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Translation and Validation of Shame and Stigma Scale for Head and Neck Cancer into the Hindi Language

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Background

At advanced stages, treatment procedure of head and neck cancer  often leads to mutilation and evokes shame and stigma in patients. In the present work, we translated and validated the shame and stigma scale into the Hindi language and tested the translated scale in patients of head and neck cancer.

Subject and Methods

The English version of the scale was translated into the Hindi language. A validity and reliability study of the translated scale was carried out by taking 200 patients of head and neck cancer.

Results

For the translated Hindi version of the shame and stigma scale, the content validity score came to be 0.94. Four items of shame and stigma scale were found to have strong criterion validity. In construct validity testing, forwarded scored items in the shame and stigma scale were found to have strong convergent construct validity, and reversed scored items of the scale were found to exhibit strong divergent construct validity. For internal consistent reliability testing, the value of Cronbach's alpha was found to be 0.85. For test–retest reliability, the value of Pearson’s correlation coefficient was found to be 0.88. The value of the inter-rater agreement was found to be 0.8.

Conclusions

The translated Hindi version of the shame and stigma scale was found to exhibit strong reliability and validity. The translated scale can be used by the clinician to assess the shame and stigma in Indian patients of head and neck cancer.

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References

  1. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136(5):E359–E386. https://doi.org/10.1002/ijc.29210

    Article  CAS  Google Scholar 

  2. Bakshi J, Goyal AK, Singh V, Sannigrahi M, Khullar M (2020) Stage-specific expression analysis ofMMP-2 & MMP-9 in laryngeal carcinoma. J Cancer Res Thera 16(3):517–520. https://doi.org/10.4103/jcrt.JCRT_360_18

    Article  CAS  Google Scholar 

  3. Ferlay J, Soerjomataram I, Ervik M (2015) Estimated cancer incidence, mortality and prevalence worldwide in 2012 [Web resource] Lyon, France: International Agency for Research on Cancer; 2013. globocan 2012

  4. Poddar A, Aranha RR, Muthukaliannan GK, Nachimuthu R, Jayaraj R (2018) Head and neck cancer risk factors in India: protocol for systematic review and meta-analysis. BMJ Open 8(8):e020014. https://doi.org/10.1136/bmjopen-2017-020014

    Article  PubMed  PubMed Central  Google Scholar 

  5. Anand A, Goyal AK, Bakshi J, Sharma K, Vir D, Didi A (2018) Yoga as an integrative approach for prevention and treatment of oral cancer. Int J yoga 1(3):177–185. https://doi.org/10.4103/ijoy.IJOY_49_17

    Article  Google Scholar 

  6. Sankaranarayanan R, Masuyer E, Swaminathan R, Ferlay J, Whelan S (1998) Head and neck cancer: a global perspective on epidemiology and prognosis. Anticancer Res 18(6B):4779–4786

    CAS  PubMed  Google Scholar 

  7. Chanana R, Noronha V, Joshi A, Patil V, Prabhash K (2018) Evolving role of immunotherapy in head-and-neck cancers: a systemic review. J Head Neck Phys Surg 6(1):2. https://doi.org/10.6004/jnccn.2020.7590

    Article  CAS  Google Scholar 

  8. Saini J, Goyal AK, Jangra A (2019) High-fat diet with alcohol elevate oxidative stress which cause hyperlipidemia by inducing mutation in the ANGPTL3 locus. Int J Diab Dev Ctries 39(4):1–7. https://doi.org/10.1007/s13410-019-00773-8

    Article  CAS  Google Scholar 

  9. Bahl A, Oinam AS, Kaur S, Verma R, Elangovan A, Bhandari S, Bakshi J, Panda N, Ghoshal S (2017) Evaluation of acute toxicity and early clinical outcome in head and neck cancers treated with conventional radiotherapy and simultaneous integrated boost arc radiotherapy. World J Oncol 8(5):174. https://doi.org/10.14740/wjon1049w

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Ghoshal S, Bansal A, Panda NK, Bakshi J (2016) Can neck irradiation be an alternative to neck dissection in early stage carcinoma oral tongue operated for primary alone? Experience from a single institute. Int J Cancer Therap Oncol 4(3):435. https://doi.org/10.14319/IJCTO.43.5

    Article  Google Scholar 

  11. Bakshi J, Panda NK, Ghoshal S, Nehru VI (2010) Survival patterns in patients with carcinoma base of tongue treated with external beam irradiation and salvage surgery. Indian J Otolaryngol Head Neck Surg 62(2):142–147. https://doi.org/10.1007/s12070-010-0037-1

    Article  PubMed  PubMed Central  Google Scholar 

  12. Nigro CL, Denaro N, Merlotti A, Merlano M (2017) Head and neck cancer: improving outcomes with a multidisciplinary approach. Cancer Manag Res 9:363. https://doi.org/10.2147/CMAR.S115761

    Article  PubMed  PubMed Central  Google Scholar 

  13. Bakshi J, Goyal AK (2021) Clinical yoga trial aim to improve quality of life at advanced stages of oral cancer. Sport Sci Health. https://doi.org/10.1007/s11332-021-00732-z

    Article  Google Scholar 

  14. Becker ST, Menzebach M, Küchler T, Hertrampf K, Wenz H-J, Wiltfang J (2012) Quality of life in oral cancer patients–effects of mandible resection and socio-cultural aspects. J Craniomaxillofac Surg 40(1):24–27. https://doi.org/10.1016/j.jcms.2011.01.021

    Article  PubMed  Google Scholar 

  15. Lewis H (1971) Shame and guilt in neurosis. International Universities Press, New York

    Google Scholar 

  16. Goffman E (1963) Stigma: notes on the management of spoiled identity/erving goffman. Prentice-Hall, Engleewood Cliffs

    Google Scholar 

  17. Chapple A, Ziebland S, McPherson A (2004) Stigma, shame, and blame experienced by patients with lung cancer: qualitative study. BMJ 328(7454):1470. https://doi.org/10.1136/bmj.38111.639734.7C

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Kulkarni MR (2013) Head and neck cancer burden in India. Int J Head Neck Surg 4(1):25–29. https://doi.org/10.5005/JP-JOURNALS-10001-1132

    Article  Google Scholar 

  19. Bakshi J, Goyal AK, Saini J (2021) Quality of life in oral cancer patients following surgical excision and flap reconstruction. J Maxillofac Oral Surg. https://doi.org/10.1007/s12663-020-01499-5

    Article  Google Scholar 

  20. Gonzalez BD, Jacobsen PB (2012) Depression in lung cancer patients: the role of perceived stigma. Psychooncology 21(3):239–246. https://doi.org/10.1002/pon.1882

    Article  PubMed  Google Scholar 

  21. Cataldo JK, Slaughter R, Jahan TM, Pongquan VL, Hwang WJ (2011) Measuring stigma in people with lung cancer: psychometric testing of the cataldo lung cancer stigma scale. Oncol Nurs forum 1:E46. https://doi.org/10.1188/11.ONF.E46-E54

    Article  Google Scholar 

  22. Bjordal K, Kaasa S (1995) Psychological distress in head and neck cancer patients 7–11 years after curative treatment. Br J Cancer 71(3):592. https://doi.org/10.1038/bjc.1995.115

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Kornblith AB, Zlotolow IM, Gooen J, Huryn JM, Lerner T, Strong EW, Shah JP, Spiro RH, Holland JC (1996) Quality of life of maxillectomy patients using an obturator prosthesis. Head Neck J Sci Spec Head Neck 18(4):323–334

    Article  CAS  Google Scholar 

  24. Bronheim H, Strain JJ, Biller HF (1991) Psychiatric aspects of head and neck surgery: part I: new surgical techniques and psychiatric consequences. Gen Hosp Psychiatry 13(3):165–176. https://doi.org/10.1016/0163-8343(91)90139-n

    Article  CAS  PubMed  Google Scholar 

  25. Goyal AK, Bakshi J, Panda NK, Kapoor R, Vir D, Kumar K, Pankaj A (2020) Shame and stigma over long term survival in head and neck cancer. CONICA-2020 Panjab University, Chandigarh

    Google Scholar 

  26. Pal DK, Bhalla A, Bammidi S, Telles S, Kohli A, Kumar S, Devi P, Kaur N, Sharma K, Kumar R (2017) Can yoga-based diabetes management studies facilitate integrative medicine in india current status and future directions. Integr Med Int 4(3–4):125–141. https://doi.org/10.1159/000479816

    Article  Google Scholar 

  27. Goyal AK, Bansal A, Saini J (2018) Nature walk decrease the depression by instigating positive mood. Soc Health Behav 1(2):62–66. https://doi.org/10.4103/SHB.SHB_26_18

    Article  Google Scholar 

  28. Goyal AK, Bhadada S, Malik N, Anand A, Kumar R, Bammidi S, Tyagi R, Modgil S, Sharma K, Bali P, Pal DK et al (2019) Guinness world record attempt as a method to pivot the role of Yoga in Diabetes management. Ann Neurosci 26(1):21–24. https://doi.org/10.5214/ans.0972.7531.260105

    Article  PubMed  PubMed Central  Google Scholar 

  29. Goyal AK (2019) Call for global standards in clinical yoga trials. Yoga Mimamsa 51(1):63–67. https://doi.org/10.4103/ym.ym_12_19

    Article  Google Scholar 

  30. Weymuller EA Jr, Alsarraf R, Yueh B, Deleyiannis FW-B, Coltrera MD (2001) Analysis of the performance characteristics of the University of Washington quality of life instrument and its modification (UW-QOL-R). Arch Otolaryngol Head Neck Surg 127(5):489–493. https://doi.org/10.1001/archotol.127.5.489

    Article  PubMed  Google Scholar 

  31. Bjordal K, De Graeff A, Fayers P, Hammerlid E, van Pottelsberghe C, Curran D, Ahlner-Elmqvist M, Maher E, Meyza J, Bredart A (2000) A 12 country field study of the EORTC QLQ-C30 (version 3.0) and the head and neck cancer specific module (EORTC QLQ-H&N35) in head and neck patients. Eur J Cancer 36(14):1796–1807. https://doi.org/10.1016/s0959-8049(00)00186-6

    Article  CAS  PubMed  Google Scholar 

  32. Kissane DW, Patel SG, Baser RE, Bell R, Farberov M, Ostroff JS, Li Y, Singh B, Kraus DH, Shah JP (2013) Preliminary evaluation of the reliability and validity of the Shame and Stigma Scale in head and neck cancer. Head Neck 35(2):172–183. https://doi.org/10.1002/hed.22943

    Article  PubMed  Google Scholar 

  33. Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25(24):3186–3191. https://doi.org/10.1097/00007632-200012150-00014

    Article  CAS  PubMed  Google Scholar 

  34. Chaukar D, Das A, Deshpande M, Pai P, Pathak K, Chaturvedi P, Kakade A, Hawaldar R, DCruz A (2005) Quality of life of head and neck cancer patient: validation of the European organization for research and treatment of cancer QLQ-C30 and European Organization for research and treatment of cancer QLQ-H&N35 in Indian patients. Indian J Cancer 42(4):178

    CAS  PubMed  Google Scholar 

  35. Datta R, Sethi A, Singh S, Nilakantan A, Venkatesh M (2011) Translation and validation of the voice handicap index in Hindi. J Laryngol Voice 1(1):12. https://doi.org/10.4103/2230-9748.76131

    Article  Google Scholar 

  36. Tsang S, Royse CF, Terkawi AS (2017) Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth 11(Suppl 1):S80. https://doi.org/10.4103/sja.SJA_203_17

    Article  PubMed  PubMed Central  Google Scholar 

  37. Goyal AK, Bakshi J, Panda NK, Kapoor R, Vir D, Kumar K, Aneja P, Singh B, Gupta M, Walia SS (2021) A Hybrid method for the cross-cultural adaptation of self-report measures. Int J Appl Positive Psychol 6(1):45–54. https://doi.org/10.1007/s41042-020-00039-3

    Article  Google Scholar 

  38. Yaghmaie F (2003) Content validity and its estimation. J Med Edu 3(1)

  39. Crocker L, Algina J (1986) Introduction to classical and modern test theory. ERIC

  40. Cohen J (2013) Statistical power analysis for the behavioral sciences. Routledge

    Book  Google Scholar 

  41. Nunnally JC, Bernstein IH, Berge JM (1967) Psychometric theory. McGraw-hill, New York

    Google Scholar 

  42. Cohen J (1960) A coefficient of agreement for nominal scales. Educ Psychol Measur 20(1):37–46

    Article  Google Scholar 

  43. Argerakis G (1990) Psychosocial considerations of the post-treatment of head and neck cancer patients. Dent Clin North Am 34(2):285–305

    CAS  PubMed  Google Scholar 

  44. Goyal AK, Bakshi J, Panda NK, Kapoor R, Vir D, Kumar K, Aneja P (2021) Stigmatic impact of COVID-19 pandemic on head & neck cancers survivors. Indian J Otolaryngol Head Neck Surg 73(1):1–5. https://doi.org/10.1007/s12070-021-02545-5

    Article  Google Scholar 

  45. Goyal AK, Bakshi J, Panda NK, Kapoor R, Vir D, Kumar K, Aneja P (2021) Media commercials conveying awareness regarding prevention of head & neck cancer by focusing on stigmatized perspective of disease: Right or wrong? Indian J Otolaryngol Head Neck Surg. https://doi.org/10.1007/s12070-021-02656-z

    Article  PubMed  Google Scholar 

  46. Rapoport Y, Kreitler S, Chaitchik S, Algor R, Weissler K (1993) Psychosocial problems in head-and-neck cancer patients and their change with time since diagnosis. Ann Oncol 4(1):69–73. https://doi.org/10.1093/oxfordjournals.annonc.a058365

    Article  CAS  PubMed  Google Scholar 

  47. Dropkin MJ (2001) Anxiety, coping strategies, and coping behaviors in patients undergoing head and neck cancer surgery. Cancer Nurs 24(2):143–148. https://doi.org/10.1097/00002820-200104000-00010

    Article  CAS  PubMed  Google Scholar 

  48. Pirola WE, Paiva BSR, Barroso EM, Kissane DW, Serrano CVMP, Paiva CE (2017) Translation and cultural adaptation of the Shame and Stigma Scale (SSS) into Portuguese (Brazil) to evaluate patients with head and neck cancer. Braz J Otorhinolaryngol 83(6):697–704. https://doi.org/10.1016/j.bjorl.2016.10.005

    Article  PubMed  Google Scholar 

  49. Tseng W-T, Lee Y, Hung C-F, Lin P-Y, Chien C-Y, Chuang H-C, Fang F-M, Li S-H, Huang T-L, Chong M-Y (2019) Validation of the chinese version of the shame and stigma scale in patients with head and neck cancer. Cancer Manag Res 11:10297. https://doi.org/10.2147/CMAR.S228843

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

Authors highly acknowledged the expert committee for reviewing the present work. The manuscript was proofread by doc navigator©, Chandigarh.

Funding

The work in this research is also supported by the Junior Research Fellowship (JRF) provided by ICMR, New Delhi, with Award No. 3/13/JRF—2015/HRD.

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Authors and Affiliations

Authors

Contributions

JB and DV conceptualized the work, PA and BS did the forward translation, MG and SSW did the reverse translation. RK and NKP helped with the patient recruitment. KS helped in the validity and reliability testing. AKG collected and compiled the raw data, generated the results, and drafted the manuscript.

Corresponding author

Correspondence to Atul Kumar Goyal.

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Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Ethical Approval

Present study has been approved by the institute ethics committee (Letter No. INT/IEC/2019/002539 with Ref No. NK/5657/PhD). Permission form the copyrighted owner of English version of shame and stigma scale was obtained for translation of the instrument to Hindi language. Permission to use the Hindi version of VHI and EORTC-QLQ-HN35 scale was also obtained from the copyrighted owners. Translation agreement was signed by all the translators. Participant information sheet was provided to all participants, and written consent was taken from every participant.

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Goyal, A.K., Bakshi, J., Panda, N.K. et al. Translation and Validation of Shame and Stigma Scale for Head and Neck Cancer into the Hindi Language. J. Maxillofac. Oral Surg. (2021). https://doi.org/10.1007/s12663-021-01588-z

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