G, Zhang R, Liu J, et al. Development and validation of self-management scale for tuberculosis patients. BMC Infec Dis 2022 22: 502
32. Lo SHS, Chau JPC, Choi KC. Development and psychometric evaluation of a questionnaire for assessing self-management behaviors in stroke survivors. Journal of stroke and cerebrovascular disease 2022 31(4): 106389
33. Du X, Jiang H, Fu L, Wang A (2022). Development and validation of self-management behavior questionnaire for Chinese interostory patients. International Journal of Nursing Science. 9(2): 252-258
34. Kuang G, Meng X, Wang Y, Xu R, Zhang M. Development and psychometric evaluation of self-management scale for pregnant woman with gestational diabetes mellitus in China. Nursing Open 2022 9(3): 1757-1765
35. Planalp EM, Kliems H, Chewning BA, Palta M, Lecaire T, Young LA, et al. Development and validation of the self-management barriers and support. Evaluation for working-aged adults with type 1 diabetes mellitus. BMJ 2021 10 (1)
36. Liu Y, Zhou CI, Zhou JG, Deng ST, He RH. Development and validation of self-management scale for neurogenic bladder patients. Journal of Nursing 2021 28(7): 64-68
37. Lee R, Kim SH, Lee KS, Seo MK. Development and validation of self-efficacy scale for self-management of breast cancer. J Korean Acad Nurs. 2012 42(3): 385-95
38. Xue G, Sun X. Construction and validation of self-management scale for undergraduate studies. Creative education 2011 2(2): 142-147
39. Saidi SS, Slew NM. Investigating the validity and reliability of survey attitude towards statistics instrument among rural secondary school students. International Journal of educational methodology 2019 5(4): 651-661
| Files | ||
| Issue | Vol 14 No 4 (2022) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/bccr.v14i4.14671 | |
| Keywords | ||
| Breast cancer patients development preliminary validation self-management scale tertiary hospital | ||
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How to Cite
1.
Okpalanma N, Ogbonna B, Ogbonna B. Development and preliminary validation of self-management scale for breast cancer patients in a tertiary hospital in southeastern Nigeria. Basic Clin Cancer Res. 2023;14(4):220-232.
