Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389 |
Resumo: | Introduction: The increasing survivor population of breast cancer has shifted research and practice interests into the impacts of the disease and treatment in quality of life aspects. The lack of tools available in Portuguese to objectively evaluate sexual function led to the development of this study, which aimed to cross-culturally adapt and validate the Sexual Activity Questionnaire for use in Portugal.Material and Methods: The questionnaire was translated and back-translated, refined following face-to-face interviews with seven breast cancer survivors, and then self-administered by a larger sample at baseline and a fortnight later to test validity and reliability.Results: Following cognitive debriefing (n = 7), minor changes were made and the Sexual Activity Questionnaire was then tested with 134 breast cancer survivors. A 3-factor structure explained 75.5% of the variance, comprising the Pleasure, Habit and Discomfort scales, all yielding good internal consistency (Cronbach’s α > 0.70). Concurrent validity with the FACt-An and the BCPT checklist was good (Spearman’s r > 0.65; p-value < 0.001) and reliability acceptable (Cohen’s k > 0.444). The Sexual Activity Questionnaire allowed the identification of 23.9% of sexually inactive women, for whom the main reasons were lack of interest or motivation and not having a partner.Discussion: Patient-reported outcomes led to a more comprehensive and improved approach to cancer, tackling areas previously abandoned. Future research should focus on the validation of this scale in samples with different characteristics and even in the overall population to enable generalizability of the findings.Conclusion: The adapted Sexual Activity Questionnaire is a valid tool for assessing sexual function in breast cancer survivors in Portugal. |
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Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in PortugalDisfunção Sexual em Sobreviventes de Cancro da Mama: Adaptação Cultural do Sexual Activity Questionnaire para Uso em PortugalBreast Neoplasms/psychologyPortugalSexual Behavior/psychologySexuality/psychologySurveys and QuestionnairesValidation Studies.Comportamento Sexual/psicologiaEstudos de ValidaçãoInquéritos e QuestionáriosNeoplasmas da Mama/psicologiaPortugalSexualidade/psicologia.Introduction: The increasing survivor population of breast cancer has shifted research and practice interests into the impacts of the disease and treatment in quality of life aspects. The lack of tools available in Portuguese to objectively evaluate sexual function led to the development of this study, which aimed to cross-culturally adapt and validate the Sexual Activity Questionnaire for use in Portugal.Material and Methods: The questionnaire was translated and back-translated, refined following face-to-face interviews with seven breast cancer survivors, and then self-administered by a larger sample at baseline and a fortnight later to test validity and reliability.Results: Following cognitive debriefing (n = 7), minor changes were made and the Sexual Activity Questionnaire was then tested with 134 breast cancer survivors. A 3-factor structure explained 75.5% of the variance, comprising the Pleasure, Habit and Discomfort scales, all yielding good internal consistency (Cronbach’s α > 0.70). Concurrent validity with the FACt-An and the BCPT checklist was good (Spearman’s r > 0.65; p-value < 0.001) and reliability acceptable (Cohen’s k > 0.444). The Sexual Activity Questionnaire allowed the identification of 23.9% of sexually inactive women, for whom the main reasons were lack of interest or motivation and not having a partner.Discussion: Patient-reported outcomes led to a more comprehensive and improved approach to cancer, tackling areas previously abandoned. Future research should focus on the validation of this scale in samples with different characteristics and even in the overall population to enable generalizability of the findings.Conclusion: The adapted Sexual Activity Questionnaire is a valid tool for assessing sexual function in breast cancer survivors in Portugal.Introdução: A crescente população de sobreviventes de cancro da mama tem redireccionado o interesse investigacional e prático para o impacto da doença e do seu tratamento nas várias áreas da qualidade de vida. A falta de questionários para avaliar de forma objectiva a disfunção sexual conduziu à necessidade de adaptar e validar culturalmente o Sexual Activity Questionnaire para utilização em Portugal.Material e Métodos: O Sexual Activity Questionnaire foi traduzido e retrovertido, sua versão de consenso refinada após teste de compreensão, e subsequentemente auto-administrado a uma amostra alargada de sobreviventes de cancro da mama em dois momentos, espaçados 15 dias, para julgar a sua validade e fiabilidade.Resultados: Após alterações minor à versão de consenso, o Sexual Activity Questionnaire foi aplicado a 134 doentes. Obteve-se uma estrutura de três factores (75,5% da variância), compreendendo as escalas do Prazer, Hábito e Desconforto, todas com boa consistênciainterna (α de Cronbach > 0,70), boa validade concorrente com o FACt-An e a checklist BCPT (r de Spearman > 0,65; p-value < 0,001) e estabilidade temporal aceitável (k de Cohen > 0,44). Foi identificada inactividade sexual em 23,9% das mulheres, devido a falta de interesse ou ao facto de não ter parceiro.Discussão: Os dados reportados pelos doentes conduziram a alterações nos cuidados prestados, que passaram a contemplar a oncosexologia. Estudos futuros deverão focar-se na aplicabilidade deste questionário a amostras com diferentes características e mesmo à população global, para se poderem generalizar os resultados.Conclusão: A versão obtida do Sexual Activity Questionnaire é válida para avaliar a função sexual em sobreviventes de cancro da mama em Portugal.Ordem dos Médicos2016-09-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/mswordapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389oai:ojs.www.actamedicaportuguesa.com:article/7389Acta Médica Portuguesa; Vol. 29 No. 9 (2016): September; 533-541Acta Médica Portuguesa; Vol. 29 N.º 9 (2016): Setembro; 533-5411646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/4763https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8175https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8265https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8266https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8267https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8268https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8269https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8728Direitos de Autor (c) 2016 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessda Costa, Filipa AlvesRibeiro, Manuel CastroBraga, SofiaCarvalho, ElisabeteFrancisco, FátimaMiranda, Ana da CostaMoreira, AntónioFallowfield, Lesley2022-12-20T11:05:11Zoai:ojs.www.actamedicaportuguesa.com:article/7389Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:27.092647Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal Disfunção Sexual em Sobreviventes de Cancro da Mama: Adaptação Cultural do Sexual Activity Questionnaire para Uso em Portugal |
title |
Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal |
spellingShingle |
Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal da Costa, Filipa Alves Breast Neoplasms/psychology Portugal Sexual Behavior/psychology Sexuality/psychology Surveys and Questionnaires Validation Studies. Comportamento Sexual/psicologia Estudos de Validação Inquéritos e Questionários Neoplasmas da Mama/psicologia Portugal Sexualidade/psicologia. |
title_short |
Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal |
title_full |
Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal |
title_fullStr |
Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal |
title_full_unstemmed |
Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal |
title_sort |
Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal |
author |
da Costa, Filipa Alves |
author_facet |
da Costa, Filipa Alves Ribeiro, Manuel Castro Braga, Sofia Carvalho, Elisabete Francisco, Fátima Miranda, Ana da Costa Moreira, António Fallowfield, Lesley |
author_role |
author |
author2 |
Ribeiro, Manuel Castro Braga, Sofia Carvalho, Elisabete Francisco, Fátima Miranda, Ana da Costa Moreira, António Fallowfield, Lesley |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
da Costa, Filipa Alves Ribeiro, Manuel Castro Braga, Sofia Carvalho, Elisabete Francisco, Fátima Miranda, Ana da Costa Moreira, António Fallowfield, Lesley |
dc.subject.por.fl_str_mv |
Breast Neoplasms/psychology Portugal Sexual Behavior/psychology Sexuality/psychology Surveys and Questionnaires Validation Studies. Comportamento Sexual/psicologia Estudos de Validação Inquéritos e Questionários Neoplasmas da Mama/psicologia Portugal Sexualidade/psicologia. |
topic |
Breast Neoplasms/psychology Portugal Sexual Behavior/psychology Sexuality/psychology Surveys and Questionnaires Validation Studies. Comportamento Sexual/psicologia Estudos de Validação Inquéritos e Questionários Neoplasmas da Mama/psicologia Portugal Sexualidade/psicologia. |
description |
Introduction: The increasing survivor population of breast cancer has shifted research and practice interests into the impacts of the disease and treatment in quality of life aspects. The lack of tools available in Portuguese to objectively evaluate sexual function led to the development of this study, which aimed to cross-culturally adapt and validate the Sexual Activity Questionnaire for use in Portugal.Material and Methods: The questionnaire was translated and back-translated, refined following face-to-face interviews with seven breast cancer survivors, and then self-administered by a larger sample at baseline and a fortnight later to test validity and reliability.Results: Following cognitive debriefing (n = 7), minor changes were made and the Sexual Activity Questionnaire was then tested with 134 breast cancer survivors. A 3-factor structure explained 75.5% of the variance, comprising the Pleasure, Habit and Discomfort scales, all yielding good internal consistency (Cronbach’s α > 0.70). Concurrent validity with the FACt-An and the BCPT checklist was good (Spearman’s r > 0.65; p-value < 0.001) and reliability acceptable (Cohen’s k > 0.444). The Sexual Activity Questionnaire allowed the identification of 23.9% of sexually inactive women, for whom the main reasons were lack of interest or motivation and not having a partner.Discussion: Patient-reported outcomes led to a more comprehensive and improved approach to cancer, tackling areas previously abandoned. Future research should focus on the validation of this scale in samples with different characteristics and even in the overall population to enable generalizability of the findings.Conclusion: The adapted Sexual Activity Questionnaire is a valid tool for assessing sexual function in breast cancer survivors in Portugal. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-09-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389 oai:ojs.www.actamedicaportuguesa.com:article/7389 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/7389 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/4763 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8175 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8265 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8266 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8267 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8268 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8269 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7389/8728 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2016 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa |
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openAccess |
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application/pdf application/msword application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 29 No. 9 (2016): September; 533-541 Acta Médica Portuguesa; Vol. 29 N.º 9 (2016): Setembro; 533-541 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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