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dc.contributor.authorHulbert-Williams, Nicholas J
dc.contributor.authorHulbert-Williams, Lee
dc.contributor.authorWhelen, Liz
dc.contributor.authorMulcare, Hunter
dc.date.accessioned2019-08-19T13:19:19Z
dc.date.available2019-08-19T13:19:19Z
dc.date.issued2019-09-20
dc.identifier.citationHubert-Williams, H. J., Hubert-Williams, L., Whelen, L. & Mulcare, H. (2019). The Psychological Impact of Cancer (PIC) Scale: development and comparative psychometric testing against the Mini-MAC© Scale in UK and Australian cancer survivors. Journal of Psychosocial Oncology Research and Practice, 1(2), e8.en_US
dc.identifier.issn2637-5974
dc.identifier.doi10.1097/OR9.0000000000000008
dc.identifier.urihttp://hdl.handle.net/10034/622519
dc.descriptionThis is a non-final version of an article published in final form in Hubert-Williams, H. J., Hubert-Williams, L., Whelen, L. & Mulcare, H. (2019). The Psychological Impact of Cancer (PIC) Scale: development and comparative psychometric testing against the Mini-MAC© Scale in UK and Australian cancer survivors. Journal of Psychosocial Oncology Research and Practice, 1(2), e8.en_US
dc.description.abstractBackground: Clinicians and researchers make considerable use of both the Mental Adjustment to Cancer (MAC) Scale, and the shorter Mini-MAC, to measure psychological adjustment in cancer patients. The length of the scale is problematic when used clinically, and its psychometric properties have been criticized. This paper presents two studies leading to the development of a novel scale the Psychological Impact of Cancer (PIC) Scale using items drawn from the MAC. Methods: Study 1 used standard item-reduction techniques to shorten the Mini-MAC in a sample of 160 cancer patients of mixed diagnosis, recruited an average 46 days post-diagnosis. This resulted in a 12-item scale with a four-factor structure, similar to that derived from a 2012 re-analysis of the Mini-MAC. Study 2 presents confirmatory factor analysis (CFA) of this new measure and tests its construct validity and test-retest reliability in a sample of 183 mixed cancer survivors. Results: This study indicated that the shorter scale performed well on CFA indicators (RMSEA= .083; ECVI= .923; PNFI= .604; AGFI .857) and tests of internal consistency (all >.623); and comparable concurrent validity with longer versions. The four factors were labeled cognitive distress, cognitive avoidance, emotional distress and fighting spirit. Conclusions: Given its shorter length and acceptable psychometrics, the PIC offers a useful clinical and research tool to assess the psychological impact of cancer. Psychometric properties of one subscale (fighting spirit) remain poor, but no worse than in the original scale; directions for further development of the scale are described.en_US
dc.language.isoenen_US
dc.publisherWolters Kluweren_US
dc.relation.urlhttps://journals.lww.com/jporp/Fulltext/2019/09000/The_Psychological_Impact_of_Cancer__PIC__Scale_.4.aspxen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.titleThe Psychological Impact of Cancer (PIC) Scale: development and comparative psychometric testing against the Mini-MAC© Scale in UK and Australian cancer survivors.en_US
dc.typeArticleen_US
dc.contributor.departmentUniversity of Chester; Western Healthen_US
dc.identifier.journalJournal of Psychosocial Oncology Research and Practiceen_US
dc.date.accepted2019-08-05
or.grant.openaccessYesen_US
rioxxterms.funderNorth Wales Research Committee; University of Chesteren_US
rioxxterms.identifier.projectN.Aen_US
rioxxterms.versionAMen_US
rioxxterms.licenseref.startdate2020-09-20
refterms.dateFCD2019-08-05T09:41:16Z
refterms.versionFCDAM


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