Cultural adaptation and validation of the Survivor Unmet Needs Survey Short-Form among cancer patients in China.
Tingting Yan, Wei Zheng, Dandan Wang and 1 others
PMID 34482653WHAT IT FOUND
A 30-item Chinese survey for cancer survivors gave consistent answers and went along with depression and quality-of-life scores in 428 patients, so it may help nurses ask about unmet information, work, care access, and emotional needs.
Key findings
01In 428 cancer patients, the Chinese 30-item survey showed consistent item scores and stable total scores over 3 weeks.
02Nine experts rated the translated questions as appropriate, with agreement scores from 0.89 to 1.0 for items and 0.91 for the whole scale.
03The survey's scores were positively related to depression scores and negatively related to quality-of-life scores, while keeping the original four areas.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample came from one provincial hospital in China, so it may not represent cancer survivors in other regions or cultures. The study was cross-sectional, so it cannot show how unmet needs change over time or what happens after using the survey. The authors did not test discriminate validity, so it is unclear how well the scale separates patients with different levels or types of unmet needs. Participants had to be Mandarin-speaking Chinese adults able to complete questionnaires and were excluded if they had other or multiple life-threatening diseases, so results may not apply to patients who cannot self-report or have complex comorbidities. The authors suggest the survey may help nursing care, but the paper does not test whether using it changes patient outcomes. The paper reports 428 of 450 eligible patients completed questionnaires, but it does not describe the patients who did not.
The easy way to misread this
Do not read this as proof that using the survey improves cancer care. The study tested the Chinese version's measurement properties in 428 cancer patients at a provincial hospital in China, not patient outcomes.