The overall aim of this proposal is to conduct qualitative and quantitative cultural analyses of the Cancer Behavior Inventory (CBI) to assure that it is appropriate for African American patients and to establish a methodology for testing cultural bias in other measures. Self-efficacy theory was used to guide the development of the CBI, which assesses patients' expectations about their ability to perform coping behaviors in seven domains: 1) Maintaining Activity and Independence, 2) Seeking and Understanding Medical Information, 3) Stress Management for Medical Appointments, 4) Coping With Treatment-Related Side Effects, 5) Accepting Cancer/ Maintaining Positive Attitude, 6) Affective Regulation, and 7) Seeking Social Support. Data will be collected in order to accrue 200 African American patients and 200 Caucasian patients with cancer. The accrual is designed to assure the development of a comprehensive database that includes adequate numbers of African Americans. All participants will complete the CBI and other measures of coping, adjustment, and quality of life. In addition, African American participants will complete measures of racial identity development, perceived maltreatment, and acculturation. Information on medical treatment and other medically relevant data (e.g., stage at diagnosis) will be obtained from the participant's chart and physician, Data analyses will include both qualitative and quantitative approaches. Qualitative approaches will include narrative analyses to assess perceived bias in items. Quantitative analyses will include: 1) item bias analysis and tests of the structural invariance as a function of race, racial identity, perceived maltreatment, gender, type of cancer and age; and 2) traditional psychometrics. Based on this cultural analysis, the CBI may be modified to be more useful in clinical trials research as a) a screening devise to select people for psychosocial interventions, b) a process measure, which when given repeatedly during the course of treatment would detect changes in efficacy, and c) as an outcome measure. Also, the cultural analysis will make the CBI useful for assessing coping with African American patients. Finally, the methodology for the cultural analysis may be used with other measures and ethnic groups. Further refinement of the CBI can include the standardization of the scales of the CBI and the development of norms based on relevant individual difference variables.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21CA094914-02
Application #
7110227
Study Section
Behavioral Medicine, Interventions and Outcomes Study Section (BMIO)
Program Officer
Nelson, Wendy
Project Start
2005-08-15
Project End
2009-07-31
Budget Start
2006-08-01
Budget End
2009-07-31
Support Year
2
Fiscal Year
2006
Total Cost
$157,461
Indirect Cost
Name
University of Notre Dame
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
824910376
City
Notre Dame
State
IN
Country
United States
Zip Code
46556
Merluzzi, Thomas V; Philip, Errol J; Heitzmann Ruhf, Carolyn A et al. (2018) Self-efficacy for coping with cancer: Revision of the Cancer Behavior Inventory (Version 3.0). Psychol Assess 30:486-499
Merluzzi, Thomas V; Philip, Errol J; Yang, Miao et al. (2016) Matching of received social support with need for support in adjusting to cancer and cancer survivorship. Psychooncology 25:684-90
Philip, Errol J; Merluzzi, Thomas V (2016) Psychosocial issues in post-treatment cancer survivors: Desire for support and challenges in identifying individuals in need. J Psychosoc Oncol 34:223-39
Merluzzi, Thomas V; Philip, Errol J; Zhang, Zhiyong et al. (2015) Perceived discrimination, coping, and quality of life for African-American and Caucasian persons with cancer. Cultur Divers Ethnic Minor Psychol 21:337-44
Philip, Errol J; Merluzzi, Thomas V; Zhang, Zhiyong et al. (2013) Depression and cancer survivorship: importance of coping self-efficacy in post-treatment survivors. Psychooncology 22:987-94
Heitzmann, Carolyn A; Merluzzi, Thomas V; Jean-Pierre, Pascal et al. (2011) Assessing self-efficacy for coping with cancer: development and psychometric analysis of the brief version of the Cancer Behavior Inventory (CBI-B). Psychooncology 20:302-12