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Development and feasibility of M andarin‐language bone health scales for adolescents with cancer in T aiwan
Author(s) -
Wu WeiWen,
Liu ChiehYu,
Jou ShiannTarng,
Hung GiunYi,
Liang ShuYuan
Publication year - 2018
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/nhs.12402
Subject(s) - cronbach's alpha , mandarin chinese , scale (ratio) , construct validity , medicine , cancer , psychology , clinical psychology , psychometrics , philosophy , linguistics , physics , quantum mechanics
Cancer during adolescence increases the risk for bone mass deficiency later in life. Adolescents with cancer must learn to improve their bone health to avoid osteoporosis. In the present cross‐sectional study, we developed and tested scales to assess the bone health self‐efficacy and beliefs of adolescents with cancer in Taiwan. Test development followed three stages: item generation and scale formatting, examination of content validity, and validation of psychometric properties with a sample of 100 adolescents with cancer. Through the validation process, this research generated the seven‐item Bone Health Self‐Efficacy Scale and the 13‐item Bone Health Belief Scale. Multiple indices demonstrated construct validity. Cronbach's alphas (0.809 and 0.705) demonstrated internal consistency. No items caused a drop in Cronbach's alpha of 10%, all inter‐item correlations were <0.800, and the factor loadings for all items reached 0.400, demonstrating item appropriateness. The present study provides initial evidence of the scales’ accessibility and feasibility for adolescents with cancer who speak Mandarin. These scales might also help clinical nurses evaluate the effectiveness of bone health education provided to adolescents with cancer.