Model for Development and Validation of Anxiety and Depression Questionnaires for Family Caregiver and Cancer Survivors
Solikhah Solikhah1, Suwarno2, Helfi Agustin3, Fardiasih Dwi Astuti4

1. Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
2. Program Study of Nursing, Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia
3. Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
4. Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia


Abstract

Background: Cancer remains a public health issue. This cancer is one of the noncommunicable illnesses that causes the most deaths worldwide. The number of cancer survivors has increased in tandem with advancements in medical care technology. Patients who receive cancer care and treatment, on the other hand, endure variable physical and psychological changes, including anxiety and sadness, as a result of the kind of drug, alterations and development of cancer cells, and duration of therapy. Although few research have been undertaken to investigate cancer patients^ anxiety and despair. Most, however, do not employ instruments fit for Indonesian society. The purpose of this study was to create and assess the validity and reliability of an anxiety and depression questionnaire for cancer survivors and their companions.
Method: This is a descriptive observational study. The Anxiety and Depression Indonesian Instrument (ADII) was the questionnaire used in the study. The professional judgement method was used for the content validity test, with a qualitative approach, namely professional agreement, and a quantitative approach, namely the items content validity index (I-CVI) value. Expert judgement was used to administer the language comprehension test to users, who included community nurses, cancer researchers, and family doctors. The Cronbach Alpha value approach was used to conduct reliability tests with each of the 20 family aides at the Ngemplak 1 Community Health Centre.
Results: The first round of content validity tests revealed no agreement amongst expert judgements, with an I-CVI score of 0.74. Professional agreement was established in the second round with an I-CIV value of 0.98, hence the ADII questionnaire with 40 items was pronounced valid. A skilled expert^s language comprehension test is reported to have passed in just one round. The Cronbach Alpha value for each cancer survivor companion was 0.85 in the dependability test.
Conclusion: The ADII questionnaire was pronounced valid and reliable based on the test findings. The ADII questionnaire can be used to assess anxiety and depression in cancer survivors and their companions.

Keywords: Cancer survivor, family caregiver, questionnaire test, professional expert

Topic: Caring for Vulnerable Population

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