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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (23): 7-12.doi: 10.16460/j.issn1008-9969.2022.23.007

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Development and Psychometric Testing of Knowledge-belief-practice Questionnaire for Nurses to Promote Physical Activity in Cancer Survivors

LIU Yun1, TIAN Min2a, WANG Ya-fei2a, LIU Feng2b, LI Xin3, PAN Ning1   

  1. 1. School of Nursing, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250117, China;
    2a. Dept. of Hematology; b. Wound Treatment Center, the First Affiliated Hospital of Shandong First Medical University &Shandong Provincial Qianfoshan Hospital,Jinan 250014,China;
    3. School of Nursing, Weifang Medical University, Weifang 261053,China
  • Received:2022-05-13 Online:2022-12-10 Published:2023-01-13

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Abstract: Objective To develop and test the reliability and validity of a knowledge-belief-practice questionnaire for nurses to promote physical activity in cancer survivors. Methods Based on the KAP theory, the draft questionnaire was developed after literature review, guideline review, brainstorming, expert consultation and pilot survey. With convenient sampling, 553 nurses from oncology-related departments were selected and investigated to test the reliability and validity of the questionnaire. Results The questionnaire consisted of 30 items covering 3 dimensions: knowledge, belief and practice. The Cronbach's alpha coefficient of the total questionnaire was 0.950; the split-half reliability coefficient 0.682, and the retest reliability 0.900. Exploratory factor analysis extracted 3 common factors, which could explain 58.252% of the total variance. Confirmatory factor analysis showed that the fitting index of the scale structure model was good：χ2/df=2.395,RMSEA=0.073,NFI=0.849,IFI=0.906,TLI=0.897,CFI=0.906. Content validity analysis showed that I-CVI was 0.833~1.000; S-CVI/Ave 0.969; and S-CVI/UA 0.800. Conclusion The questionnaire has good reliability and validity and can be used to evaluate the knowledge, belief and practice of oncology nurses to promote physical activity of cancer survivors in China.

Key words: nurse, cancer survivors, physical activity, knowledge,belief and practice, questionnaire development, reliability, validity

CLC Number: 

  • R47
[1] World Health Organization.Global Action Plan on Physical Activity 2018-2030: More Active People for a Healthier World[R]. Geneva:2018.
[2] Patel AV, Friedenreich CM, Moore SC, et al.American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control[J].Med Sci Sports Exerc, 2019,51(11):2391-2402.DOI: 10.1249/MSS.0000000000002117.
[3] Campbell KL, Winters-Stone KM, Wiskemann J,et al.Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable[J]. Med Sci Sports Exerc, 2019, 51(11):2375-2390. DOI:10.1249/MSS.0000000000002116.
[4] 刘旭,王文辰,马春艳.基于健康促进模型的结直肠癌永久性肠造口患者体力活动影响因素分析[J].护理学报,2022,29(11):59-64.DOI:10.16460/j.issn1008-9969.2022.11.059.
[5] Eng L, Pringle D, Su J, et al.Patterns, Perceptions, and Perceived Barriers to Physical Activity in Adult Cancer Survivors[J].Support Care Cancer,2018,26(11):3755-3763.DOI: 10.1007/s00520-018-4239-5.
[6] Tarasenko YN, Miller EA, Chen C, et al.Physical Activity Levels and Counseling by Health Care Providers in Cancer Survivors[J]. Prev Med,2017,99:211-217.DOI: 10.1016/j.ypmed.2017.01.010.
[7] Spence RR, Sandler CX, Newton RU, et al.Physical Activity and Exercise Guidelines for People with Cancer: Why Are They Needed, Who Should Use Them, and When?[J]. Semin Oncol Nurs,2020,36(5):151075-151079.DOI:10.1016/j.soncn.2020.151075.
[8] Haussmann A, Ungar N, Tsiouris A, et al.The Influence of Cancer Patient Characteristics on the Recommendation of Physical Activity by Healthcare Professionals[J]. Int J Behav Med,2020,27(1):65-78.DOI:10.1007/s12529-019-09833-z.
[9] 罗娜. 临床护士静脉输液港维护知信行问卷的编制及应用[D].济南:山东大学,2021.
[10] Keogh JW, Pühringer P, Olsen A,et al.Physical Activity Promotion, Beliefs, and Barriers Among Australasian Oncology Nurses[J]. Oncol Nurs Forum,2017,44(2):235-245.DOI: 10.1188/17.ONF.235-245.
[11] Nadler M, Bainbridge D, Tomasone J, et al.Oncology Care Provider Perspectives on Exercise Promotion in People with Cancer: An Examination of Knowledge, Practices, Barriers, and Facilitators[J]. Support Care Cancer,2017,25(7):2297-2304. DOI: 10.1007/s00520-017-3640-9.
[12] Hardcastle SJ, Kane R, Chivers P, et al.Knowledge, Attitudes, and Practice of Oncologists and Oncology Health Care Providers in Promoting Physical Activity to Cancer Survivors: An International Survey[J].Support Care Cancer,2018, 26(11):3711-3719.DOI:10.1007/s00520-018-4230-1.
[13] 亢东琴. 大肠癌患者体力活动现况及其影响因素的研究[D].北京:北京中医药大学,2018.
[14] Roberts AL, Potts HWW, Stevens C, et al.Cancer Specialist Nurses' Perspectives of Physical Activity Promotion and the Potential Role of Physical Activity Apps in Cancer Care[J].J Cancer Surviv, 2019, 13(5):815-828.DOI:10.1007/s11764-019-00801-w.
[15] Jones LW, Courneya KS, Peddle C, et al.Oncologists' Opinions Towards Recommending Exercise to Patients with Cancer: A Canadian National Survey[J]. Support Care Cancer, 2005, 13(11):929-937.DOI:10.1007/s00520-005-0805-8.
[16] Avancini A, D'Amico F, Tregnago D, et al. Nurses' Perspectives on Physical Activity Promotion in Cancer Patients: A Qualitative Research[J].Eur J Oncol Nurs,2021,55:102061-102066.DOI:10.1016/j.ejon.2021.102061.
[17] National Comprehensive Cancer Network (NCCN). Clinical Practice Guideline in O-ncology:Survivorship,version3.2021[EB/OL].(2021-08-23)[2022-04-15].https://www.nccn.org/professionals/physician_gls/pdf/survivorship.pdf.
[18] World Health Organization. Who Guidelines on Physical Activity and Sedentary Behaviour[EB/OL].(2020-11-26)[2022-04-15].https://apps.who.int/iris/bitstream/handle/10665/336656/9789240015128-eng.pdf?sequence=1&isAllowed=y.
[19] Segal R, Zwaal C, Green E, et al.Exercise for People with Cancer: A Clinical Practice Guideline[J]. Curr Oncol,2017,24(1):40-46.DOI:10.3747/co.24.3376.
[20] 王孟成. 潜变量建模与Mplus应用·基础篇[M].重庆:重庆大学出版社,2014.
[21] 刘瑜,周春兰,周君桂,等.神经源性膀胱患者自我管理量表的编制及信效度检验[J].护理学报,2021, 28(7):64-68.DOI:10.16460/j.issn1008-9969.2021.07.064.
[22] 王琦,李领侠,和巾杰,等.医护人员低血糖症知信行问卷的编制及信效度检验[J].护理学报,2021,28(9):9-13.DOI:10.16460/j.issn1008-9969.2021.09.009.
[23] 史静琤,莫显昆,孙振球. 量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):49-52.DOI:10.3969/j.issn.1672-7347.2012.02.007.
[24] Elshahat S, Treanor C, Donnelly M.Factors Influencing Physical Activity Participation among People Living with or Beyond Cancer: A Systematic Scoping Review[J].Int J Behav Nutr Phys Act,2021,18(1):50-69.DOI:10.1186/s12966-021-01116-9.
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