Elizabeth Abban, Emmanuel Owusu, Benedicta Kwakye-Abebrese, Bright Koduah, Hannah Boateng, Emmanuel Ekow Korsah, Alfred Effah, Solomon Akpobi, Emmanuel Avoh-Ackah, Ebenezer Senu
Knowledge and Testing of Hepatitis B Virus Infection and Vaccination Awareness among University Students in Kumasi, Ghana: A Cross-Sectional Study
Scientifica
accurate assessment enhancement healthrelated skills among oncology patients pivotal optimizing cancer care patient activation measure pam13 questionnaire designed reflect individuals knowledge skills confidence selfhealthcare management validated across diverse countries settings concerns raised regarding crosssituational applicability patients specific diseases cultural backgrounds interpret questionnaire items differently study aimed examine structural validity psychometric properties pam13 oncological patient cohort baseline data longitudinal nonrandomized controlled study involving cancer outpatients n 1125 comprehensive cancer centres southern germany analysed german version pam13 employed classical test item response theory methods data quality reliability convergent structural validity well psychometric properties assessed exploratory efa confirmatory factor analyses cfa employed investigate postulated unidimensionality underlying construct partial credit model pcm examined item fit targeting local independence differential item functioning participants predominantly female 730 breast cancer diagnosis 413 items generally wellaccepted ceiling effects observed high mean pam13 score 697 sd 142 noted potentially compromising responsiveness interventions reliability adequate cronbachs 081 person item separation reliability good excellent 081 099 respectively explorations unidimensionality construct efa cfa pcm yielded inconclusive results hinting towards twofactor solution item difficulty rankings deviated original differential item functioning identified local independence confirmed pam13 serves valuable instrument comprehending promoting healthrelated skills cancer patients identification ceiling effects disordered itemdifficulty rankings inconclusive findings regarding unidimensionality contribute expanding body evidence emphasizing dependency pam13s validity reliability distinctive characteristics within population investigation future research prioritize refining adding pam13 items better capture specific healthrelated challenges within diverse populations paving way effective patient engagement strategies oncology drks00021779