Cultural Analysis of the Cancer Behavior Inventory

癌症行为量表的文化分析

• 批准号: 6922599
• 负责人: THOMAS V MERLUZZI
• 金额: $ 16.13万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-15 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6922599
• 关键词: African American; behavior prediction; behavioral /social science research tag; bias; clinical research; coping; culture; human subject; patient oriented research; psychological aspect of cancer; psychological tests; psychometrics; racial /ethnic difference

The overall aim of this proposal is to conduct qualitative and quantitative cultural analyses of the Cancer Behavior Inventory (CBI) to assure that it is appropriate for African American patients and to establish a methodology for testing cultural bias in other measures. Self-efficacy theory was used to guide the development of the CBI, which assesses patients' expectations about their ability to perform coping behaviors in seven domains: 1) Maintaining Activity and Independence, 2) Seeking and Understanding Medical Information, 3) Stress Management for Medical Appointments, 4) Coping With Treatment-Related Side Effects, 5) Accepting Cancer/ Maintaining Positive Attitude, 6) Affective Regulation, and 7) Seeking Social Support. Data will be collected in order to accrue 200 African American patients and 200 Caucasian patients with cancer. The accrual is designed to assure the development of a comprehensive database that includes adequate numbers of African Americans. All participants will complete the CBI and other measures of coping, adjustment, and quality of life. In addition, African American participants will complete measures of racial identity development, perceived maltreatment, and acculturation. Information on medical treatment and other medically relevant data (e.g., stage at diagnosis) will be obtained from the participant's chart and physician, Data analyses will include both qualitative and quantitative approaches. Qualitative approaches will include narrative analyses to assess perceived bias in items. Quantitative analyses will include: 1) item bias analysis and tests of the structural invariance as a function of race, racial identity, perceived maltreatment, gender, type of cancer and age; and 2) traditional psychometrics. Based on this cultural analysis, the CBI may be modified to be more useful in clinical trials research as a) a screening devise to select people for psychosocial interventions, b) a process measure, which when given repeatedly during the course of treatment would detect changes in efficacy, and c) as an outcome measure. Also, the cultural analysis will make the CBI useful for assessing coping with African American patients. Finally, the methodology for the cultural analysis may be used with other measures and ethnic groups. Further refinement of the CBI can include the standardization of the scales of the CBI and the development of norms based on relevant individual difference variables.

该提案的总体目标是对文化进行定性和定量分析 癌症行为量表（CBI），以确保它适合非裔美国患者，并建立测试其他措施中的文化偏见的方法。自我效能理论被用来指导 CBI 的发展，它评估患者对其在七个领域执行应对行为的能力的期望：1）保持活动和独立，2）寻求和理解医疗信息，3）压力管理医疗预约，4) 应对与治疗相关的副作用，5) 接受癌症/保持积极态度，6) 情感调节，以及 7) 寻求社会支持。 将收集 200 名非裔美国癌症患者和 200 名白人癌症患者的数据。应计费用旨在确保建立一个包含足够数量的非裔美国人的综合数据库。所有参与者都将完成 CBI 和其他应对、调整和生活质量的衡量标准。此外，非裔美国人参与者将完成种族认同发展、感知虐待和文化适应的测量。有关医疗治疗的信息和其他医学相关数据（例如诊断阶段）将从参与者的病历和医生中获得， 数据分析将包括定性和定量方法。定性方法将包括叙事分析，以评估项目中感知到的偏见。定量分析将包括：1）项目偏差分析和结构不变性测试，作为种族、种族身份、感知虐待、性别、癌症类型和年龄的函数； 2）传统心理测量学。基于这种文化分析，CBI 可能会被修改，以便在临床试验研究中更有用，因为 a) 一种筛选装置，用于选择接受心理社会干预的人；b) 一种过程测量，在治疗过程中重复进行时会检测到变化功效，以及 c) 作为结果衡量标准。此外，文化分析将使 CBI 对于评估非洲裔美国患者的应对方式很有用。最后，文化分析的方法可以与其他措施和种族群体一起使用。更远 CBI的细化可以包括CBI量表的标准化和基于相关个体差异变量的规范的制定。