Abstract
Objective: Patients’ expectations of cancer treatment could impact on their treatment experiences. Research in this area tends to focus on a particular aspect of expectations, and no suitable measure exists to explore patients’ expectations and experiences of treatment. Methods: The current study developed and validated two new, matched, measures: The Expectations of Cancer Treatment Questionnaire (EXPECT-CTQ) and the Experiences of Cancer Treatment (EXPER-CTQ). Items were generated using the previous expectations literature, alongside findings from qualitative interviews, and refined with assistance from cancer patients and a wider pool of researchers. A sample of 200 cancer patients completed the measures, and factor analysis was performed to validate the EXPECT-CTQ, resulting in a 39-item measure with subscales assessing treatment efficacy, physical side-effects, psychological side-effects, and the impact of treatment on daily life, social life and self-care. The EXPER-CTQ was matched to the EXPECT-CTQ, excluding the treatment efficacy subscale, resulting in a 36-item measure. Reliability analyses were conducted on both measures with good results (α > 0.6). Analyses of the expectations-experiences relationship encompassing a broad range of expectations showed that expectations are positively associated with experiences of cancer treatment. Conclusion: These two new measures are suitable for use in future research exploring both expectations and experiences of treatment for cancer and the implications of gaps between these constructs.