Table 3.
Floor and ceiling effects of the SCNS-SF34 and suggested factor structure in head and neck cancer patients (n = 201)
| Item | Factor loadings1 | |||||
|---|---|---|---|---|---|---|
| Lowest score (%) | Highest score (%) | 1 | 2 | 3 | 4 | |
| Physical and daily living | 38.8 | 0 | ||||
| 1. Pain | 70.9 | 2.5 | .39 | .54 | ||
| 2. Lack of energy/tiredness | 51.0 | 4.5 | .33 | .51 | .60 | |
| 3. Feelings unwell a lot of the time | 74.6 | 1.0 | .53 | .67 | ||
| 4. Work around the home | 58.4 | 3.0 | .76 | |||
| 5. Not being able to do the things you used to do | 57.7 | 7.5 | .39 | .39 | .69 | |
| Psychological | 29.7 | 0 | ||||
| 6. Anxiety | 68.0 | 2.5 | .78 | .31 | ||
| 7. Feeling down or depressed | 67.7 | 1.0 | .32 | .78 | ||
| 8. Feelings of sadness | 66.7 | 2.0 | .81 | |||
| 9. Fears about the cancer spreading | 51.5 | 8.5 | .85 | |||
| 10. Worry that the results of treatment are beyond your control | 59.7 | 3.5 | .34 | .74 | ||
| 11. Uncertainty about the future | 50.0 | 5.5 | .33 | .82 | ||
| 12. Learning to feel in control of your situation | 58.0 | 1.5 | .35 | .68 | .41 | |
| 13. Keeping a positive look | 54.2 | 3.5 | .31 | .52 | .42 | |
| 14. Feelings about death and dying | 65.0 | 4.5 | .79 | |||
| 17. Concerns about the worries of those close to you | 60.5 | 2.5 | .38 | .42 | .30 | |
| Sexuality | 69.9 | .5 | ||||
| 15. Changes in sexual feelings | 75.3 | 3.0 | .48 | .74 | ||
| 16. Changes in your sexual relationships | 77.8 | 2.5 | .36 | .84 | ||
| 31. To be given information about sexual relationships | 85.4 | .5 | .76 | |||
| Health system, information and patient support | 21.1 | 0 | ||||
| 18. More choice about which cancer specialists you see | 67.5 | 1.5 | .47 | .41 | ||
| 20. Reassurance by medical staff that the way you feel is normal | 43.5 | 2.5 | .62 | .34 | .31 | |
| 21. Hospital staff attending promptly to your physical needs | 57.5 | 2.0 | .73 | |||
| 22. Hospital staff acknowledging, and showing sensitivity to your feelings and emotional needs | 55.0 | 1.5 | .75 | |||
| 23. Being given written information about the important aspects of your care | 58.0 | 2.0 | .75 | |||
| 24. Being given information (written, diagrams, drawings) about aspects of managing your illness and side effects at home | 61.5 | 4.0 | .65 | .30 | ||
| 25. Being given explanations of those tests for which you would like explanations | 46.2 | 2.5 | .72 | .31 | ||
| 26. Being adequately informed about the benefits and side effects of treatments before you choose to have them | 47.2 | 4.5 | .79 | |||
| 27. Being informed about your test results as soon as feasible | 43.3 | 11.9 | .74 | .31 | ||
| 28. Being informed about cancer which is under control or diminishing (that is, remission) | 38.3 | 10.4 | .77 | .37 | ||
| 29. Being informed about things you can do to help yourself to get well | 50.2 | 8.5 | .78 | .30 | ||
| 30. Having access to professional counselling (e.g. psychologist, social worker, counsellor, nurse specialist) if you, your family or friends need it | 66.7 | 4.5 | .67 | .35 | ||
| 32. Being treated like a person not just another case | 53.2 | 9.5 | .79 | |||
| 33. Being treated in a hospital or clinic that is as physically pleasant as possible | 44.3 | 6.5 | .72 | |||
| 34. Having one member of hospital staff with whom you can talk to about all aspects of your condition, treatment and follow-up | 47.3 | 6.5 | .78 | |||
| 19. More choice about which hospital you attend | 68.5 | 2.0 | – | – | – | – |
| Eigenvalue | 16.69 | 3.34 | 1.67 | 1.23 | ||
| Variance | 50.58 | 10.11 | 5.05 | 3.71 | ||
| Cronbach’s α | .95 | .95 | .89 | .79 | ||
aLoadings >.3 are presented, and main (i.e. highest) loading is italicized