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Development and Validation of a Knowledge Scale for Patients with Breast Cancer (KS-Br)  

Lee, Keon-Suk (Center for Breast Cancer, National Cancer Center)
Lee, Ran (Department of Nursing, National Cancer Center)
Kim, Soo-Hyun (Department of Nursing, Inha University)
Publication Information
Asian Oncology Nursing / v.10, no.1, 2010 , pp. 59-67 More about this Journal
Abstract
Purpose: The purpose of this study was the development and validation of knowledge scale for patients with breast cancer (KS-Br) in Korea. Methods: The process included the construction of a conceptual framework, generation of preliminary items, and the test of validity and reliability of the scale. Thirty-seven items were developed through an evaluation process by 10 experts and 24 items were finally confirmed through item analysis. Psychometric testing was performed with a convenient sample of 303 women with breast cancer. The data was analyzed using independent t-test, Pearson's correlation, and calculation of KR-20. Results: Participants averaged 70.8% correct on the test. The KS-Br has 24 items consisting of 5 categories: incidence of breast cancer, diagnosis and treatment, symptom management, sexuality, and maintenance of daily life. Validity was supported by the use of content validity, known-group technique, and criterion-related validity. Women who had undergone education intervention scored significantly higher than women who had not (p<.001). KS-Br scores were significantly correlated with those of Mishel's Illness Uncertainty Scale (r=-.214, p<.001). Internal consistency of the KS-Br was appropriate (KR20=.805). Conclusion: This study reveals that the KS-Br is reliable and valid scale to measure the knowledge of breast cancer. Therefore, this scale can be effectively utilized to assess the knowledge of patients with breast cancer regarding their disease.
Keywords
Knowledge; Scale; Breast cancer; Validity; Reliability;
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