Ovarian and cervical cancer awareness: development of two validated measurement tools

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Authors
Simon, Alice E.
Wardle, Jane
Grimmett, Chloe
Power, Emily
Corker, Elizabeth
Menon, Usha
Matheson, Lauren
Waller, Jo
Issue Date
2011-09-20
Type
Article
Language
en_US
Keywords
Ovarian Awareness , Cervical Cancer Awareness , Measurement Tools
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Abstract
Background: The aim of the study was to develop and validate measures of awareness of symptoms and risk factors for ovarian and cervical cancer (Ovarian and Cervical Cancer Awareness Measures). Methods: Potentially relevant items were extracted from the literature and generated by experts. Four validation studies were carried out to establish reliability and validity. Women aged 21–67 years (n=146) and ovarian and cervical cancer experts (n=32) were included in the studies. Internal reliability was assessed psychometrically. Test-retest reliability was assessed over a 1-week interval. To establish construct validity, Cancer Awareness Measure (CAM) scores of cancer experts were compared with equally well-educated comparison groups. Sensitivity to change was tested by randomly assigning participants to read either a leaflet giving information about ovarian/cervical cancer or a leaflet with control information, and then completing the ovarian/cervical CAM. Results: Internal reliability (Cronbach's α=0.88 for the ovarian CAM and α=0.84 for the cervical CAM) and test-retest reliability (r=0.84 and r=0.77 for the ovarian and cervical CAMs, respectively) were both high. Validity was demonstrated with cancer experts achieving higher scores than controls [ovarian CAM: t(36)= –5.6, p<0.001; cervical CAM: t(38)= –3.7, p=0.001], and volunteers who were randomised to read a cancer leaflet scored higher than those who received a control leaflet [ovarian CAM: t(49)=7.5, p<0.001; cervical CAM: t(48)= –5.5, p<0.001]. Conclusions: This study demonstrates the psychometric properties of the ovarian and cervical CAMs and supports their utility in assessing ovarian and cervical cancer awareness in the general population.
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Simon, A. E., Wardle, J., Grimmett, C., Power, E., Corker, E., Menon, U., Matheson, L., & Waller, J. (2012). Ovarian and cervical cancer awareness: development of two validated measurement tools. The journal of family planning and reproductive health care, 38(3), 167–174. https://doi.org/10.1136/jfprhc-2011-100118
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The Journal of Family Planning and Reproductive Health Care
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