癌症家庭照顾者经济毒性量表的编制及信效度检验OACSTPCD

Objective:To develop and test the reliability and validity of the financial toxicity scale for cancer family caregivers.Methods:Based on the 6-factor model of financial toxicity,the initial entry pool of the scale was compiled through literature analysis and semi-structured interviews.The initial scale was determined after two rounds of Delphi expert correspondence.Totally 498 family caregivers of cancer patients who were re-examined in the outpatient department of Henan Provincial People's Hospital were selected as the subjects for investigation,and the reliability and validity were tested.Results:Exploratory factor analysis produced five common factors,including economic resources,economic expenditure,psychosocial response,treatment and life change,and support seeking,the cumulative variance contribution rate reached 74.885%.Confirmatory factor analysis showed that the 5-factor structure fitted well.The total score of the scale was negatively correlated with the total score of the Chinese version of the Quality of Life of the Family Caregivers of Cancer Patients(r=-0.489,P<0.001),total monthly family income reported by caregivers(r=-0.670,P<0.001)and household disposable savings(r=-0.577,P<0.001).Total Cronbach's α coefficient,half reliability and retest reliability were 0.841,0.792 and 0.862 respectively.Conclusion:The financial constructed toxicity scale for cancer family caregivers has good reliability and validity,and it can be used to effectively evaluate the financial toxicity of cancer caregivers.