{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T15:10:26Z","timestamp":1780758626512,"version":"3.54.1"},"reference-count":43,"publisher":"Wiley","issue":"21","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100006662","name":"Ardabil University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006662","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Self\u2010advocacy is crucial for cancer patients, as it allows them to express their needs and engage in treatment decisions. This skill enhances the quality of care and life satisfaction. Accurately measuring self\u2010advocacy and supporting patients with lower skills is essential to improving treatment outcomes and promoting patient\u2010centered care. Accurate measurement of self\u2010advocacy is vital for identifying patients with lower skills and providing support to enhance treatment outcomes and patient\u2010centered care. This study aimed to investigate the psychometric properties of the Persian version of the Self\u2010Advocacy Scale in Cancer Patients (SACS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This methodological study used a cross\u2010sectional design with 339 cancer patients selected through convenience sampling. It examined the scale's face, content, construct validity, and reliability after translation and cultural adaptation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The original English version of the Self\u2010Advocacy in Cancer Survivorship Scale (SACS) consisted of 29 items, five of which were removed based on content validity results. This reduction resulted in the Persian version (SACS\u2010P) containing 24 items. These items were grouped into three dimensions: informed decision\u2010making, effective communication with healthcare providers, and connected strength. The scale showed satisfactory validity, with exploratory factor analysis (EFA) revealing three latent factors that accounted for 52.85% of the total variance. Confirmatory factor analysis (CFA) confirmed the adequacy of the three\u2010factor model. The overall Cronbach's alpha was 0.89, and the intraclass correlation coefficient (ICC) was 0.75 with a 95% confidence interval. Convergent validity was supported by a moderate correlation (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.49) with the Persian version of the Patient Self\u2010Advocacy Scale for chronic illnesses (PSAS\u2010P).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The SACS\u2010P (24\u2010item) is a reliable and valid instrument for assessing self\u2010advocacy in cancer patients in Iran, suitable for use in both research and clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71318","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:20:31Z","timestamp":1761805231000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychometric Properties of the Persian Self\u2010Advocacy in Cancer Survivorship Scale (\n                    <scp>SACS<\/scp>\n                    \u2010P) in Iran"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3147-7191","authenticated-orcid":false,"given":"Elaheh","family":"Habibpour","sequence":"first","affiliation":[{"name":"Department of Medical\u2010Surgical Nursing, School of Nursing and Midwifery Ardabil University of Medical Sciences  Ardabil Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5863-5664","authenticated-orcid":false,"given":"Nargess","family":"Ramazanzadeh","sequence":"additional","affiliation":[{"name":"Department of Medical\u2010Surgical Nursing, School of Nursing and Midwifery Ardabil University of Medical Sciences  Ardabil 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