Validity of the Health Personality Assessment among rectal cancer survivors in Serbia
Nikola Grubor,
Tatjana Gazibara,
Pavle Gregorić,
Zlatibor Lončar,
Krstina Doklestić Vasiljev,
Nenad Ivančević,
Dušan Micić,
Nemanja Pavić,
Peter Martin,
Boris Tadić,
Katarina Erić,
Smiljana Cvjetković,
Miljan Ćeranić
Affiliations
Nikola Grubor
Clinic for Emergency Surgery, University of Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia; Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia; Corresponding author. Clinic of Emergency Surgery, University Clinical Center of Serbia, Faculty of Medicine University of Belgrade, Pasterova 2, Belgrade, 11000, Serbia.
Tatjana Gazibara
Institute of Epidemiology, Faculty of Medicine University of Belgrade, Višegradska 26a, 11000, Belgrade, Serbia
Pavle Gregorić
Clinic for Emergency Surgery, University of Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia; Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia
Zlatibor Lončar
Clinic for Emergency Surgery, University of Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia; Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia
Krstina Doklestić Vasiljev
Clinic for Emergency Surgery, University of Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia; Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia
Nenad Ivančević
Clinic for Emergency Surgery, University of Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia; Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia
Dušan Micić
Clinic for Emergency Surgery, University of Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia; Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia
Nemanja Pavić
Clinic for Emergency Surgery, University of Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia
Peter Martin
Department of Human Development and Family Studies, Iowa State University, 1096 LeBaron Hall, Ames, IA, 50011-1120, USA
Boris Tadić
Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia; Department for Hepato-pancreato-biliary Surgery, Clinic for Digestive Surgery, University Clinical Center of Serbia, Koste Todorovica 6, 11000 Belgrade, Serbia
Katarina Erić
Department of Pathology, Clinic for Digestive Surgery, University Clinical Center of Serbia, Koste Todorovića 2, Belgrade, Serbia
Smiljana Cvjetković
Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia
Miljan Ćeranić
Clinic for Emergency Surgery, University of Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia; Faculty of Medicine University of Belgrade, Dr Subotića 8, 11000, Belgrade, Serbia
Understanding health personality traits in rectal cancer survivors could help to optimize recovery and coping mechanisms. The objective of this study was to evaluate psychometric properties of the Health Personality Assessment in Serbian language among rectal cancer survivors. A cross-sectional study was carried out from June to December 2022. The study sample consisted of 76 people who underwent the open lower anterior resection for rectal carcinoma at the Clinic for Digestive Surgery and the Clinic for Emergency Surgery, University of Clinical Center of Serbia (Belgrade, Serbia) and whose ileostomy was closed. Study participants were interviewed over the telephone using the Serbian version of the HPA which was translated according to the internationally accepted methodology for translation and adaptation of questionnaires. The confirmatory factor analysis suggested that the fit indices for 5-factor structure of the HPA were acceptable-to-good: Goodness of fit index = 0.939; Tucker Lewis fit index = 0.989; Comparative fit index = 0.992; Root Mean Square Error of Approximation = 0.019. Cronbach's alpha coefficients for Health Neuroticism, Health Extraversion and Health Agreeableness were>0.7 and for Health Openness and Health Conscientiousness were >0.4. Predictive validity testing suggested that not having complications with the ileostomy and a longer time since ileostomy closure were associated with stronger Health Agreeableness. Also, a longer time since ileostomy closure was associated with stronger Health Conscientiousness. The Serbian version of the HPA showed good construct validity and acceptable internal consistency. This is an important tool in further research of personality and health outcomes among rectal cancer survivors.
