Development of the body image self-rating questionnaire for breast cancer (BISQ-BC) for Chinese mainland patients
- PMID: 29301503
- PMCID: PMC5753569
- DOI: 10.1186/s12885-017-3865-5
Development of the body image self-rating questionnaire for breast cancer (BISQ-BC) for Chinese mainland patients
Abstract
Background: Body image is a complex post-treatment concern among female patients with breast cancer, and various tools have been developed and applied to measure this multifaceted issue. However, these available tools were developed in other countries and only a few have been modified into Chinese versions. Furthermore, body-image evaluation instruments that are specific to Chinese mainland female patients with breast cancer have not been devised yet. Therefore, we developed the Body Image Self-rating Questionnaire for Breast Cancer for Chinese mainland female patients with breast cancer.
Methods: We performed two rounds of the Delphi technique and a cross-sectional pilot survey. Items were selected using a Likert scale (1-5) to determine ratings of importance (i.e., the significance of the item from experts' perspective; coefficients of variation ≤0.25), internal consistency reliability (Cronbach's α ≥ 0.70), convergent validity (hypothesized item-subscale correlations ≥0.40), and discriminant validity (stronger correlations of the item with the hypothesized subscale than for other subscales). All decisions on items were made based on statistical analysis results, experts' recommendations, and in-depth discussion among researchers.
Results: Twenty-five eligible experts completed the two Delphi rounds (mean age: 42.20 ± 8.90 years). Over half the experts were professors (56%, n = 14) or worked as clinical staff (68%, n = 17). Twenty (mean age = 49.55 ± 10.01 years) and 50 patients (mean age = 48.44 ± 9.98 years) completed the first- and second-round survey, respectively. Over half the patients had a tertiary education level, were married, and were employed. Regarding the revised questionnaire (comprising 33 items across seven subscales), the expert panelists' ratings of each item met the criteria (Kendall's W = 0.238, p < .001). Five subscales had a Cronbach's α value over 0.60 (range: 0.62-0.69) and two subscales were over 0.80 (range: 0.84-0.88). All items satisfied the criteria for convergent and discriminant validity.
Conclusions: The findings of this study provide evidence of a suitable tool for body image evaluation among Chinese mainland female patients with breast cancer. Studies with larger sample sizes should be conducted to validate this questionnaire in this patient population.
Keywords: Body image; Breast cancer; China; Mixed methods.
Conflict of interest statement
Ethics approval and consent to participate
The study received ethical approval from the Biomedical Ethics Committee of Xi’an Jiaotong University Health Science Centre (No. 2015–170). Written informed consent was obtained from each recruited patient before the questionnaire survey.
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Figures
Similar articles
-
The Needs Self-Rating Questionnaire for Breast Cancer (NSQ-BC): Development of a tool for the needs assessment of women with breast cancer in mainland China.J Eval Clin Pract. 2019 Oct;25(5):889-895. doi: 10.1111/jep.13113. Epub 2019 Feb 17. J Eval Clin Pract. 2019. PMID: 30773748
-
[Development of a risk assessment scale and test of its validity and reliability for venous thromboembolism in adult burn patients].Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Aug 20;38(8):778-787. doi: 10.3760/cma.j.cn501120-20210322-00098. Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022. PMID: 36058701 Chinese.
-
Development of a Chinese short form of the Prenatal Self-Evaluation Questionnaire.J Clin Nurs. 2009 Mar;18(5):659-66. doi: 10.1111/j.1365-2702.2007.02201.x. J Clin Nurs. 2009. PMID: 19239534
-
Developing an evaluation indicators of health literacy for cervical cancer among Chinese women: a modified Delphi method study.BMC Cancer. 2023 Sep 12;23(1):863. doi: 10.1186/s12885-023-11208-3. BMC Cancer. 2023. PMID: 37700262 Free PMC article. Review.
-
Development of health behaviour questionnaire for breast cancer women in Mainland China.Nurs Open. 2021 May;8(3):1209-1219. doi: 10.1002/nop2.737. Epub 2020 Dec 23. Nurs Open. 2021. PMID: 33369265 Free PMC article. Review.
Cited by
-
The mediating effect of coping styles between self-compassion and body image disturbance in young breast cancer survivors: a cross-sectional study.BMC Nurs. 2023 May 23;22(1):178. doi: 10.1186/s12912-023-01342-5. BMC Nurs. 2023. PMID: 37221483 Free PMC article.
-
Association of self-compassion and body image disturbance among young breast cancer patients: Mediating effect of body surveillance and body shame.Asia Pac J Oncol Nurs. 2023 Feb 6;10(4):100199. doi: 10.1016/j.apjon.2023.100199. eCollection 2023 Apr. Asia Pac J Oncol Nurs. 2023. PMID: 36923469 Free PMC article.
-
Development and validation of the regarding infection prevention and control among environmental service workers on knowledge, attitudes, practise, and experience questionnaire.Front Public Health. 2023 Jan 9;10:1062199. doi: 10.3389/fpubh.2022.1062199. eCollection 2022. Front Public Health. 2023. PMID: 36699941 Free PMC article.
-
Assessing the relationship between body image and quality of life among rural and urban breast cancer survivors in China.BMC Womens Health. 2022 Mar 4;22(1):61. doi: 10.1186/s12905-022-01635-y. BMC Womens Health. 2022. PMID: 35246115 Free PMC article.
-
Body image mediates the relationship between post-surgery needs and health-related quality of life among women with breast cancer: a cross-sectional study.Health Qual Life Outcomes. 2020 Jun 1;18(1):163. doi: 10.1186/s12955-020-01400-5. Health Qual Life Outcomes. 2020. PMID: 32487117 Free PMC article.
References
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous