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Comprehensive needs assessment tool in cancer (CNAT): the development and validation
Eun-Jung Shim1, Kyung-Sook Lee, Jong-Hyock Park
1Department of Psychology, Catholic University of Daegu, 330 Geumrak 1-Ri, Hayang-eup, Gyeongsan-si, GyeongBuk 712-702, Republic of Korea.
Summary
A new Comprehensive Needs Assessment Tool in Cancer (CNAT) was developed and validated. This tool effectively assesses patient needs, improving cancer care quality and outcomes.
Area of Science:
- Oncology
- Psychometrics
- Health Services Research
Background:
- Needs assessment is crucial for quality, patient-centered cancer care.
- Identifying patient needs guides evidence-based policy and maximizes care outcomes.
- A validated tool is needed to comprehensively assess cancer patient needs.
Purpose of the Study:
- To develop and validate the Comprehensive Needs Assessment Tool in Cancer (CNAT).
- To establish a psychometrically sound instrument for assessing diverse patient needs in oncology.
Main Methods:
- The CNAT, a 59-item tool, was developed and validated through a multi-center survey of 2,661 cancer patients in Korea.
- Content validity was ensured through expert and patient input, and item derivation from existing tools.
- Construct validity was confirmed via exploratory factor analysis, identifying seven key need domains.
Main Results:
- The CNAT demonstrated strong construct validity with seven identified factors: healthcare staff, psychological, physical, informational, social/spiritual, practical support, and facilities/services.
- High reliability was confirmed (Cronbach's alpha = 0.97 overall, 0.80-0.97 for subscales).
- The tool showed convergent and known-group validity, correlating with quality of life measures and differentiating needs based on demographics, diagnosis, and treatment.
Conclusions:
- The CNAT is a meaningful, valid, comprehensive, concise, and psychometrically sound tool for assessing cancer patient needs.
- It addresses the challenges in cancer care by providing a robust method for needs evaluation.
- The CNAT facilitates improved cancer care delivery and patient outcomes through systematic needs assessment.
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