Validation of the MD Anderson Symptom Inventory-Head-and-Neck -Filipino (MDASI-HN-F): Clinical utility of symptom screening among patients with head-and-neck cancer

Warren R. Bacorro, Teresa T.Sy Ortin, Consuelo G. Suarez, Tito R. Mendoza, Jocelyn C. Que

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Context Symptom burden and quality of life (QOL) are of particular importance in head-andneck cancer treatment. The MD Anderson Symptom Inventory-Head-and-Neck (MDASIHN) is a simple symptom assessment tool practicable for patient follow-up, but a validated Filipino translation was previously unavailable. Objectives The objectives of this study were to develop a valid Filipino translation of the MDASIHN, to test the sensitivity of the validated MDASI core-F, and to report the prevalence and pattern of head-and-neck symptoms in our cohort. Methods An MDASI-HN-Filipino (MDASI-HN-F) version was developed and examined for convergent validity, internal consistency, testretest reliability, known-group validity and sensitivity to change. Eligible participants were aged 18-80 years, with histopathologicallyproven head-and-neck (except thyroid) cancer, able to understand and read English and Filipino, and without cognitive impairment or other conditions precluding self-administration of the questionnaire. Results Participants (n=100) were aged 18- 76 years; the majority were aged < 60, male, married, had college schooling, or were from a Tagalog-speaking region. The validity of the MDASI HN-F was demonstrated in all parameters. Age or educational attainment did not affect convergent validity or test-retest reliability. At baseline, 48% had multiple moderate/severe symptoms and 38% had at least one severe symptom. Conclusions The MDASI-HN-F is valid, reliable and sensitive. The sensitivity of the MDASI core-F is demonstrated, and its validity and reliability reaffirmed. Moderate and severe head-and-neck symptoms are prevalent in early-stage and advanced-stage head-and-neck cancers, reflecting the utility of symptom screening for improvement of symptom management, QOL and compliance to treatment.

Original languageEnglish (US)
Pages (from-to)140-149
Number of pages10
JournalBMJ Supportive and Palliative Care
Volume7
Issue number2
DOIs
StatePublished - Jun 2017

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Oncology(nursing)
  • Medical–Surgical

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