{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T13:36:54Z","timestamp":1792849014255,"version":"4.5.0"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004267","name":"royal adelaide hospital","doi-asserted-by":"publisher","award":["MyIP ref#12879"],"award-info":[{"award-number":["MyIP ref#12879"]}],"id":[{"id":"10.13039\/501100004267","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009727","name":"Hospital Research Foundation","doi-asserted-by":"publisher","award":["My IP 17519"],"award-info":[{"award-number":["My IP 17519"]}],"id":[{"id":"10.13039\/100009727","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Health Services Charitable Gifts Board","award":["My IP 14047"],"award-info":[{"award-number":["My IP 14047"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Needle fear is an under-recognised burden among haemodialysis recipients which can influence treatment choice and therapy engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to develop and validate a tool to identify needle fear in pre-dialysis or dialysis cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Measuring Needle Fear (MNF) tool was developed using deductive and inductive methods, with items grouped into four domains to ensure comprehensive symptom coverage. Content validity was assessed using the Content Validity Index (CVI), and reliability using Gwet\u2019s AC1 coefficient and Cronbach\u2019s alpha. Exploratory factor analysis (EFA) was performed using Principal Axis Factoring with oblimin rotation, supported by the Kaiser\u2013Meyer\u2013Olkin statistic and Bartlett\u2019s test. Discriminative ability and the optimal cut-off point were evaluated using ROC analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 120 participants completed the questionnaire. Test\u2013retest reliability was excellent for most MNF items (30 items; AC1\u2009=\u20090.81\u20131.00) and good for the remainder (nine items; AC1\u2009=\u20090.61\u20130.80). EFA identified three factors \u2013 Fear, Avoidance and Embarrassment \u2013 with excellent sampling adequacy (KMO\u2009=\u20090.908) and a significant Bartlett\u2019s test (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Internal consistency was high (Cronbach\u2019s alpha\u2009=\u20090.895). ROC analysis demonstrated excellent discrimination (AUC\u2009=\u20090.959), with a score \u2a7e5 identifying 31% of patients as likely to experience needle fear.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Measuring Needle Fear tool is a validated, reliable method for identifying needle fear in pre-dialysis and dialysis patients, supporting early detection and enabling timely, targeted support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261470920","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T05:10:21Z","timestamp":1785474621000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and validation of the Measuring Needle Fear (MNF) screening tool for identification of needle fear in pre-dialysis 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