Development, translation, and psychometric evaluation of a questionnaire designed to explore knowledge, barriers, facilitators, and preferences to physical exercise in cancer survivors

Background & objective Cancer, a global health concern, affects millions annually, with survivors facing ongoing health risks. Physical exercise offers potential benefits, yet participation rates among cancer survivors, particularly in India, remain low. We aimed to create a validated questionna...

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Bibliographic Details
Main Authors: Jeyanthi Subburaj, Kiran Sharma
Format: Article
Language:English
Published: Taylor & Francis Group 2023-01-01
Series:Cancer Survivorship Research & Care
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Online Access:https://www.tandfonline.com/doi/10.1080/28352610.2023.2287231
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Summary:Background & objective Cancer, a global health concern, affects millions annually, with survivors facing ongoing health risks. Physical exercise offers potential benefits, yet participation rates among cancer survivors, particularly in India, remain low. We aimed to create a validated questionnaire for the Indian context, exploring exercise-related knowledge, barriers, facilitators, and preferences. This tool seeks to aid healthcare professionals and researchers in understanding and addressing exercise engagement among Indian cancer survivors.Methodology It included questionnaire development through an extensive literature review and in-depth interviews with cancer survivors and their stakeholders. The development of the questionnaire was followed by the Delphi technique. Experts rated questions for clarity, essentiality, and relevance. Feedback led to questionnaire revisions, resulting in a final version comprising 30 questions.Results Content validity was assessed using the Content Validity Ratio (CVR), Content Validity Index (CVI), and cognitive interviews. The CVR and CVI indicated excellent agreement among experts, confirming the questionnaire’s relevance. Kappa for Inter-Rater Agreement: A kappa statistic assessed inter-rater agreement, revealing a moderate level of agreement among raters. The test–retest reliability of the questionnaire was evaluated in both English and Hindi versions. The Intra-class correlation coefficient for the English version was 0.95, and for the Hindi version, it was 0.92, indicating strong reliability.Conclusion This study created a robust valid and reliable questionnaire to assess factors impacting physical exercise in Indian cancer survivors. This tool offers valuable insights for healthcare professionals and researchers, aiding tailored interventions to enhance the well-being of Indian cancer survivors.
ISSN:2835-2610