Validation of the Dutch Short Form of the State Scale of the Spielberger State-Trait Anxiety Inventory: Considerations for Usage in Screening Outcomes

Bij, Akke K. van der; Weerd, Sabina de; Cikot, Rolf J.L.M.; Steegers, Eric A.P.; Braspenning, Jozé

doi:10.1159/000073003

Cited by 143 publications

(123 citation statements)

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“…Generic anxiety Generic anxiety was measured using the short form of the Spielberger State-Trait Anxiety Inventory (STAI-6) (van der Bij et al, 2003). Six items related to anxiety (calm, tense, upset, relaxed, content, and worried) were rated on a four-point scale.…”

Section: Methodsmentioning

confidence: 99%

“…The total summary score was calculated in subjects with a maximum of three missing values and could range from 20 to 80, with higher scores indicating more anxiety (Maissi et al, 2005). The STAI-6 is reported to have good reliability and validity, and was found useful to evaluate the effectiveness of screening programmes on subjective anxiety levels (van der Bij et al, 2003). The STAI-6 was used at all four assessment points.…”

Section: Methodsmentioning

confidence: 99%

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Short-term health-related quality of life consequences in a lung cancer CT screening trial (NELSON)

et al. 2009

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BACKGROUND: In lung cancer CT screening, participants often have an indeterminate screening result at baseline requiring a follow-up CT. In subjects with either an indeterminate or a negative result after screening, we investigated whether health-related quality of life (HRQoL) changed over time and differed between groups in the short term. METHODS: A total of 733 participants in the NELSON trial received four questionnaires: T0, before randomisation; T1, 1 week before the baseline screening; T2, 1 day after the screening; and T3, 2 months after the screening results but before the 3-month follow-up CT. HRQoL was measured as generic HRQoL (the 12-item Short Form, SF-12; the EuroQol questionnaire, EQ-5D), anxiety (the Spielberger State-Trait Anxiety Inventory, STAI-6), and lung-cancer-specific distress (the Impact of Event Scale, IES). For analyses, repeated-measures analysis of variance was used, adjusted for covariates. RESULTS: Response to each questionnaire was 88% or higher. Scores on SF-12, EQ-5D, and STAI-6 showed no clinically relevant changes over time. At T3, IES scores that were clinically relevant increased after an indeterminate result, whereas these scores showed a significant decrease after a negative result. At T3, differences in IES scores between the two baseline result groups were both significant and clinically relevant (Po0.01). CONCLUSION: This longitudinal study among participants of a lung cancer screening programme showed that in the short term recipients of an indeterminate result experienced increased lung-cancer-specific distress, whereas the HRQoL changes after a negative baseline screening result may be interpreted as a relief.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Short-term health-related quality of life consequences in a lung cancer CT screening trial (NELSON)

et al. 2009

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“…We used the Dutch six-item version of the State and Trait Anxiety Inventory (STAI) to assess experienced anxiety by patients before and after counselling, on a 1-4 Likert scale (α = 0.83). 14 The STAI has been validated in a clinical genetic setting (α = 0.82). 15 Higher scores indicate greater levels of anxiety.…”

Section: Patient Measurementsmentioning

confidence: 99%

Telegenetics use in presymptomatic genetic counselling: patient evaluations on satisfaction and quality of care

et al. 2015

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In recent years, online counselling has been introduced in clinical genetics to increase patients' access to care and to reduce time and cost for both patients and professionals. Most telegenetics reports so far evaluated online oncogenetic counselling at remote health centres in regions with large travelling distances, generally showing positive patient outcomes. We think online counselling -including the use of supportive tools that are also available during in-person counselling -of presymptomatic patients in their homes can also be feasible and valuable for patients in relatively small regions. We performed a single-centre pilot study of online genetic counselling for 57 patients who were presymptomatic cardiogenetic (n = 17), presymptomatic oncogenetic (n = 34) and prenatal (3 couples). One-third of presymptomatic patients we approached consented to online counselling. Patient evaluations of practical aspects, satisfaction and psychological outcomes were assessed and compared with a matched control group. Patients managed to fulfil the preparations, were significantly more satisfied with their counsellor and counselling session than controls and were satisfied with the online counselling more than they expected to be beforehand. Psychological outcomes (decreased anxiety and increased control) did not differ with control patients. Technical problems occurred in almost half of online sessions. Nonetheless, online counselling in patients' homes proved to be feasible and was appreciated by a substantial part of presymptomatic patients at our genetics centre in the Netherlands. Based on these outcomes, we conclude online counselling can be a valuable addition to existing counselling options in regular patient care. European Journal of Human Genetics (2016) 24, 513-520; doi:10.1038/ejhg.2015.164; published online 15 July 2015 INTRODUCTIONTelemedicine applications have recently been introduced in clinical genetics (generally referred to as telegenetics), meaning the remote counselling or evaluation of patients in real time by video and audio applications. The underlying reasons for its introduction concern increased access and efficiency of care.Currently, genetics departments are facing efficiency measures, cost reductions and shortage of clinical genetic professionals. Simultaneously, the widespread introduction of next-generation sequencing is increasing the number of requests for and yield of genetic counselling and testing. Literature reports suggest that telegenetic care can be useful, patient-friendly, effective and psychologically acceptable for various indications in the light of economic and personnel scarcity on the one hand, and increasing awareness and counselling requests from patients spread over a large geographical area on the other hand. [1][2][3][4][5][6][7] So far, almost all reports of telegenetics programmes described counselling between professionals at a central clinic and patients at regional clinics, with a genetic counsellor present, in regions with large travelling distances. [1][2][3][...

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“…Generic anxiety was measured using the short form of the Spielberger State-Trait Anxiety Inventory (STAI-6) [15]. Six items related to anxiety (calm, tense, upset, relaxed, content and worried) were rated on a four-point scale.…”

Section: Generic Anxietymentioning

confidence: 99%

Long-term effects of lung cancer computed tomography screening on health-related quality of life: the NELSON trial

Bergh¹,

Essink-Bot²,

Borsboom³

et al. 2010

European Respiratory Journal

103

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The long-term effects of lung cancer computed tomography (CT) screening on health-related quality of life (HRQoL) have not yet been investigated.In the Dutch-Belgian Randomised Lung Cancer Screening Trial (NELSON trial), 1,466 participants received questionnaires before randomisation (T0), 2 months after baseline screening (screen group only; T1) and at 2-yr follow-up (T2). HRQoL was measured as generic HRQoL (12-item shortform questionnaire and EuroQoL questionnaire), anxiety (Spielberger State-Trait Anxiety Inventory) and lung cancer-specific distress (impact of event scale (IES)). Repeated measures of ANOVA were used to analyse differences between the screen and control groups, and between indeterminate (requiring a follow-up CT) and negative screening result groups.At T0 and T2 there were no significant differences in HRQoL scores over time between the screen and control groups, or between the indeterminate or negative second-round screening result group. There was a temporary increase in IES scores after an indeterminate baseline result (T0: mean 4.0 (95% CI 2.8-5.3); T1: mean 7.8 (95% CI 6.5-9.0); T2: mean 4.5 (95% CI 3.3-5.8)).At 2-yr follow-up, the HRQoL of screened subjects was similar to that of control subjects, the unfavourable short-term effects of an indeterminate baseline screening result had resolved and an indeterminate result at the second screening round had no impact on HRQoL.

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Validation of the Dutch Short Form of the State Scale of the Spielberger State-Trait Anxiety Inventory: Considerations for Usage in Screening Outcomes

Cited by 143 publications

References 11 publications

Short-term health-related quality of life consequences in a lung cancer CT screening trial (NELSON)

Short-term health-related quality of life consequences in a lung cancer CT screening trial (NELSON)

Telegenetics use in presymptomatic genetic counselling: patient evaluations on satisfaction and quality of care

Long-term effects of lung cancer computed tomography screening on health-related quality of life: the NELSON trial

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