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Cross-cultural validation of Cancer Communication Assessment Tool in Korea

Authors

  • Dong Wook Shin,

    1. Department of Family Medicine and Health Promotion Center, Seoul National University Hospital, Seoul, Korea
    2. Cancer Survivorship Clinic, Seoul National University Cancer Hospital, Seoul, Korea
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  • Jooyeon Shin,

    1. Institute for Human Behavior Research, Department of Psychology, Yonsei University, Seoul, Korea
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  • So Young Kim,

    1. Cancer Policy Branch, National Cancer Control Institute, National Cancer Center, Goyang, Korea
    2. College of Medicine/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, Korea
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  • Boram Park,

    1. Cancer Policy Branch, National Cancer Control Institute, National Cancer Center, Goyang, Korea
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  • Hyung-Kook Yang,

    1. Cancer Policy Branch, National Cancer Control Institute, National Cancer Center, Goyang, Korea
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  • Juhee Cho,

    1. Department of Health Sciences and Technology, SAHIST and School of Medicine, Sungkyunkwan University, Seoul, Korea
    2. Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    3. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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  • Eun Sook Lee,

    1. Research Institute, National Cancer Center, Goyang, Korea
    2. Center for Breast Cancer, National Cancer Center, Goyang, Korea
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  • Jong Heun Kim,

    1. Mental Health Clinic, Center for Clinical Specialty, National Cancer Center, Goyang, Korea
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  • Jong-Hyock Park

    Corresponding author
    1. Cancer Policy Branch, National Cancer Control Institute, National Cancer Center, Goyang, Korea
    2. College of Medicine/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, Korea
    • Correspondence to: College of Medicine/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, 361-763, Korea. E-mail: jonghyock@gmail.com; whitemiso@ncc.re.kr

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ABSTRACT

Background

Communication between cancer patients and caregivers is often suboptimal. The Cancer Communication Assessment Tool for Patient and Families (CCAT-PF) is a unique tool developed to measure congruence in patient–family caregiver communication employing a dyadic approach. We aimed to examine the cross-cultural applicability of the CCAT in the Korean healthcare setting.

Methods

Linguistic validation of the CCAT-PF was performed through a standard forward–backward translation process. Psychometric validation was performed with 990 patient–caregiver dyads recruited from 10 cancer centers.

Results

Mean scores of CCAT-P and CCAT-F were similar at 44.8 for both scales. Mean CCAT-PF score was 23.7 (8.66). Concordance of each items between patients and caregivers was low (weighted kappa values <0.20 for all items and Spearman's rho <0.18 for scale scores). Scale scores did not differ significantly across a variety of cancer types and stages. The CCAT-P or CCAT-F score was weakly associated with mental health and quality of life outcomes. The CCAT-PF was correlated weakly with both patient-perceived and caregiver-perceived family avoidance of cancer care scales.

Conclusion

The CCAT-PF Korean version showed similar psychometric properties to the original English version in the assessment of communication congruence between cancer patient and family caregivers. Copyright © 2014 John Wiley & Sons, Ltd.

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