Transcultural validation of tools for the assessment of patient preferences and health outcomes prioritization among older Mexican adults with cancer

Autores: Gómez Moreno Carolina, Pérez de Acha Andrea, Aguilar Verduzco José C, Moreno García Ma Luisa, Lira Huerta Ernesto, Chavarri Guerra Yanin, Soto Pérez de Celis Enrique


Introduction: It is vital to include patient preferences in shared decision-making, however, existing tools were created in high-income nations. We translated and validated three health outcome prioritization tools (developed in the USA) among older Mexican adults with cancer. Methods: The tools (Health Outcomes Tool, Now vs. Later Item and Attitude Scale) were translated to Spanish and tested for feasibility, reliability, and construct validity. Feasibility: proportion of patients able to answer without help. Reliability: using Cronbach’s alpha (for Likert scales). Construct validity: comparing consistency of tools addressing the same outcomes. Results: A total of 145 patients age ≥65 with solid tumors participated (median age 73 years, 65-88). Only 29% (n = 43) were able to answer on their own. Internal consistency of the two subscales of the attitude scale was of 0.46 and 0.43, respectively. Consistency between tools measuring the same outcomes was poor. Conclusions: We could not demonstrate feasibility, reliability, and validity of this tool among Mexican older adults with cancer. Creating culturally appropriate tools to assess preferences remain a priority in developing countries.

Palabras clave: Older adults cancer validation studies patient preferences Mexico

2021-04-20   |   23 visitas   |   Evalua este artículo 0 valoraciones

Vol. 6 Núm.2. Julio-Diciembre 2020 Pags. 48-54 J Lat Am Geriatric Med 2020; 6(2)