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Measuring the psychosocial burden in women with low-grade abnormal cervical cytology in the TOMBOLA trial: psychometric properties of the Process and Outcome Specific Measure (POSM)

Rothnie, Kieran; Cotton, Seonaidh C.; Fielding, Shona; Gray, Nicola M.; Little, Julian; Cruickshank, Margaret E.; Walker, Leslie G.; Avis, Mark; Sharp, Linda

Authors

Kieran Rothnie

Seonaidh C. Cotton

Shona Fielding

Nicola M. Gray

Julian Little

Margaret E. Cruickshank

Leslie G. Walker

Mark Avis

Linda Sharp



Abstract

Background
There is a need for an instrument to measure the psychosocial burden of receiving an abnormal cervical cytology result which can be used regardless of the clinical management women receive.
Methods
3331 women completed the POSM as part of baseline psychosocial assessment in a trial of management of low grade cervical cytological abnormalities. Factor analysis and reliability assessment of the POSM were conducted.
Results
Two factors were extracted from the POSM: Factor 1, containing items related to worry; and Factor 2 containing items relating to satisfaction with information and support received and change in the way women felt about themselves. Factor 1 had good reliability (Cronbach’s alpha 0.769), however reliability of the Factor 2 was poorer (0.482). Data collected at four subsequent time points demonstrated that the factor structure was stable over time.
Conclusion
This study demonstrates the presence and reliability of a scale measuring worries within the POSM. This analysis will inform its future use in this population and in other related contexts.

Citation

Rothnie, K., Cotton, S. C., Fielding, S., Gray, N. M., Little, J., Cruickshank, M. E., …Sharp, L. (2014). Measuring the psychosocial burden in women with low-grade abnormal cervical cytology in the TOMBOLA trial: psychometric properties of the Process and Outcome Specific Measure (POSM). Health and Quality of Life Outcomes, 12(1), Article 154. https://doi.org/10.1186/s12955-014-0154-8

Journal Article Type Article
Publication Date Dec 1, 2014
Deposit Date Sep 7, 2015
Publicly Available Date Mar 29, 2024
Journal Health and Quality of Life Outcomes
Electronic ISSN 1477-7525
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 12
Issue 1
Article Number 154
DOI https://doi.org/10.1186/s12955-014-0154-8
Keywords Cervical intraepithelial neoplasia; questionnaires; factor analysis; psychosocial distress
Public URL https://nottingham-repository.worktribe.com/output/993735
Publisher URL http://link.springer.com/article/10.1186/s12955-014-0154-8/fulltext.html

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