Translation of Breast Cancer Fear Scale and its reliability and validity

ZHOU Yanni; LI Xiaoxia; LAI Jie; XIAO Xiuyun; WU Yanni

doi:10.16460/j.issn1008-9969.2025.08.001

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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (8) : 1-6. DOI: 10.16460/j.issn1008-9969.2025.08.001

Translation of Breast Cancer Fear Scale and its reliability and validity

ZHOU Yanni^{1, 2}, LI Xiaoxia¹, LAI Jie³, XIAO Xiuyun¹, WU Yanni¹

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Abstract

Objective To introduce the Breast Cancer Fear Scale developed by Champion et al., and evaluate its psychometric properties and factor structure, and to provide a suitable and reliable measurement tool for Chinese adult women to assess their fear of breast cancer. Methods The cross-cultural adaptation of the scale was conducted based on Brislin’s back-translation model. A total of 33 subjects were selected for a cognitive survey and 8 experts were invited to test the content validity. by convenience sampling, 245 subjects were selected and they were formally investigated to test the reliability and validity of the scale. The critical ratio and correlation coefficient were used for item analysis. Results The Chinese version of Breast Cancer Fear Scale consisted of 8 items. Critical ratio analysis showed statistical difference between the high- and low-scoring groups, while the correlation analysis demonstrated Spearman correlation coefficient (r) ranged from 0.828 to 0.930 between individual item and the total score. The content validity of the scale was 0.984, and that of all items ranged from 0.875 to 1.000. Confirmatory factor analysis showed that the model fit the indicators well. The combined reliability of convergent validity analysis was 0.967, and the average variance 0.789. The Cronbachαcoefficient of the scale was 0.970. The split-half reliability was 0.966 (odd-even split-half method) and 0.927 (anteroposterior split-half method). The intraclass correlation coefficient of test-retest reliability was 0.950（95% CI: 0.930~0.970, P<0.001）. Conclusion The Chinese version of the Breast Cancer Fear Scale has good reliability and validity, making it a suitable instrument for assessing the breast cancer fear in Chinese adult women.

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Breast Cancer Fear Scale / translation / reliability / validity

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ZHOU Yanni, LI Xiaoxia, LAI Jie, XIAO Xiuyun, WU Yanni. Translation of Breast Cancer Fear Scale and its reliability and validity[J]. Journal of Nursing. 2025, 32(8): 1-6 https://doi.org/10.16460/j.issn1008-9969.2025.08.001

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