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Test-Retest Reliability and Mode Effects on Single-Item and Multi-Item Measures in a Survey of Adolescent and Young Adults with Cancer

Year: 2026
Type: article
Abstract: PURPOSE: This project examined test-retest reliability and survey mode administration across single-item and multi-item measures among adolescent and young adult (AYA) cancer survivors. METHODS: Forty-six AYAs randomly assigned to survey mode (phone, online, and paper) completed the survey and were invited to complete the survey again 1 week later. RESULTS: Mode effects were found on 6% of single-items and 25% of multi-item scores. Reliability was low for 52% of single-items and 8% of multi-item scores. CONCLUSION: Multi-item measures should generally be used over single-item measures due to better reliability, but single-item measures may be preferable when mode effects are large.
DOI: 10.1177/21565333251414792
Authors: Salene M.W. Jones, Theresa H.M. Keegan, Erin E. Hahn, Hazel B. Nichols, Ellen S. O’Meara, Marlaine Figueroa Gray, Karen J. Wernli, Candice A.M. Sauder, Anne C. Kirchhoff, Cecile A. Laurent, Lawrence H. Kushi, Jessica Chubak
Institutions: Fred Hutch Cancer Center, University of California, Davis, Kaiser Permanente, University of North Carolina at Chapel Hill, Kaiser Permanente Washington Health Research Institute, Huntsman Cancer Institute, Kaiser Permanente Northern California
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W7122833476
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Cites: 34
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