Cognitive interviewing of the older adults with cancer - depression scale (OAC-D): A patient-reported outcome (PRO) Journal Article
| Authors: | Saracino, R. M.; Polacek, L. C.; Tutino, R.; Pessin, H.; Lynch, K. A.; Atkinson, T. M.; Nelson, C. J. |
| Article Title: | Cognitive interviewing of the older adults with cancer - depression scale (OAC-D): A patient-reported outcome (PRO) |
| Abstract: | Objectives This study aimed to refine the content of a new patient-reported outcome (PRO) measure via cognitive interviewing techniques to assess the unique presentation of depressive symptoms in older adults with cancer (OACs).Methods OACs (>= 70years) with a history of a depressive disorder were administered a draft measure of the Older Adults with Cancer - Depression (OAC-D) Scale, then participated in a semi-structured cognitive interview to provide feedback on the appropriateness, comprehensibility, and overall acceptability of measure. Interviews were audio-recorded and transcribed, and qualitative methods guided revision of scale content and structure.Results OACs (N = 10) with a range of cancer diagnoses completed cognitive interviews. Participants felt that the draft measure took a reasonable amount of time to answer and was easily understandable. They favored having item prompts and response anchors repeated with each item for ease of completion, and they helped identify phrasing and wording of key terms consistent with the authors' intended constructs. From this feedback, a revised version of the OAC-D was created.Significance of results The OAC-D Scale is the first PRO developed specifically for use with OACs. The use of expert and patient input and rigorous cognitive interviewing methods provides a conceptually accurate means of assessing the unique symptom experience of OACs with depression. |
| Keywords: | prevalence; survivors; depression; screening; aging; anxiety; geriatric assessment; predictors; symptoms; instruments; cancer |
| Journal Title: | Palliative and Supportive Care |
| Volume: | 23 |
| ISSN: | 1478-9515 |
| Publisher: | Cambridge University Press |
| Date Published: | 2025-04-01 |
| Start Page: | e98 |
| Language: | English |
| ACCESSION: | WOS:001471736400001 |
| DOI: | 10.1017/s1478951525000355 |
| PROVIDER: | wos |
| PUBMED: | 40260490 |
| PMCID: | PMC12090222 |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding MSK author is Rebecca M. Saracino -- Source: Wos |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work