TY - JOUR
T1 - Development and psychometric evaluation of the chemotherapy-induced peripheral neuropathy assessment tool
AU - Tofthagen, Cindy S.
AU - McMillan, Susan C.
AU - Kip, Kevin E.
PY - 2011/7
Y1 - 2011/7
N2 - Background: Chemotherapy-induced peripheral neuropathy (CIPN) can be a debilitating and dose-limiting adverse effect of chemotherapy. Comprehensive self-report tools for CIPN are needed for research and clinical practice. Objective: The purpose of this psychometric study was to describe the development and evaluate the reliability and validity of a new self-report tool designed to measure CIPN, the Chemotherapy-Induced Peripheral Neuropathy Assessment Tool (CIPNAT). Methods: One hundred sixty-seven patients receiving outpatient chemotherapy with paclitaxel, docetaxel, cisplatin, or oxaliplatin completed the CIPNAT. Content validity, convergent validity, discriminant validity, test-retest reliability, and internal consistency reliability were assessed. Results: Content validity index was very acceptable at 0.95. Convergent validity data were provided by correlation with a measure of the same concept (r = 0.83, P < .001), and differences between contrasting groups (t = 7.66, P < .001) provided evidence of discriminant validity. High test-retest correlations (r = 0.92, P < .001), Cronbach α (α = .95), and significant item-to-total correlations ranging from 0.38 to 0.70 provided evidence of reliability. Conclusions: Results provide evidence of the validity and reliability of the CIPNAT, which can be used for comprehensive assessment of CIPN. Implications for Practice: Use of the CIPNAT in research may lead to a better understanding of CIPN and guide nurses in developing and testing of interventions to relieve suffering and enhance quality of life for patients with CIPN.
AB - Background: Chemotherapy-induced peripheral neuropathy (CIPN) can be a debilitating and dose-limiting adverse effect of chemotherapy. Comprehensive self-report tools for CIPN are needed for research and clinical practice. Objective: The purpose of this psychometric study was to describe the development and evaluate the reliability and validity of a new self-report tool designed to measure CIPN, the Chemotherapy-Induced Peripheral Neuropathy Assessment Tool (CIPNAT). Methods: One hundred sixty-seven patients receiving outpatient chemotherapy with paclitaxel, docetaxel, cisplatin, or oxaliplatin completed the CIPNAT. Content validity, convergent validity, discriminant validity, test-retest reliability, and internal consistency reliability were assessed. Results: Content validity index was very acceptable at 0.95. Convergent validity data were provided by correlation with a measure of the same concept (r = 0.83, P < .001), and differences between contrasting groups (t = 7.66, P < .001) provided evidence of discriminant validity. High test-retest correlations (r = 0.92, P < .001), Cronbach α (α = .95), and significant item-to-total correlations ranging from 0.38 to 0.70 provided evidence of reliability. Conclusions: Results provide evidence of the validity and reliability of the CIPNAT, which can be used for comprehensive assessment of CIPN. Implications for Practice: Use of the CIPNAT in research may lead to a better understanding of CIPN and guide nurses in developing and testing of interventions to relieve suffering and enhance quality of life for patients with CIPN.
KW - Quality of life
KW - Symptom assessment
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UR - http://www.scopus.com/inward/citedby.url?scp=79959668788&partnerID=8YFLogxK
U2 - 10.1097/NCC.0b013e31820251de
DO - 10.1097/NCC.0b013e31820251de
M3 - Article
C2 - 21242773
AN - SCOPUS:79959668788
SN - 0162-220X
VL - 34
SP - E10-E20
JO - Cancer Nursing
JF - Cancer Nursing
IS - 4
ER -