TY - JOUR
T1 - Development and preliminary testing of a brief clinical tool to enable daily monitoring of chemotherapy toxicity
T2 - The Daily Chemotherapy Toxicity self-Assessment Questionnaire
AU - Maguire, Roma
AU - Kotronoulas, Grigorios
AU - Donnan, Peter T.
AU - Paterson, Catherine
AU - McCann, Lisa
AU - Connaghan, John
AU - Di Domenico, David G. G.
AU - Kearney, Nora
N1 - Funding: NHS Scotland; The Burdett Trust for Nursing; Philips Healthcare Incubator.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Close monitoring of chemotherapy toxicity can be instrumental in ensuring prompt symptom management and quality care. Our aim was to develop a brief clinical tool to enable daily assessment of chemotherapy toxicity and investigate/establish its content validity, feasibility/applicability, internal consistency and stability. Development of the Daily Chemotherapy Toxicity self-Assessment Questionnaire (DCTAQ) was based on an initial item pool created from two scoping reviews. Expert panel review (n = 15) and cognitive debriefing with patients with cancer (n = 7) were used to establish content validity. Feasibility/acceptability, applicability (self-report vs. interview-like administration), internal consistency (KR-20) and test-retest reliability (at 1-hr intervals) of the DCTAQ were field-tested with 82 patients with breast or colorectal cancer receiving active chemotherapy at eight hospitals. Initial development/content validity stages enabled item revisions and re-wording that led to a final, 11-item DCTAQ version with 10 core symptom items plus one open-ended "any other symptom" item. Feasibility and acceptability were demonstrated through the absence of participant withdrawals, absence of missing data and no complaints about tool length. The DCTAQ was found to have modest internal consistency (KR-20 = 0.56), but very good test-retest reliability. The DCTAQ is a brief clinical tool that allows for rapid and accurate daily assessments of chemotherapy toxicity in clinical practice.
AB - Close monitoring of chemotherapy toxicity can be instrumental in ensuring prompt symptom management and quality care. Our aim was to develop a brief clinical tool to enable daily assessment of chemotherapy toxicity and investigate/establish its content validity, feasibility/applicability, internal consistency and stability. Development of the Daily Chemotherapy Toxicity self-Assessment Questionnaire (DCTAQ) was based on an initial item pool created from two scoping reviews. Expert panel review (n = 15) and cognitive debriefing with patients with cancer (n = 7) were used to establish content validity. Feasibility/acceptability, applicability (self-report vs. interview-like administration), internal consistency (KR-20) and test-retest reliability (at 1-hr intervals) of the DCTAQ were field-tested with 82 patients with breast or colorectal cancer receiving active chemotherapy at eight hospitals. Initial development/content validity stages enabled item revisions and re-wording that led to a final, 11-item DCTAQ version with 10 core symptom items plus one open-ended "any other symptom" item. Feasibility and acceptability were demonstrated through the absence of participant withdrawals, absence of missing data and no complaints about tool length. The DCTAQ was found to have modest internal consistency (KR-20 = 0.56), but very good test-retest reliability. The DCTAQ is a brief clinical tool that allows for rapid and accurate daily assessments of chemotherapy toxicity in clinical practice.
KW - Daily Chemotherapy Toxicity self-Assessment Questionnaire
KW - cancer
KW - chemotherapy toxicity
KW - patient-reported outcomes
KW - reliability
KW - validity
U2 - 10.1111/ecc.12890
DO - 10.1111/ecc.12890
M3 - Article
C2 - 29993150
SN - 0961-5423
VL - 27
SP - 1
EP - 10
JO - European Journal of Cancer Care
JF - European Journal of Cancer Care
IS - 6
M1 - e12890
ER -