{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:58:30Z","timestamp":1791478710817,"version":"4.3.4"},"reference-count":41,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100020595","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["108\u20102314\u2010B\u2010010\u2010054"],"award-info":[{"award-number":["108\u20102314\u2010B\u2010010\u2010054"]}],"id":[{"id":"10.13039\/100020595","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the psychometric properties of the Chinese version of the Vulvovaginal Symptoms Questionnaire for assessing vulvovaginal symptoms and symptom\u2010related influences in women with breast cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A methodological study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Women with breast cancer (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009202) were recruited from the outpatient department of a hospital. Data were collected between July 2020 and October 2021. Psychometric properties, including internal consistency, test\u2013retest reliability and construct validity, were tested after the translation of the original English\u2010language instrument. The construct validity was examined by testing the hypothesised relationships between the Chinese version of the Vulvovaginal Symptoms Questionnaire with validated instruments associated with quality of life and sexual function and by Confirmatory Factor Analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The internal consistency and test\u2013retest reliability for the Chinese version of the Vulvovaginal Symptoms Questionnaire's total scale and four subscales were satisfactory. The construct validity was confirmed by significant correlations between scores on the Chinese version of the Vulvovaginal Symptoms Questionnaire with the Chinese version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire\u2010Cancer 30 and Quality of Life Questionnaire\u2010Breast 23 and the Chinese version of the Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire 12. The Confirmatory Factor Analysis verification results showed that the traditional Chinese\u2010language questionnaire's three\u2010 and four\u2010factor models had acceptable model fit indices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We obtained the Chinese version of the Vulvovaginal Symptoms Questionnaire's preliminary and satisfactory psychometric properties. It can help worldwide healthcare professionals adequately assess vulvovaginal symptoms and their influences experienced by Chinese\u2010speaking women with breast cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>The Chinese version of the Vulvovaginal Symptoms Questionnaire can help healthcare professionals and researchers concurrently identify vulvovaginal symptoms and related influences, leading to timely and appropriate management. Well\u2010designed and accessible healthcare services on vulvovaginal and sexual health after breast cancer diagnosis are essential for both healthcare professionals and this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>We adhered to the STROBE checklist of cross\u2010sectional studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public engagement..<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16584","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T11:13:27Z","timestamp":1730286807000},"page":"3904-3928","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Psychometric Evaluation of the Chinese Version of the Vulvovaginal Symptom Questionnaire in Women With Breast Cancer"],"prefix":"10.1111","volume":"81","author":[{"given":"Yueh\u2010Ching","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Nursing National Yang Ming Chiao Tung University  Taipei City Taiwan, ROC"},{"name":"Department of Nursing MacKay Junior College of Medicine, Nursing and Management  Taipei City Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan\u2010Ching","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Surgery MacKay Memorial Hospital  Taipei City Taiwan, ROC"},{"name":"Department of Surgery School of Medicine, MacKay Medical College  New Taipei City Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8405-3123","authenticated-orcid":false,"given":"Cheng\u2010Chen","family":"Chou","sequence":"additional","affiliation":[{"name":"Institute of Community Health Care, College of Nursing National Yang Ming Chiao Tung University  Taipei City Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7027-9508","authenticated-orcid":false,"given":"Yen\u2010Kuang","family":"Lin","sequence":"additional","affiliation":[{"name":"Graduate Institute of Athletics and Coaching Science National Taiwan Sport University  Guishan, Taoyuan Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia\u2010Hui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery Cardinal Tien Hospital  New Taipei City Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5884-587X","authenticated-orcid":false,"given":"Yuan\u2010Mei","family":"Liao","sequence":"additional","affiliation":[{"name":"Institute of Clinical Nursing, College of Nursing National Yang Ming Chiao Tung University  Taipei City Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/85.5.365"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002030"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001074"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clbc.2017.05.008"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010019\u201005272\u20104"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/13697137.2015.1078206"},{"key":"e_1_2_15_8_1","unstructured":"Cambridge University Press and Assessment.2024.\u201cCambridge Dictionary.\u201dhttps:\/\/dictionary.cambridge.org\/"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000592"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2022.04.018"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.727"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040\u20103590.6.4.284"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000000926"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2019.1643180"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12282\u2010018\u20100927\u20108"},{"key":"e_1_2_15_16_1","volume-title":"Scale Development: Theory and Applications","author":"DeVellis R. 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