Development and content validation of the Assessment of Burden of ColoRectal Cancer (ABCRC)-tool

Iris Te Boome; Anne M J Somers; Caitlin Graupner; Merel L Kimman; Annerika H M Gidding-Slok; Stéphanie O Breukink

doi:10.1016/j.ejso.2022.04.002

Development and content validation of the Assessment of Burden of ColoRectal Cancer (ABCRC)-tool

Iris Te Boome, Anne M J Somers, Caitlin Graupner, Merel L Kimman, Annerika H M Gidding-Slok, Stéphanie O Breukink^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: It is essential to include patient-reported outcomes (PROs), such as health-related quality of life and symptom burden, in follow-up care of colorectal cancer (CRC) survivors. These outcomes are most valuable when they are discussed with patients and used to guide follow-up care. The purpose of this study was to develop and validate the Assessment of Burden of Colorectal cancer (ABCRC)-tool: a tool that includes a patient-reported questionnaire covering the experienced burden of colorectal cancer, assessment of lifestyle parameters, visualisation of the results, and treatment advice.

METHODS: A 5-step method was used to develop the ABCRC-tool: (1) definition of the experienced burden of CRC, (2) determination of the components of experienced burden, (3) formulation of the instrument preconditions, (4) literature study on existing instruments, (5) development of an integrated instrument. Content validity was evaluated by think-aloud interviews with 11 patients and 22 healthcare professionals (HCPs).

RESULTS: The ABCRC-tool consists of a generic module and three CRC specific modules with items related to experienced disease burden, and lifestyle. The CRC specific modules are available for both colon and rectal cancer patients with anastomosis, and patients with a stoma. An algorithm with cut-off points was developed to visualise outcomes and offer treatment advice based on (inter)national guidelines. The evaluation of content led to a few minor amendments.

CONCLUSION: The ABCRC-tool is a product of close cooperation between patients and HCPs and has good face and content validity. It is aimed to incorporate PROs in treatment decisions in oncological care.

Original language	English
Pages (from-to)	1807-1814
Number of pages	8
Journal	European Journal of Surgical Oncology
Volume	48
Issue number	8
Early online date	7 Apr 2022
DOIs	https://doi.org/10.1016/j.ejso.2022.04.002
Publication status	Published - Aug 2022

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10.1016/j.ejso.2022.04.002Licence: CC BY-NC-ND

Cite this

@article{69d5dc9ad7e04a428b5f8d8e66fafe9d,

title = "Development and content validation of the Assessment of Burden of ColoRectal Cancer (ABCRC)-tool",

abstract = "BACKGROUND: It is essential to include patient-reported outcomes (PROs), such as health-related quality of life and symptom burden, in follow-up care of colorectal cancer (CRC) survivors. These outcomes are most valuable when they are discussed with patients and used to guide follow-up care. The purpose of this study was to develop and validate the Assessment of Burden of Colorectal cancer (ABCRC)-tool: a tool that includes a patient-reported questionnaire covering the experienced burden of colorectal cancer, assessment of lifestyle parameters, visualisation of the results, and treatment advice.METHODS: A 5-step method was used to develop the ABCRC-tool: (1) definition of the experienced burden of CRC, (2) determination of the components of experienced burden, (3) formulation of the instrument preconditions, (4) literature study on existing instruments, (5) development of an integrated instrument. Content validity was evaluated by think-aloud interviews with 11 patients and 22 healthcare professionals (HCPs).RESULTS: The ABCRC-tool consists of a generic module and three CRC specific modules with items related to experienced disease burden, and lifestyle. The CRC specific modules are available for both colon and rectal cancer patients with anastomosis, and patients with a stoma. An algorithm with cut-off points was developed to visualise outcomes and offer treatment advice based on (inter)national guidelines. The evaluation of content led to a few minor amendments.CONCLUSION: The ABCRC-tool is a product of close cooperation between patients and HCPs and has good face and content validity. It is aimed to incorporate PROs in treatment decisions in oncological care.",

author = "Boome, {Iris Te} and Somers, {Anne M J} and Caitlin Graupner and Kimman, {Merel L} and Gidding-Slok, {Annerika H M} and Breukink, {St{\'e}phanie O}",

year = "2022",

month = aug,

doi = "10.1016/j.ejso.2022.04.002",

language = "English",

volume = "48",

pages = "1807--1814",

journal = "European Journal of Surgical Oncology",

issn = "0748-7983",

publisher = "ELSEVIER SCI LTD",

number = "8",

}

TY - JOUR

T1 - Development and content validation of the Assessment of Burden of ColoRectal Cancer (ABCRC)-tool

AU - Boome, Iris Te

AU - Somers, Anne M J

AU - Graupner, Caitlin

AU - Kimman, Merel L

AU - Gidding-Slok, Annerika H M

AU - Breukink, Stéphanie O

PY - 2022/8

Y1 - 2022/8

N2 - BACKGROUND: It is essential to include patient-reported outcomes (PROs), such as health-related quality of life and symptom burden, in follow-up care of colorectal cancer (CRC) survivors. These outcomes are most valuable when they are discussed with patients and used to guide follow-up care. The purpose of this study was to develop and validate the Assessment of Burden of Colorectal cancer (ABCRC)-tool: a tool that includes a patient-reported questionnaire covering the experienced burden of colorectal cancer, assessment of lifestyle parameters, visualisation of the results, and treatment advice.METHODS: A 5-step method was used to develop the ABCRC-tool: (1) definition of the experienced burden of CRC, (2) determination of the components of experienced burden, (3) formulation of the instrument preconditions, (4) literature study on existing instruments, (5) development of an integrated instrument. Content validity was evaluated by think-aloud interviews with 11 patients and 22 healthcare professionals (HCPs).RESULTS: The ABCRC-tool consists of a generic module and three CRC specific modules with items related to experienced disease burden, and lifestyle. The CRC specific modules are available for both colon and rectal cancer patients with anastomosis, and patients with a stoma. An algorithm with cut-off points was developed to visualise outcomes and offer treatment advice based on (inter)national guidelines. The evaluation of content led to a few minor amendments.CONCLUSION: The ABCRC-tool is a product of close cooperation between patients and HCPs and has good face and content validity. It is aimed to incorporate PROs in treatment decisions in oncological care.

AB - BACKGROUND: It is essential to include patient-reported outcomes (PROs), such as health-related quality of life and symptom burden, in follow-up care of colorectal cancer (CRC) survivors. These outcomes are most valuable when they are discussed with patients and used to guide follow-up care. The purpose of this study was to develop and validate the Assessment of Burden of Colorectal cancer (ABCRC)-tool: a tool that includes a patient-reported questionnaire covering the experienced burden of colorectal cancer, assessment of lifestyle parameters, visualisation of the results, and treatment advice.METHODS: A 5-step method was used to develop the ABCRC-tool: (1) definition of the experienced burden of CRC, (2) determination of the components of experienced burden, (3) formulation of the instrument preconditions, (4) literature study on existing instruments, (5) development of an integrated instrument. Content validity was evaluated by think-aloud interviews with 11 patients and 22 healthcare professionals (HCPs).RESULTS: The ABCRC-tool consists of a generic module and three CRC specific modules with items related to experienced disease burden, and lifestyle. The CRC specific modules are available for both colon and rectal cancer patients with anastomosis, and patients with a stoma. An algorithm with cut-off points was developed to visualise outcomes and offer treatment advice based on (inter)national guidelines. The evaluation of content led to a few minor amendments.CONCLUSION: The ABCRC-tool is a product of close cooperation between patients and HCPs and has good face and content validity. It is aimed to incorporate PROs in treatment decisions in oncological care.

U2 - 10.1016/j.ejso.2022.04.002

DO - 10.1016/j.ejso.2022.04.002

M3 - Article

C2 - 35473810

SN - 0748-7983

VL - 48

SP - 1807

EP - 1814

JO - European Journal of Surgical Oncology

JF - European Journal of Surgical Oncology

IS - 8

ER -