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Validating the Factor Structure of the Psychosocial Assessment Tool Using Internet-Based Data.

Paul T Enlow1,2, Amanda M Lewis1, Michele A Scialla1

  • 1Center for Healthcare Delivery Science, Nemours Children's Health, USA.

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Summary

The web-based Psychosocial Assessment Tool (WebPAT) is a valid screener for family psychosocial risk in youth with cancer. Its psychometric properties confirm its reliability for clinical use in assessing and guiding psychosocial care.

Keywords:
adolescentsmeasure validationoncologypsychosocial functioningschool-age children

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Area of Science:

  • Psychosocial oncology
  • Clinical psychology
  • Health informatics

Background:

  • The Psychosocial Assessment Tool (PAT) is a validated screener for family psychosocial risk.
  • A web-based version (WebPAT) has been available since 2014 for clinicians and researchers.
  • The psychometric properties of the WebPAT have not been previously examined.

Purpose of the Study:

  • To examine the factor structure of the WebPAT.
  • To assess the internal consistency of the WebPAT.
  • To evaluate the WebPAT's utility in identifying psychosocial risk in families of youth with cancer.

Main Methods:

  • Administered the WebPAT to 1,252 caregivers of youth with cancer across 29 institutions.
  • Utilized Confirmatory Factor Analysis (CFA) to determine the factor structure.
  • Calculated Kuder-Richardson 20 for internal consistencies and examined score distributions across risk categories.

Main Results:

  • CFA confirmed the original seven-factor structure of the PAT.
  • Strong internal consistencies were found for the total WebPAT score and four subscales.
  • Score distributions aligned with previous research on psychosocial risk categories.

Conclusions:

  • The WebPAT is a psychometrically sound tool for screening psychosocial risk in families of youth with cancer.
  • Healthcare providers can effectively use the WebPAT to guide psychosocial care.
  • Future research should focus on WebPAT implementation and identify associated barriers and facilitators.