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Development of the perceived barriers scale: a new instrument identifying barriers to career development and employment for young adult survivors of pediatric CNS tumors

机译:发展障碍票据:一种新仪器,识别职业发展障碍和儿科CNS肿瘤的年轻成人幸存者的就业

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PurposeGiven the significant employment disparities for survivors of pediatric brain tumors, there is increased need to conduct vocational and career research with this group. The purpose of the present study was to construct an instrument, the Perceived Barriers Scale, that is psychometrically sound and has both clinical and research application related to career and employment issues of pediatric brain tumor survivors.MethodThe participants consisted of 110 young adult central nervous system survivors of childhood cancer aged between 18 and 30years old (M=23.05, SD=3.36) who were identified by the DFCI Pediatric Brain Tumor Clinic. The 12-item Perceived Barriers Scale was developed from a comprehensive literature review, clinical interviews conducted with survivors of pediatric brain tumors, and feedback from multidisciplinary providers. Exploratory factor analysis and correlations were completed to examine the initial psychometric properties of the scale.ResultsExploratory factors analysis identified two factors that accounted for 57.92% with the two factors labeled as internal barriers and external barriers. All factors loaded significantly onto their respective factors (.48 to .88). The results of the correlational analysis found significant relationships between both internal barrier and external barrier subscales and CSE and WHODAS-2 providing initial support for the construct validity of the Perceived Barriers Scale.ConclusionsOverall, the study findings indicate good psychometrics with the brevity of the scale increasing potential application and utilization in both research and clinical settings.Implications for cancer survivorsIdentification of employment barriers for brain tumor survivors provides opportunity for more targeted vocational intervention.
机译:目的是对儿科脑肿瘤的幸存者的显着就业差异,增加了与该组进行职业和职业研究的需求。本研究的目的是构建一种仪器,感知的障碍等级,即精神障碍,具有与小儿脑肿瘤幸存者的职业和就业问题有关的临床和研究申请。方法包括110名年轻成人中枢神经系统DFCI儿科脑肿瘤诊所鉴定为18至30岁(M = 23.05,SD = 3.36)的儿童癌症的幸存者。从综合文献综述,用小儿脑肿瘤幸存者进行的临床访谈以及多学科提供商的反馈,开发了12项的障碍等级。完成了探索性因子分析和相关性以检查规模的初始心理学特性。结果XPloratory因素分析确定了两个因素,其中两个因素标记为内部障碍和外部障碍。所有因素都在其各自因素(.48至.88)上加载。相关分析结果发现内部屏障和外部屏障分量和CSE和WHODAS-2之间的显着关系,提供了对感知障碍秤的构建有效性的初始支持.ClclusionsOverall,研究结果表明了较好的精神测量学在研究和临床环境中提高潜在的应用和利用。用于癌症患者的癌症患者患者脑肿瘤幸存者的实用潜力障碍提供了更多有针对性的职业干预的机会。

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