Using the Nottingham Health Profile with Cancer Patients: Factorial Validity and Psychometric Properties of the Romanian Adapted Version
Journal Title: Journal of Experiential Psychotherapy - Year 2016, Vol 19, Issue 2
Abstract
Introduction: The Nottingham Health Profile (NHP) has been portrayed as a multipurpose measure of health status, capable of being used in population surveys and in the evaluation of both medical and psychosocial interventions. In the fields of oncology and psycho-oncology, it has been widely used to assess health-related quality of life or disease activity and any changes that occur with regard to them. Objectives: The aim of the present study was to adapt the NHP for the use with Romanian cancer patients and to test its psychometric properties and factorial validity. Methods: The final Romanian adapted NHP was obtained thought translation and blind back-translation by a panel of bilingual experts. Afterwards, a mixed sample of 250 adult cancer patients ages 23-82 years old (M=54.38, SD=11.85) from the Bucharest Institute of Oncology completed both NHP and FACT-G along with 14 questions regarding demographics. FACT-G was used to measure the concurrent validity of NHP scales and to test its usefulness within multi-instrument assessment protocols. Results: The findings show that NHP exhibits adequate internal consistencies, in strong agreement with the literature, as well as moderate inter-scale correlations. Second-order confirmatory factor analysis using WLSMV estimation strongly supported the fit of the original sixfactor model. No additional changes in factor structure or items of the Romanian NHP were warranted by the results of this study. Conclusions: The study has shown that the Romanian NHP questionnaire possesses adequate psychometric properties and can be used with cancer patients in both clinical and research settings. Further research on test-retest reliability and potentially on the weighting system is required to establish its complete equivalence to the original instrument.
Authors and Affiliations
Claudiu C. Papasteri, Ioana M. Neagoe
Keywords
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