Validação do questionário cancer survivors’ unmet needs – CaSUN para a cultura brasileira

Luciana de Alcantara  Nogueira; Sonia Silva Marcon; Lourdes Maria Rosinski Lima   Gomes; Cleo Watanabe  Pisaia; Kauany Hlatki  Spacki; Paulo Ricardo Bittencourt  Guimarães; Luciana Puchalski  Kalinke

doi:10.4025/ciencuidsaude.v24i1.77789

Luciana de Alcantara Nogueira Universidade Federal do Paraná https://orcid.org/0000-0002-5985-7418
Sonia Silva Marcon Universidade Estadual de Maringá https://orcid.org/0000-0002-6607-362X
Lourdes Maria Rosinski Lima Gomes Universidade Federal do Paraná https://orcid.org/0009-0009-9736-1032
Cleo Watanabe Pisaia Universidade Federal do Paraná https://orcid.org/0009-0000-3276-7765
Kauany Hlatki Spacki Universidade Federal do Paraná https://orcid.org/0009-0009-8436-9633
Paulo Ricardo Bittencourt Guimarães Universidade Federal do Paraná https://orcid.org/0000-0002-9852-6777
Luciana Puchalski Kalinke Universidade Federal do Paraná https://orcid.org/0000-0003-4868-8193

DOI: https://doi.org/10.4025/ciencuidsaude.v24i1.77789

Keywords: Survivors, Breast Neoplasms, Adult Health, Health Service Needs and Demands, Validation Study

Abstract

Objective: to carry out the cross-cultural adaptation and validation of the Cancer Survivors' Unmet Needs questionnaire for Brazilian culture, with a focus on women with breast cancer. Method: methodological study carried out between May 2024 and February 2025, in two stages: 1) translation and cross-cultural adaptation, and 2) validation of psychometric properties. Seven people participated in the first stage, and 214 cancer survivors participated in the second. Participants in the second stage completed the sociodemographic and clinical questionnaires, as well as the translated and adapted Cancer Survivors' Unmet Needs questionnaire. For data analysis, Cronbach's alpha and Kappa coefficients were calculated, and a factor model of multivariate analysis was fitted. Results: The factor analysis revealed that some factors migrated, but without the need to alter the original structure. Cronbach's alpha was 0.88, indicating acceptable internal consistency, and the reliability using the Kappa test was 0.86, indicating almost perfect agreement. Conclusion: The Brazilian version of the Cancer Survivors' Unmet Needs questionnaire adhered to the original structure, demonstrating adequate internal consistency and reliability, and revealed that the questionnaire is valid for measuring the unmet needs of breast cancer survivors.

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Author Biographies

Luciana de Alcantara Nogueira, Universidade Federal do Paraná

PhD in Nursing. Faculty member of the Department of Nursing at the Federal University of Paraná (UFPR). Curitiba, Paraná. Email: luciana.nogueira@ufpr.br

Sonia Silva Marcon, Universidade Estadual de Maringá

PhD in Philosophy of Nursing. Faculty member of the Department of Nursing at the State University of Maringá. Maringá, Paraná. Email: soniasilva.marcon@gmail.com

Lourdes Maria Rosinski Lima Gomes, Universidade Federal do Paraná

Master’s student in the Graduate Program in Nursing at the UFPR. Curitiba, Paraná. Email: lourdesgomes@ufpr.br

Cleo Watanabe Pisaia, Universidade Federal do Paraná

Undergraduate Nursing student at the UFPR. Curitiba. Curitiba, Paraná. Email: cleo.watanabe@ufpr.br

Kauany Hlatki Spacki, Universidade Federal do Paraná

Undergraduate Nursing student at the UFPR. Curitiba, Paraná. Email: kauanyhlatki@outlook.com

Paulo Ricardo Bittencourt Guimarães, Universidade Federal do Paraná

PhD in Statistics. Faculty member at the UFPR. Curitiba, Paraná. Email: prbg@ufpr.br

Luciana Puchalski Kalinke, Universidade Federal do Paraná

PhD in Health Sciences. Faculty member of the Department of Nursing at the UFPR. Curitiba, Paraná. Email: kalinke.luciana@gmail.com

References

1. Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Piñeros M, Znaor A, et al. Cancer statistics for the year 2020: An overview. Int J Cancer. 2021;5. Doi: 10.1002/ijc.33588.
2. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Estatísticas Globais do Câncer 2020: Estimativas GLOBOCAN de Incidência e Mortalidade em Todo o Mundo para 36 Cânceres em 185 Países. CA Câncer J Clin. 2021; 71(3):209-249. Doi:10.3322/caac.21660.
3. American Cancer Society. Survivorship: During and After Treatment. [Internet].2024. [acesso em: 10 jul. 2025]; Available from: https://www.cancer.org/cancer/survivorship.html
4. National Cancer Institute. Division of Cancer Control & Population Sciences. Definitions. [Internet]. 2025. [acesso em: 10 jul. 2025]; Available from: https://cancercontrol.cancer.gov/ocs/definitions
5. American Society of Clinical Oncology. Guidelines on Survivorship Care. [Internet] 2025. [acesso em: 10 jul. 2025]; Available from: https://www.asco.org/news-initiatives/current-initiatives/cancer-care-initiatives/prevention-survivorship/survivorship-compendium/guidelines
6. A. Molassiotis, P. Yates, Q. Li, W. K. W. So, K. Pongthavornkamol, P. Pittayapan, H. Komatsu, M. Thandar, M. Yi, S. Titus Chacko, V. Lopez, J. Butcon, D. Wyld & R. J. Chan, on behalf of the STEP Study Collaborators. Annals of Oncology. 2019;30: 493, Doi:10.1093/annonc/mdy094
7. Nash SH, Dilley J, Siekaniec C, O'Brien D, Ávila R, Quinn J. Needs assessment of cancer survivors in Alaska. Cancer Causes Control. 2022;33, 1453–1463. Doi: https://doi.org/10.1007/s10552-022-01636-0
8. Khajoei R, Ilkhani M, Azadeh P, Zohari Anboohi S, Heshmati Nabavi F. Breast cancer survivors-supportive care needs: systematic review. BMJ Support Palliat Care. 2023;13(2):143-153. Doi: 10.1136/spcare-2022-003931.
9. WHOQOL – Translation methodology. [Internet] 2025. [acesso em: 10 jul. 2025]; Available from: https://cdn.who.int/media/docs/default-source/publishing-policies/whoqol-100-guidelines/translation-methodology.pdf?sfvrsn=74cdb8f5_2
10. Pasquali L. Psicometria. Rev. Esc. Enferm. USP, v. 43, n. spe, p. 992–999, dez. 2009.
11. Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hobbs KM, Lo SK, et al. The development and evaluation of a measure to assess cancer survivors' unmet supportive care needs: the CaSUN (Cancer Survivors' Unmet Needs measure). Psychooncology. 2007;16(9):796-804. Doi: 10.1002/pon.1137.
12. Hodgkinson K. Scoring Manual - The Cancer Survivors’ Unmet Needs Measure (CaSUN). [Internet] 2007. [acesso em: 10 jul. 2025]; Available from: https://www.headwayhealth.com.au/wp-content/uploads/2014/01/Manual-for-the-CASUN-and-CaSPUN-questionnaires.pdf
13. Xing W, So WKW, Choi KC, Wong CL, Tong M, Choy YP, et al.Patsy Yates, Raymond Javan Chan. Translation and psychometric testing of Cancer Survivors’ Unmet Needs, Chinese version. 2019. Doi: https://doi.org/10.1111/ajco.13137
14. Instituto Nacional de Câncer (INCA). Estimativa 2023: incidência de câncer no Brasil [Internet]. 2023 [cited 2025 Jul. 8]. Disponível em: https://www.gov.br/inca/pt-br/assuntos/cancer/o-que-e-cancer.
15. Park J, Jung W, Lee G, Kang D, Shim YM, Kim HK, Jeong A, Cho J, Shin DW. Unmet Supportive Care Needs after Non-Small Cell Lung Cancer Resection at a Tertiary Hospital in Seoul, South Korea. Healthcare (Basel). 2023; 12;11(14):2012. Doi:10.3390/healthcare11142012.
16. Fang SY, Cheng HR, Lin CY. Validation of the modified Chinese Cancer Survivor's Unmet Needs (CaSUN-C) for women with breast câncer. Psycho-Oncology. 2017. Doi: https://doi.org/10.1002/pon.4499
17. Lou Y, Yates P, Chan RJ, Ni X, Hu W, Zhuo S, Xu H. Unmet Supportive Care Needs and Associated Factors: a Cross-sectional Survey of Chinese Cancer Survivors. J Cancer Educ. 2021;36(6):1219-1229. Doi: 10.1007/s13187-020-01752-y.
18. da Silva Pinto CEC, Costa RASRM, Ramos PE, Jahara LMP, dos Santos Andrade AC, Chicharro SCR. A percepção da mulher com câncer mamário em relação ao impacto nos filhos. Rev Cubana Enfermer [Internet]. 2020. [acesso em: 10 jul. 2025]; Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192020000100018
19. Flávia Santos da Silva*/ Amanda da Silva Santos/ Sílvia Abduch Haas/Daniela Centenaro Levandowski. Contextos Clínicos. 2022;15(3). Doi: 10.4013/ctc.2022.153.06
20. Alves RCA, Antunes MC. Mulheres e a tripla jornada de trabalho. 2021. Juruá.
21. Komatsu H, Yagasaki K, Sato Y, Arao H, Yamamoto S, Hayashida T. Evaluation of the Japanese Version of the Cancer Survivors’Unmet Needs Scale. Asia Pac J Oncol Nurs. 2020;7:167-73. Doi: 10.4103/apjon.apjon_49_19
22. Martínez P, Andreu Y, Conchado A. Psychometric Properties of the Spanish Version of the Cancer Survivors' Unmet Needs (CaSUN-S) Measure in Breast Cancer. Psicothema. 2021 ;33(1):155-163. Doi: 10.7334/psicothema2020.146.

Validation of the cancer survivors' unmet needs questionnaire - CaSUN for brazilian culture

Abstract

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