1601P - Patient dignity inventory (PDI) questionnaire: the validation study in Italian patients with solid and haematological cancers on active oncological...

Date 01 October 2012
Event ESMO Congress 2012
Session Poster presentation III
Topics Supportive Care
Haematologic Malignancies
Presenter Carla Ripamonti
Authors C.I. Ripamonti1, L. Buonaccorso2, A. Maruelli3, E. Bandieri4, M.A. Pessi5, S. Boldini6, C. Primi7, G. Miccinesi8
  • 1Supportive Care In Cancer Unit, Hematologic And Pediatric Onco-hematologic Department, Fondazione IRCCS, Istituto Nazionale Tumori, 20133 - Milano/IT
  • 2Psychology, AMO Association of Oncological Patients from nine towns and villages in the Northen Area of Modena, 41137 - Mirandola (modena)/IT
  • 3Psychology Unit, LILT and Centre for Oncological Rehabilitation CERION of Florence, 50100 - Firenze/IT
  • 4Oncological Unit, Azienda USL Modena CeVEAS Modena, 41137 - Mirandola Modena/IT
  • 5Supportive Care In Cancer, Fondazione IRCCS, Istituto Nazionale dei Tumori Milano, 20133 - Milano/IT
  • 6Supportive Care In Cancer,, Fondazione IRCCS, Istituto Nazionale dei Tumori Milano, 20133 - Milano/IT
  • 7Psycology, University of Florence, 50135 - Florence/IT
  • 8Epidemiology, Cancer Prevention and Research Institute ISPO Florence, 50141 - Florence/IT



In Oncology, little is known about the dignity – related distress and the issues that influence the sense of dignity for patients. W validated the Patient Dignity Inventory (PDI) questionnaire in Italian patients on oncological active treatments.


After the translation procedures, the PDI was administered to 266 patients along with other questionnaires to assess the psychometric properties of the Italian version of PDI. Factor structure was tested by both explorative and confirmatory factor analyses. Concurrent validity was tested through convergent and divergent validity with validated questionnaires inquiring about physical and psychological symptoms, and religiosity. The test/retest reliability was assessed through the concordance coefficient of Linn (two weeks interval, 80 patients).


The explorative analysis suggested one factor only loading highly on all the 25 items (>.45) and explaining the 48% of variance; confirmative analysis and Cronbach alpha (0.96) confirmed the adequacy of the one-factor model. In the 2 weeks test-retest study a concordance coefficient of 0.73 (95% C.I.:0.64; 0.83) was found. High correlations of problems with dignity were found with both physical and psychological symptoms (0.52 and 0.64 rho coefficient, respectively), and moderate inverse correlation with spiritual well being (-.40). The dignity construct, as measured by PDI; showed to be orthogonal to that of religiosity (-.02).


The Italian version of PDI is a valid and reliable tool to evaluate the dignity related-distress in out-patients with either solid and haematological cancers, on active oncological treatments, in non advanced stage of the disease.


All authors have declared no conflicts of interest.