Psychometric Properties of the Acceptance and Action Questionnaire (AAQ II) Malay Version in Cancer Patients

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2019 Feb 27

PMID 30807594

Citations 17

Authors

Nurul Izzah Shari

Nor Zuraida Zainal

Ng Chong Guan

Zuraida Ahmad Sabki

Nor Aziyan Yahaya

Affiliations

Soon will be listed here.

Abstract

Objectives: Acceptance and action questionnaire (AAQ II) is a scale used to assess psychological inflexibility. The aim of this study is to translate AAQ II into Malay language and evaluate the psychometric properties of AAQ II Malay version.

Methods: The AAQ II which has been translated into Malay language via back translation procedure was distributed to 101 cancer patients and 100 non-cancer patients. The evaluation of psychometric properties in this study included content validity index, internal consistency, parallel reliability, exploratory factor analysis, concurrent validity, sensitivity and specificity of AAQ II Malay version.

Results: AAQ II Malay version has established good content validity index, acceptable internal consistency with Cronbach's alpha value of 0.91, excellent parallel reliability and adequate concurrent validity. Exploratory factor analysis (EFA) results demonstrated AAQ II Malay version is a unidimensional factor instrument. The result of sensitivity and specificity of AAQ II Malay version indicated cancer patients who scored more than 17.5 were having significant psychological inflexibility.

Conclusion: AAQ II Malay version is a reliable and valid instrument to measure psychological inflexibility among cancer patient in Malaysia.

Citing Articles

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References

Gonzalez-Fernandez S, Fernandez-Rodriguez C, Mota-Alonso M, Garcia-Teijido P, Pedrosa I, Perez-Alvarez M . Emotional state and psychological flexibility in breast cancer survivors. Eur J Oncol Nurs. 2017; 30:75-83. DOI: 10.1016/j.ejon.2017.08.006. View

Bond F, Hayes S, Baer R, Carpenter K, Guenole N, Orcutt H . Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011; 42(4):676-88. DOI: 10.1016/j.beth.2011.03.007. View

Donovan-Kicken E, Caughlin J . Breast cancer patients' topic avoidance and psychological distress: the mediating role of coping. J Health Psychol. 2011; 16(4):596-606. DOI: 10.1177/1359105310383605. View

Cicchetti D, Sparrow S . Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic. 1981; 86(2):127-37. View

Bond F, Bunce D . The role of acceptance and job control in mental health, job satisfaction, and work performance. J Appl Psychol. 2003; 88(6):1057-67. DOI: 10.1037/0021-9010.88.6.1057. View

Wegner D, Zanakos S . Chronic thought suppression. J Pers. 1994; 62(4):616-40. DOI: 10.1111/j.1467-6494.1994.tb00311.x. View

Zigmond A, SNAITH R . The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6):361-70. DOI: 10.1111/j.1600-0447.1983.tb09716.x. View

Aguirre-Camacho A, Pelletier G, Gonzalez-Marquez A, Blanco-Donoso L, Garcia-Borreguero P, Moreno-Jimenez B . The relevance of experiential avoidance in breast cancer distress: insights from a psychological group intervention. Psychooncology. 2016; 26(4):469-475. DOI: 10.1002/pon.4162. View

Berrocal Montiel C, Rivas Moya T, Venditti F, Bernini O . On the contribution of psychological flexibility to predict adjustment to breast cancer. Psicothema. 2016; 28(3):266-71. DOI: 10.7334/psicothema2015.271. View

10.

Lilly M, Allen C . Psychological Inflexibility and Psychopathology in 9-1-1 Telecommunicators. J Trauma Stress. 2015; 28(3):262-6. DOI: 10.1002/jts.22004. View

11.

Hulbert-Williams N, Storey L, Wilson K . Psychological interventions for patients with cancer: psychological flexibility and the potential utility of Acceptance and Commitment Therapy. Eur J Cancer Care (Engl). 2014; 24(1):15-27. DOI: 10.1111/ecc.12223. View

12.

Lynn M . Determination and quantification of content validity. Nurs Res. 1986; 35(6):382-5. View

13.

Polit D, Tatano Beck C, Owen S . Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007; 30(4):459-67. DOI: 10.1002/nur.20199. View

14.

Hayes S, Luoma J, Bond F, Masuda A, Lillis J . Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2005; 44(1):1-25. DOI: 10.1016/j.brat.2005.06.006. View

15.

Mosher C, Tometich D, Hirsh A, Rand K, Johns S, Matthias M . Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility. Psychooncology. 2016; 26(11):1944-1951. PMC: 5359070. DOI: 10.1002/pon.4283. View

16.

Polit D, Tatano Beck C . The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006; 29(5):489-97. DOI: 10.1002/nur.20147. View