Supportive Care in Cancer

, Volume 25, Issue 4, pp 1263–1270 | Cite as

Psychometric properties of the Chinese version of the Reproductive Concerns After Cancer Scale (RCAC) for young female cancer survivors

  • Ting-ting Qiao
  • Wei ZhengEmail author
  • Wei Xing
  • Li-xia Zhang
  • Wei Zhang
  • Yan-ping Shi
  • Xiao-juan Chen
Original Article



This study aimed to translate, culturally adapt, and test the psychometric properties of the Reproductive Concerns After Cancer scale (RCAC) in young Chinese female cancer survivors.


The Chinese version of the RCAC was developed using the standard Functional Assessment of Chronic Illness Therapy (FACIT) translation methodology, and then 800 young Chinese female cancer survivors were recruited to complete the scale. The validation of the RCAC is as follows: (1) content validity was evaluated by a group of experts; (2) factor structure was assessed using confirmatory factor analysis and factorial invariance analysis; (3) convergent validity was determined by correlations with the Patient Health Questionnaire 9 (PHQ-9) and Functional Assessment of Cancer Therapy-General (FACT-G) scale; (4) internal consistency reliability was assessed using Cronbach’s α coefficient; and (5) test-retest reliability was assessed using intra-class correlations.


Internal consistency (Cronbach’s alpha coefficients ranged from 0.71 to 0.81) and test-retest reliability (intra-class correlation coefficients ranged from 0.82 to 0.95) of the Chinese version of the RCAC were satisfactory. Results also indicated that the content validity index of the RCAC (Chinese version) was good. The Chinese version of the RCAC score was correlated with the PHQ-9 (r = 0.568, p < 0.01) and FACT-G (r = −0.524, p < 0.01) scores, which indicated acceptable convergent validity. Confirmatory factor analysis supported a six-factor structure of the Chinese version of the RCAC with a good model fit. Moreover, multi-group confirmatory factor analysis indicated factorial invariance (configural, metric, scalar, and strict invariance) of the RCAC across cancer types.


The translation and cross-cultural adaption of the RCAC into Chinese was successful. The Chinese version of the RCAC has suitable factor structure and psychometric properties for reproductive concerns evaluation in young female cancer patients and is appropriate to use in clinical trials of Chinese patients.


Cancer Psychometric properties Reproductive concerns Scale 



The authors are grateful to the original author of the Reproductive Concerns After Cancer scale, Prof. Jessica R. Gorman, for authorizing us to use of the scale, thus making our study possible. We also thank all the patients who accepted to take part in the study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

All participants signed informed consent form at study onset, according to the recommendations of the Research Ethics Committee at Zhengzhou University.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Ting-ting Qiao
    • 1
  • Wei Zheng
    • 1
    Email author
  • Wei Xing
    • 1
  • Li-xia Zhang
    • 1
  • Wei Zhang
    • 1
  • Yan-ping Shi
    • 1
  • Xiao-juan Chen
    • 1
  1. 1.The Second Affiliated Hospital of Zhengzhou UniversityZhengzhouChina

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