Browsing by Author "Panchan Thapanakulsuk"

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    Development of spiritual well-being scale for Thai patients with cancer
    (Mahidol University. Mahidol University Library and Knowledge Center, 2024) Panchan Thapanakulsuk; Yupapin Sirapo-ngam; Tiraporn Junda; Pisamai Orathai; Ferrans, Carol Estwing
    The purposes of this study were to develop the SWS-TC for assessing the spiritual well-being of Thai patients with cancer, and to test its psychometric properties. The construct definition and content domains of the SWS-TC were developed through the semi-structured interviews. The individualistic view was used as the conceptual framework to guide in the instrument development. Content validity was examined using a panel of five experts, and cognitive interviews were conducted with 20 patients with cancer. The content validity index (CVI) was .88; the SWS-TC instruments contained 20 items, and Cronbach's alpha coefficient for internal consistency reliability was .94. Identifying the dimensions of spiritual well-being was assessed through principle component analysis (PCA) with varimax rotation using EFA. The criteria were factor loading greater than .40 and an eigenvalue greater than one. There were 190 participants in this step. The results indicated that there were 4 factors that can explain the spiritual well-being of Thai patients with cancer: 1) spiritual strengthening, 2) spiritual suffering, 3) spiritual uncertainty, and 4) spiritual readiness, which accounted for 58.34% of the total variance. The construct validity was tested by using Confirmatory factor analysis (CFA) with structural equation modeling (SEM).The results revealed that the measurement model had good fit the data with χ2 = 141.97, df = 149 (p = 0.65), χ2/df = .95, GFI = .93, AGFI = .90, NFI = .97, NNFI = 1.00, CFI = 1.00, RFI = .96, SRMR = .05, and RMSEA = .00. The Cronbach's alpha coefficients of the total scale was .76. The SWS-TC presented sufficient evidence to support concurrent validity according to the degree of the correlation coefficient between the SWS-TC and the three other instruments. Pearson's correlation coefficient between the SWS-TC and the Thai version of the Modified Spiritual Well-being Scale was .66 (p < .001). The Spearman rank correlation revealed that a positive significant relationship = .75 (p < .001) was found between the SWS-TC and the SWS-TBACI and was .58 (p < .001) for the SWS-TC and the satisfaction part of QLI-Cancer version III.The SWS-TC demonstrated good internal consistency reliability with evidence to support the content, construct, and concurrent validity. This instrument should be useful for the study to assess of spiritual well-being of Thai patients with cancer.
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    Psychometric testing of a spiritual well-being scale for people with cancer
    (2020-01-01) Panchan Thapanakulsuk; Yupapin Sirapo-Ngam; Carol Estwing Ferrans; Pisamai Orathai; Tiraporn Junda; University of Illinois at Chicago; Mahidol University
    © 2020, Thailand Nursing and Midwifery Council. All rights reserved. Spiritual well-being is crucial to the health outcomes of people with cancer and is influenced by culture, religious perspectives, and the characteristics of particular societies. There was no Thai instrument that measured this important concept, consequently, the Spiritual Well-being Scale for People with Cancer was developed by researchers and its psychometric properties were tested in this study. This instrument contains 20 items and the content validity index was.88. People with cancer aged 18 years and over, who had at least two experiences of treatment, and could communicate in the Thai language were selected to be study participants. The dimensions of spiritual well-being were identified using exploratory factor analysis (n = 190) and internal consistency testing. Four factors accounting for 58.35% of the total variance were: Spiritual strengthening, spiritual suffering, spiritual uncertainty, and spiritual readiness. The confirmatory factor analysis was tested (n = 203), and the results indicated that the measurement model had a good fit with the data. The Cronbach’s alpha coefficient of the entire scale was.76. The correlation coefficient was tested with the other three instruments, and the results were between.58 and.75 (p <.001). The instrument has an acceptable level of content, construct, and concurrent validity, as well as internal consistency reliability. Nurses and other healthcare profession can use this instrument to assess and evaluate intervention designs to improve the spiritual well-being of people with cancer. It is recommended that the scale be further tested with other groups of people with cancer in Thailand.