• Rehabil Nurs · Nov 2017

    A Psychometric Evaluation of the Chinese Version of the M.D. Anderson Symptom Inventory-Heart Failure in Chinese Cancer Patients With Concurrent Heart Failure.

    • Sek Ying Chair, Qun Wang, Mingming Yu, Kwok Wei SoWinnieW, Chang Tian, Janet Wing Hung Sit, Mi Ling WongElizaE, Wing Han ChanCarmenC, and Anecita Fadol.
    • 1 The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong2 School of Nursing, Peking Union Medical College, Beijing, China3 Tianjin Medical University Cancer Institute and Hospital, Tianjin, China4 Department of Cardiology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
    • Rehabil Nurs. 2017 Nov 1; 42 (6): 354-361.

    PurposeThe purpose of the study was to translate the M.D. Anderson Symptom Inventory-Heart Failure (MDASI-HF), a specific instrument to assess symptoms in cancer patients with concurrent heart failure (HF), into Mandarin Chinese and to examine its psychometric properties in Chinese cancer patients.DesignA translation and psychometric evaluation design was used.MethodsThe translation of the MDASI-HF into Mandarin Chinese followed Brislin's model with the four steps: translation, monolingual assessment, backward translation, and comparison. The Chinese version MDASI-HF was tested among 135 cancer patients with concurrent HF from a cancer hospital in Tianjin, China. Psychometric properties of content validity, internal consistency, test- retest reliability, concurrent validity, and sensitivity of the instrument were evaluated.FindingsThe Cronbach's α was .913 for the core items, .835 for the HF items, and .897 for the interference items. The test-retest reliability was satisfactory with intraclass coefficients > .9 and content validity index was .94. The Chinese version MDASI-HF was significantly correlated with the Eastern Cooperative Oncology Group performance grade (correlation coefficients .456-.600) and the New York Heart Association classification (correlation coefficients .477-.631), indicating the established concurrent validity of the translated instrument.ConclusionsThe Chinese version MDASI-HF is a valid and reliable instrument to assess the symptoms of Chinese cancer patients with concurrent HF.Clinical RelevanceSymptom assessment and management play important roles in cancer rehabilitation. The Chinese version MDASI-HF can assist appropriate and timely symptom assessment in cancer patients with concurrent HF and can promote communication between healthcare professionals and patients. On the basis of the assessment, the rehabilitation team could provide effective symptom management, evaluate the effectiveness of interventions, and improve patients' quality of life.

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