Cross-cultural adaptation and validation of the cancer survivors’ unmet needs measure among gynecological cancer patients in Indonesia

Abstract

Background: The number of gynecological cancer survivors in Indonesia is growing, yet little is recognized about their supportive care needs due to a lack of validated assessment to measure them. This study aimed to culturally adapt the Cancer survivors' unmet needs into Indonesian language and to test its validity and reliability for Indonesian gynecological cancer patients. Methods: We performed the translation and adaptation of the Cancer survivors' unmet needs based on Beaton's cross-cultural adaptation process of self-report measure. We then evaluated the psychometric properties of Cancer survivors' unmet needs-Indonesian with 298 participants from three hospitals across Indonesia. Results: Five factors were extracted from Exploratory Factor Analysis with factor loading >0.4. Cancer survivors' unmet needs-Indonesian had negative correlations with The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30, indicating that the higher score of unmet needs resulted in the lower score of quality of life. The Cronbach's α coefficient for the Cancer survivors' unmet needs-Indonesian ranged from 0.75-0.95. Conclusions: The Cancer survivors' unmet needs-Indonesian version offers a valid and reliable scale for assessing supportive care needs among Indonesian gynecological cancer patients. The Cancer survivors' unmet needs-Indonesian could help clinicians to assess supportive care needs among Indonesian gynecological cancer patients. The low-resource countries such as Indonesia could use the evidence from the Cancer survivors' unmet needs assessment to develop the supportive care service in the clinical settings.

Management Strategies for Sexuality Complaints after Gynecologic Cancer: A Systematic Review

“… 14 15 16 17 18 44 45 These adverse effects can pose great challenges for survivors in the process of readaptation after the treatment phase. 46 47 48 49 50 51 Pain during intercourse was a predominant symptom in 10 of the selected studies and causes a great impact on the lives of women, as many avoid sex and abandon their sex life due to fear of the pain they may experience during intercourse. 9 15 18 46 Vaginal dryness was prevalent in several studies, and it has been identified through research that 70% of sexually active women experienced this side effect.…”

“… 9 15 18 46 Vaginal dryness was prevalent in several studies, and it has been identified through research that 70% of sexually active women experienced this side effect. 47 50 51 Currently, with the help of a variety of symptom management offerings, such as vaginal lubricators and targeted therapies, this discomfort can be alleviated for patients. 30 37 49 Studies have reported difficulties for women in adjusting to their altered sex lives and difficulties with intimacy with their partners.…”

“…Carter et al (2010) 46 Levin et al (2010) 47 Walton et al (2010) 36 Beesley et al(2013) 54 Grover et al (2012) 37 Stavraka et al (2012) 52 Le Borgne et al (2013) 55 Afiyanti et al ( 2013) 48 Sekse et al ( 2013) 56 Loyd et al (2014) 40 McCallum et al (2014) 41 Vermeer et al (2015) 18 Hopkins et al (2015) 49 Lee et al (2015) 13 Rowlands et al (2015) 42 Westin et al (2015) 58 Bakker et al (2016) 44 Corrêa et al (2016) 45 Mikkelsen et al (2016) 10 Bakker et al (2017) 9 McCallum et al (2017) 16 Lutgendorf et al (2017) 43 Teng et al (2014) 57 Chow et al (2018) 26 Mattsson et al (2018) 50 Plotti et al (2018) 27 Abbott-Anderson et al (2020) 15 Fischer et al (2019) 17 Hubbs et al (2019) 30 Bacalhau et al (2020) 53 Haryani et al (2020) 51 Roberts et al (2020) 23…”

Unmet Supportive Care Needs Survey among Male Partners of Gynecological Cancer Survivors in Indonesia

“…Meanwhile, the main variable in this study, the male partner's unmet supportive care needs, was measured using the Cancer Survivors' Partners Unmet Needs-Indonesia (CaSPUN-I) Questionnaire. [ 17 ] This study adopted 35 items in CaSPUN-I to assess and identify the unmet supportive care needs of participants. Each item was scored as 0 for “no/met need” and 1 for “unmet need.” The items were rated similarly to the CaSPUN-I to measure the unique needs of gynecological cancer survivors for supportive care and services.…”

“…[ 18 ] It has demonstrated good internal consistency, validity, and reliability among survivors' partners in Indonesia (Cronbach's alpha 0.97). [ 17 ] Permission for use was granted to the authors. The Indonesian version of the questionnaire was used to collect the data in this research.…”