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Validation of the Chinese version of the Head and Neck Patient Symptom Checklist for measuring nutrition impact symptoms during radiotherapy in patients with head and neck cancer

  • Sanli Jin
  • Qian LuEmail author
  • Dong Pang
  • Yan Sun
  • Shaowen Xiao
  • Baomin Zheng
  • Hangjing Cui
Original Article

Abstract

Purpose

The Head and Neck Patient Symptom Checklist (HNSC) is a valid tool for measuring nutrition impact symptoms (NIS) specific to head and neck cancer (HNC) patients. This study aimed to translate the HNSC into Chinese and to evaluate its psychometric properties in Chinese HNC patients treated with radiotherapy.

Methods

The HNSC was translated into Chinese following standard forward- and back-translation procedures. Three instruments, the Chinese version of HNSC, the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30, and Patient-Generated Subjective Global Assessment (PG-SGA), were answered by 116 HNC patients, of whom 11 were submitted to the test–retest in 3–7 days. The criterion and convergent validities were confirmed by measuring the relations of the HNSC score with the PG-SGA and EORTC QLQ-C30, respectively. The discriminant validity was evaluated through known group analysis. Reliability was evaluated by means of Cronbach’s alpha and test–retest using the correlation coefficient.

Results

Criterion validity was 0.767 for intensity dimension and 0.795 for interference dimension, respectively. Convergent validity was confirmed by the significant correlations between the HHSC score and most domains of QLQ-C30. The comparison among the groups demonstrated good discriminant validity. The Cronbach’s alpha was 0.787 for intensity dimension and 0.797 for interference dimension, respectively. The test–retest reliability was 0.845 for intensity dimension and 0.883 for interference dimension, respectively.

Conclusions

The Chinese version of HNSC demonstrated favorable validity and reliability. It can be used in identification of NIS and development of symptom management program in HNC patients in China.

Keywords

Head and neck cancer Nutrition impact symptom Head and Neck Patient Symptom Checklist Reliability Validity 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Data

The corresponding author has full control of all primary data and agrees to allow the journal to review the data if requested.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Medical & Surgical Nursing, School of NursingPeking UniversityBeijingChina
  2. 2.Department of Radiation OncologyPeking University Cancer HospitalBeijingChina

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