Table 4.
Exploratory Factor Analysis of a Subset of the PCCE Survey Items among Adult Cancer Patients (n= 104) and Analyzed using Principal Factor Extraction with Promax Rotation.
| Items | Factor Name Item Description (% of participants rating item as very important or very concerning) |
Patient Need or Value Category | Rotated Factor Loadings | |||||
|---|---|---|---|---|---|---|---|---|
| 1: Quality of Life | 1 | 2 | 3 | 4 | 5 | Communalities | ||
| Q14_E | Ability to perform normal work responsibilities (38.2) | Phys | 0.898 | 0.743 | ||||
| Q14_D | Ability to move freely (36.4) | Phys | 0.866 | 0.743 | ||||
| Q07 | Efficient use of time during treatment (36.4) | GQOL | 0.673 | 0.453 | ||||
| Q45 | Possible changes in ability to manage family responsibilities (29.0) | FQOL | 0.634 | 0.737 | ||||
| Q47 | Changes in family roles (24.4) | FQOL | 0.589 | 0.702 | ||||
| Q08 | Scheduling conflicts between work and hospital visits (23.6) | GQOL | 0.582 | 0.293 | ||||
| Q46 | Being a burden on family (34.4) | FQOL | 0.523 | 0.717 | ||||
| Q14_B | Returning to pre-cancer health status (47.7) | Phys | 0.475 | 0.489 | ||||
| Q49 | Other people’s perception of health status (19.1) | GQOL | 0.475 | 0.473 | ||||
| Q14_A | Pain management (36.9) | Phys | 0.451 | 0.479 | ||||
| Factor 2: Provider Social Support | ||||||||
| Q27 | Healthcare team recognizing changes in priorities or outlook on life as a result of illness (46.2) | PSS | 0.852 | 0.828 | ||||
| Q26 | Support from healthcare team following treatment (54.2) | PSS | 0.814 | 0.698 | ||||
| Q34* | Healthcare team recognizing or being sensitive to any feelings of isolation (26.5) | Psy | 0.698 | .304 | 0.734 | |||
| Q35 | Healthcare team recognizing or being sensitive to a need for hope (43.9) | Psy | 0.616 | 0.642 | ||||
| Q54 | Having access to community assistance and/or services (16.8) | NPSS | 0.473 | 0.540 | ||||
| Q01 | Support of the hospital staff (70.2) | PSS | 0.418 | 0.154 | ||||
| Factor 3: Psychosocial Needs | ||||||||
| Q13_C | Depression (23.1) | Psy | 0.923 | 0.816 | ||||
| Q13_D | Feelings of uncertainty and/or loss of control (29.7) | Psy | 0.883 | 0.746 | ||||
| Q13_B | Anxiety (28.5) | Psy | 0.873 | 0.771 | ||||
| Factor 4: Value for Non-Provider Social Support | ||||||||
| Q51 | Having social support from friends (39.2) | NPSS | 0.9039 | 0.754 | ||||
| Q50* | Having social support from family members (67.2) | NPSS | 0.796 | .304 | 0.659 | |||
| Q53 | Having social support from religious or faith-based groups (40.8) | NPSS | 0.629 | 0.553 | ||||
| Q52 | Having social support from other current or previous patients (18.3) | NPSS | 0.552 | 0.409 | ||||
| Q02 | Family involvement in treatment (79.4) | NPSS | 0.395 | 0.166 | ||||
| Factor 5: Health Information and Decision-Making Support | ||||||||
| Q19* | Receiving an explanation of the available options for making treatment decisions (78.0) | HI | .310 | 0.686 | 0.548 | |||
| Q24 | Feeling supported by healthcare team members when making decisions (80.2) | DM | 0.676 | 0.520 | ||||
| Q21 | Healthcare team’s recommendation in making treatment decisions (76.5) | DM | 0.557 | 0.499 | ||||
| Q09_A | Knowing about side-effects, symptoms, or complications before treatment (79.2) | HI | 0.541 | 0.368 | ||||
| Q18 | Quality of life in making treatment decisions (62.9) | GQOL | 0.504 | 0.481 | ||||
| Q11 | Changes to physical health in general (60.0) | Phys | 0.478 | 0.630 | ||||
| Q04 | Understanding treatment plan (90.8%) | HI | 0.355 | 0.198 | ||||
| Factor 1 |
Factor 2 |
Factor 3 |
Factor 4 |
Factor 5 |
||||
| Eigenvalues | 10.689 | 2.141 | 1.752 | 1.562 | 1.397 | |||
| % of variance | 52.05 | 10.43 | 8.53 | 7.60 | 6.8 | |||
| Cumulative variance | 62.48 | 71.01 | 78.61 | 85.42 | ||||
| Cronbach’s α | 0.91 | 0.83 | 0.91 | 0.79 | 0.88 | |||
Abbreviations: DM, decision making; FQOL, family-related quality of life values; GQOL, general quality of life values; HI, health information values; NPSS, non-provider social support values; PSS, provider social support values; Phys, physical needs; Psy, psychosocial needs.
*
Item cross-loaded onto more than one factor.