학술논문
Translation and Validation of the Dutch Version of the Sun Exposure and Protection Index.
Document Type
Academic Journal
Author
Knipping S; Department of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands, sofie.knipping@radboudumc.nl.; Ter Haar E; Department of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.; Alkemade H; Department of Dermatology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.; Bronkhorst E; Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands.; Falk M; Division of Community Medicine, Primary Care, Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.; Hueskes K; General Practitioner's Office, Health Center Hazenkamp, Nijmegen, The Netherlands.; Nij Bijvank C; General Practitioner's Office, Health Center De Vuursteen, Molenhoek, The Netherlands.; Spillekom-van Koulil S; Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands.; Lubeek S; Department of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Source
Publisher: Karger Country of Publication: Switzerland NLM ID: 9203244 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1421-9832 (Electronic) Linking ISSN: 10188665 NLM ISO Abbreviation: Dermatology Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction: Skin cancer is currently the most common cancer type worldwide, and numbers are rapidly increasing. To improve primary prevention, individualised prevention strategies may be of interest as this enhances the chance of long-term behavioural change. The Sun Exposure and Protection Index (SEPI), previously validated in multiple languages, is a tool that could help identify individuals with risky behaviour and tailor interventions to the person's propensity to change. The aim of the present study was to investigate the reliability and validity of a Dutch version of the SEPI for both usage in daily clinical practice and research.
Methods: Patients were included at primary care settings and dermatology outpatient settings in a 1:1 ratio. Participants were asked to fill out the SEPI together with some baseline characteristics and the previously validated FACE-Q Skin Cancer - Sun Protection module. Construct validity was tested by comparing SEPI part I and the FACE-Q module using Spearman's Rho. Internal consistency was assessed with Cronbach's Alpha for both SEPI parts separately. To assess test-retest reliability, the SEPI was again filled out 3 weeks later, and scores were compared with Cohen's weighted Kappa.
Results: Of the 171 participants completing the first questionnaire, 147 (86.0%) participants also completed the follow-up questionnaire. Comparison between the corresponding SEPI part I and FACE-Q module questions showed good correlations regarding sun exposure habits (correlation coefficients ranging from 0.61 to 0.85). Internal consistency of SEPI part I was 0.63 and SEPI part II was 0.65. The test-retest analysis indicated reproducibility over time (weighted Kappa ranging from 0.38 to 0.76).
Conclusion: In conclusion, the Dutch version of the SEPI is shown to be a valid and reliable tool for both usages in daily clinical practice and research to evaluate individual ultraviolet exposure and measure a person's propensity to limit it.
(© 2023 The Author(s). Published by S. Karger AG, Basel.)
Methods: Patients were included at primary care settings and dermatology outpatient settings in a 1:1 ratio. Participants were asked to fill out the SEPI together with some baseline characteristics and the previously validated FACE-Q Skin Cancer - Sun Protection module. Construct validity was tested by comparing SEPI part I and the FACE-Q module using Spearman's Rho. Internal consistency was assessed with Cronbach's Alpha for both SEPI parts separately. To assess test-retest reliability, the SEPI was again filled out 3 weeks later, and scores were compared with Cohen's weighted Kappa.
Results: Of the 171 participants completing the first questionnaire, 147 (86.0%) participants also completed the follow-up questionnaire. Comparison between the corresponding SEPI part I and FACE-Q module questions showed good correlations regarding sun exposure habits (correlation coefficients ranging from 0.61 to 0.85). Internal consistency of SEPI part I was 0.63 and SEPI part II was 0.65. The test-retest analysis indicated reproducibility over time (weighted Kappa ranging from 0.38 to 0.76).
Conclusion: In conclusion, the Dutch version of the SEPI is shown to be a valid and reliable tool for both usages in daily clinical practice and research to evaluate individual ultraviolet exposure and measure a person's propensity to limit it.
(© 2023 The Author(s). Published by S. Karger AG, Basel.)