The development of a behaviour questionnaire for stoma self‐management for persons with bladder cancer and an ileal conduit

Abstract

Aims: To develop and preliminarily test the reliability and validity of a behaviour questionnaire for stoma self-management for patients with bladder cancer after radical cystectomy and ileal conduit. Design: A psychometric instrument validation study conducted in two phases. Methods: The initial version of behaviour questionnaire was developed based on guidelines for people living with a stoma. Five experts validated the content of the preliminary 29-item questionnaire. A cross-sectional survey was then conducted in Beijing for preliminary reliability and validity tests between 4 December 2017-28 April 2018. A total of 151 participants in the survey, 147 of whom completed the study and 16 completed a 2-week test-retest reliability test. Results: The content validity indices were satisfied. A principal component analysis with direct oblimin rotation was performed. Sixteen items were retained, and three factors were identified, namely, pouching system change, emotional management, and role management. The 16-item questionnaire showed acceptable internal consistency and test-retest reliability. The mediational effect of self-management behaviour on the relationship between self-efficacy and stoma quality of life was confirmed via convergent validity testing. Conclusion: The behaviour questionnaire for stoma self-management appears to have adequate initial reliability and validity. More observational and interventional studies need to be conducted for further evaluation of its psychometric properties.

Development and psychometric testing of burn inpatient nursing dependency assessment scale

“…Items were analysed using the five indicators of critical ratio, item‐total correlation, corrected item‐total correlation, Cronbach's alpha of deleted item, and communality and factor loadings (Iverach et al, 2016). The acceptable criteria for retaining items were as follows: items with a critical ratio >3.00 (Hsu et al, 2017), item‐total correlations that exceeded 0.40 (Hao et al, 2004), corrected item‐total correlations >.40 (Lau et al, 2016), item deletion decreases in Cronbach's alpha, communalities >.20, and factor loadings >.40 (Rattray & Jones, 2007; Wang et al, 2021). Two items (‘heart rate’ and ‘pain’) failed to meet any of the five indicators in this step and were removed after the discussion of experts involved in Phase 1.…”

Development and preliminary validation of a PROS scale for Chinese bladder cancer patients with abdominal stoma

“…Patients with advanced disease often require Radical Cystectomy (RC) and Urinary Diversion (UD) 8 , which include Orthotopic Bladder Substitution (OBS), Ileal Conduit (IC), and Cutaneous Ureterostomy (CU) 9 . After undergoing IC or CU, patients need to wear urinary bags for life, which has a significant impact on their quality of life 10,11 .Existing studies have already shown that the quality of life of bladder cancer patients with abdominal wall stomas declines in multiple aspects such as physiology, psychology, role, and social function [12][13][14] . The alteration of physiological urinary pathway due to surgery and the issues that may arise from long-term wearing of urinary…”

“…Existing studies have already shown that the quality of life of bladder cancer patients with abdominal wall stomas declines in multiple aspects such as physiology, psychology, role, and social function [12][13][14] . The alteration of physiological urinary pathway due to surgery and the issues that may arise from long-term wearing of urinary…”