Development and validation of a patient needs assessment tool (PNAT) for oncology clinicians Journal Article


Authors: Coyle, N.; Layman Goldstein, M.; Passik, S.; Fishman, B.; Portenoy, R.
Article Title: Development and validation of a patient needs assessment tool (PNAT) for oncology clinicians
Abstract: The Patient Needs Assessment Tool (PNAT) is an interviewer-rated scale that may be completed through a simple structured interview and screens cancer patients for potential problems in physical and psychosocial functioning. The instrument provides separate scores for physical, psychological, and social status, and can potentially clarify the types of interventions needed to address specific areas of dysfunction. Reliability and validity was tested in two studies that used prescreened patient videotapes and other materials to assess the performance of the PNAT in groups of oncology nurses, physicians, and social workers. The data demonstrate that subscale scores for the physical, psychological, and social dimensions have good interrater reliability and internal consistency (intraclass correlation coefficients of 0.71-0.97). Criterion and construct validity was suggested through high correlations of each subscale with the evaluation of expert raters (correlation coefficients of 0.85-0.95) and with scores on validated patient-rated instruments appropriate to the functional area. These analyses suggest that the PNAT is a valid scale for the assessment of a range of functional disturbances in the cancer population.
Keywords: adult; clinical article; controlled study; aged; aged, 80 and over; middle aged; functional assessment; clinical trial; cancer patient; neoplasms; reproducibility of results; quality of life; controlled clinical trial; patient care; adaptation, psychological; rating scale; nursing assessment; activities of daily living; psychometrics; psychologic assessment; performance status; cancer; humans; human; male; female; priority journal; article; psychosocial assessment
Journal Title: Cancer Nursing
Volume: 19
Issue: 2
ISSN: 0162-220X
Publisher: Lippincott Williams & Wilkins  
Date Published: 1996-04-01
Start Page: 81
End Page: 92
Language: English
DOI: 10.1097/00002820-199604000-00001
PUBMED: 8635168
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 22 November 2017 -- Source: Scopus
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MSK Authors
  1. Steven D Passik
    122 Passik
  2. Nessa M Coyle
    123 Coyle
  3. Russell K. Portenoy
    165 Portenoy