Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic review
Objective The aim of this systematic review was to summarise the psychometric properties of patient-reported outcome measures (PROMs) measuring financial toxicity (FT) in cancer survivors.Design This systematic review was conducted according to the guidance of the Consensus-Based Standards for the S...
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| Format: | Article |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e057215.full |
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| author | Yan Hu Zheng Zhu Weijie Xing Lucylynn Lizarondo Jian Peng Huan Wen Yanling Sun Winnie K W So |
| author_facet | Yan Hu Zheng Zhu Weijie Xing Lucylynn Lizarondo Jian Peng Huan Wen Yanling Sun Winnie K W So |
| author_sort | Yan Hu |
| collection | DOAJ |
| description | Objective The aim of this systematic review was to summarise the psychometric properties of patient-reported outcome measures (PROMs) measuring financial toxicity (FT) in cancer survivors.Design This systematic review was conducted according to the guidance of the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology.Data sources Comprehensive searches were performed in PubMed, MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, ProQuest and Cochrane Library from database inception to February 2022.Eligibility criteria for selecting studies We included studies that reported any PROMs for measuring FT in cancer survivors who were ≥18 years old. FT was defined as perceived subjective financial distress resulting from objective financial burden. Studies that were not validation studies and that used a PROM only as an outcome measurement were excluded.Data extraction and synthesis Two reviewers independently extracted data from the included papers. We used the COSMIN criteria to summarise and evaluate the psychometric properties of each study regarding structural validity, internal consistency, reliability, measurement error, hypothesis testing for construct validity, cross-cultural validity/measurement invariance, criterion validity and responsiveness.Results A total of 23 articles (21 PROMs) were eligible for inclusion in this study. The findings highlighted that the Comprehensive Score for Financial Toxicity (COST) had an adequate development process and showed better psychometric properties than other PROMs, especially in internal consistency (Cronbach’s α=0.92), reliability (intraclass correlation coefficient=0.80) and hypothesis testing (r=0.42–0.20).Conclusions From a psychometric property perspective, the COST could be recommended as the most suitable worldwide available measure for use in research and clinical practice across different contexts. We suggest that PROMs should be selected only after careful consideration of the local socioeconomic context. Future studies are warranted to develop various FT PROMs based on different social and cultural backgrounds and to clarify the theoretical grounds for assessing FT. |
| format | Article |
| id | doaj-art-70c02b1e73a3441b9095693f2cf9d65a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-70c02b1e73a3441b9095693f2cf9d65a2025-01-24T18:25:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-057215Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic reviewYan Hu0Zheng Zhu1Weijie Xing2Lucylynn Lizarondo3Jian Peng4Huan Wen5Yanling Sun6Winnie K W So7School of Nursing, Fudan University, Shanghai, ChinaJiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, ChinaFudan University Centre for Evidence-based Nursing: A Joanna Briggs Institute Centre of Excellence, Fudan University, Shanghai, ChinaThe Joanna Briggs Institute, University of Adelaide, Adelaide, South Australia, AustraliaSchool of Nursing, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, ChinaNursing, The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, People`s Republic of ChinaObjective The aim of this systematic review was to summarise the psychometric properties of patient-reported outcome measures (PROMs) measuring financial toxicity (FT) in cancer survivors.Design This systematic review was conducted according to the guidance of the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology.Data sources Comprehensive searches were performed in PubMed, MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, ProQuest and Cochrane Library from database inception to February 2022.Eligibility criteria for selecting studies We included studies that reported any PROMs for measuring FT in cancer survivors who were ≥18 years old. FT was defined as perceived subjective financial distress resulting from objective financial burden. Studies that were not validation studies and that used a PROM only as an outcome measurement were excluded.Data extraction and synthesis Two reviewers independently extracted data from the included papers. We used the COSMIN criteria to summarise and evaluate the psychometric properties of each study regarding structural validity, internal consistency, reliability, measurement error, hypothesis testing for construct validity, cross-cultural validity/measurement invariance, criterion validity and responsiveness.Results A total of 23 articles (21 PROMs) were eligible for inclusion in this study. The findings highlighted that the Comprehensive Score for Financial Toxicity (COST) had an adequate development process and showed better psychometric properties than other PROMs, especially in internal consistency (Cronbach’s α=0.92), reliability (intraclass correlation coefficient=0.80) and hypothesis testing (r=0.42–0.20).Conclusions From a psychometric property perspective, the COST could be recommended as the most suitable worldwide available measure for use in research and clinical practice across different contexts. We suggest that PROMs should be selected only after careful consideration of the local socioeconomic context. Future studies are warranted to develop various FT PROMs based on different social and cultural backgrounds and to clarify the theoretical grounds for assessing FT.https://bmjopen.bmj.com/content/12/6/e057215.full |
| spellingShingle | Yan Hu Zheng Zhu Weijie Xing Lucylynn Lizarondo Jian Peng Huan Wen Yanling Sun Winnie K W So Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic review BMJ Open |
| title | Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic review |
| title_full | Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic review |
| title_fullStr | Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic review |
| title_full_unstemmed | Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic review |
| title_short | Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic review |
| title_sort | psychometric properties of self reported financial toxicity measures in cancer survivors a systematic review |
| url | https://bmjopen.bmj.com/content/12/6/e057215.full |
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