Validation of a Tool to Assess the Multidimensional Needs of the Parents of Children With Cancer.

Abstract

BACKGROUND\nAn assessment of the supportive care needs that parents whose children are suffering from cancer is crucial to providing maximum quality care in pediatric oncology.\n\n\nOBJECTIVE\nTo examine the psychometric properties of the Cancer Patient Needs Questionnaire (CPNQ) and validate the revised version (rCPNQ) of this multidimensional tool that evaluates the needs of parents whose child has cancer.\n\n\nMETHODS\nThe original rCPNQ comprised 45 items and 6 dimensions of need. The original rCPNQ was first translated into Italian and then validated for use by performing an exploratory factor analysis with a subsequent reliability analysis for the entire scale and each factor found.\n\n\nRESULTS\nOne hundred forty-nine parents completed the Italian version of the rCPNQ, where a preliminary correlation analysis revealed the need for different psychometric item properties in the Italian population, with 22 items being excluded in the final model. The results of an exploratory factor analysis indicated a structure encompassing 4 factors of needs: (1) child-related emotional, (2) functional, (3) healthcare-related, and (4) emotional. The final version showed satisfactory internal consistency (subscales Cronbach s α all >.80) and stability.\n\n\nCONCLUSION\nThe Italian version of the rCPNQ is a shorter statistically validated version of the original scale and is a valid measure for professionals to use when assessing parents supportive care requirements.\n\n\nIMPLICATIONS FOR PRACTICE\nThe Italian version of rCPNQ can be used with professionals when assessing parents of children with cancer to assess their perceptions of their ill child s emotional, functional, and healthcare needs.