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Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer

BACKGROUND: Cognitive reserve is a modifiable factor that could prevent cognitive decline in patients with cancer. The Cognitive Reserve Assessment Scale in Health (CRASH) is an instrument used to assess cognitive reserve. This study aims to develop and examine the psychometric properties of the Chi...

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Autores principales: Liu, Hong, Li, Yanyan, Li, Yang, Wang, Jianwen, Su, Na, Cui, Naixue, Xu, Kun, Sun, Yaoyao, Cao, Fenglin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811687/
https://www.ncbi.nlm.nih.gov/pubmed/36597052
http://dx.doi.org/10.1186/s12888-022-04506-w
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author Liu, Hong
Li, Yanyan
Li, Yang
Wang, Jianwen
Su, Na
Cui, Naixue
Xu, Kun
Sun, Yaoyao
Cao, Fenglin
author_facet Liu, Hong
Li, Yanyan
Li, Yang
Wang, Jianwen
Su, Na
Cui, Naixue
Xu, Kun
Sun, Yaoyao
Cao, Fenglin
author_sort Liu, Hong
collection PubMed
description BACKGROUND: Cognitive reserve is a modifiable factor that could prevent cognitive decline in patients with cancer. The Cognitive Reserve Assessment Scale in Health (CRASH) is an instrument used to assess cognitive reserve. This study aims to develop and examine the psychometric properties of the Chinese version of the CRASH for patients with cancer. METHODS: A cross-sectional survey was conducted with 167 cancer patients from four wards of two hospitals in China. Thirty-one patients were re-assessed to examine the test-retest reliability. Four translators and three reviewers developed the Chinese version of the scale. We assessed its structural validity, concurrent validity, internal consistency, test-retest reliability, measurement error, and floor/ceiling effects. RESULTS: Confirmatory factor analysis showed a good model fit with the four-factor structure of the original CRASH. The CRASH scores were statistically significantly associated with neuropsychological test scores, indicating sufficient concurrent validity. The internal consistency was acceptable, except for leisure activities, with standardized Cronbach’s alphas (0.64–0.94) and standardized Omega (0.66–0.95). There was excellent test-retest reliability, with a high intraclass correlation coefficient (0.914–0.993) of total scores and scores for each domain. The measurement error was acceptable, and no floor or ceiling effects were observed. CONCLUSIONS: The Chinese version of the CRASH is a valid and reliable instrument to assess cognitive reserve in patients with cancer. Moreover, cognitive reserve measured by the CRASH was associated with low cognitive performance in cancer patients.
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spelling pubmed-98116872023-01-05 Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer Liu, Hong Li, Yanyan Li, Yang Wang, Jianwen Su, Na Cui, Naixue Xu, Kun Sun, Yaoyao Cao, Fenglin BMC Psychiatry Research BACKGROUND: Cognitive reserve is a modifiable factor that could prevent cognitive decline in patients with cancer. The Cognitive Reserve Assessment Scale in Health (CRASH) is an instrument used to assess cognitive reserve. This study aims to develop and examine the psychometric properties of the Chinese version of the CRASH for patients with cancer. METHODS: A cross-sectional survey was conducted with 167 cancer patients from four wards of two hospitals in China. Thirty-one patients were re-assessed to examine the test-retest reliability. Four translators and three reviewers developed the Chinese version of the scale. We assessed its structural validity, concurrent validity, internal consistency, test-retest reliability, measurement error, and floor/ceiling effects. RESULTS: Confirmatory factor analysis showed a good model fit with the four-factor structure of the original CRASH. The CRASH scores were statistically significantly associated with neuropsychological test scores, indicating sufficient concurrent validity. The internal consistency was acceptable, except for leisure activities, with standardized Cronbach’s alphas (0.64–0.94) and standardized Omega (0.66–0.95). There was excellent test-retest reliability, with a high intraclass correlation coefficient (0.914–0.993) of total scores and scores for each domain. The measurement error was acceptable, and no floor or ceiling effects were observed. CONCLUSIONS: The Chinese version of the CRASH is a valid and reliable instrument to assess cognitive reserve in patients with cancer. Moreover, cognitive reserve measured by the CRASH was associated with low cognitive performance in cancer patients. BioMed Central 2023-01-03 /pmc/articles/PMC9811687/ /pubmed/36597052 http://dx.doi.org/10.1186/s12888-022-04506-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Liu, Hong
Li, Yanyan
Li, Yang
Wang, Jianwen
Su, Na
Cui, Naixue
Xu, Kun
Sun, Yaoyao
Cao, Fenglin
Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer
title Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer
title_full Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer
title_fullStr Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer
title_full_unstemmed Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer
title_short Psychometric properties of the Chinese version of the Cognitive Reserve Assessment Scale in Health in patients with cancer
title_sort psychometric properties of the chinese version of the cognitive reserve assessment scale in health in patients with cancer
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811687/
https://www.ncbi.nlm.nih.gov/pubmed/36597052
http://dx.doi.org/10.1186/s12888-022-04506-w
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