title: Measurement invariance of the Illness Intrusiveness Ratings Scale's three-factor structure in men and women with cancer.
abstract: OBJECTIVE
  Illness- and treatment-related disruptions to valued activities and interests (illness intrusiveness) are central to quality of life in chronic disease and are captured by three subscales of the Illness Intrusiveness Ratings Scale (IIRS): the Instrumental, Intimacy, and Relationships and Personal Development subscales. Using individual (CFA) and multisample confirmatory factor analyses (MSCFA), we evaluated measurement invariance of the IIRS's 3-factor structure in men and women with cancer.
  
  
  METHODS
  Men (n = 210) and women (n = 206) with 1 of 4 cancer diagnoses (gastrointestinal, head and neck, lymphoma, lung) recruited from outpatient clinics completed the IIRS. In the MSCFA, we applied an analysis of means and covariance structures approach to test increasingly stringent equality constraints on factor structure parameters to evaluate weak, strong, and strict measurement invariance of the 3-factor structure between men and women.
  
  
  RESULTS
  Individual CFAs demonstrated fit of the hypothesized 3-factor structure for men and women, although more consistently for men. The 3-factor structure was superior to an alternative 1-factor structure. MSCFA results indicated that parameters of the 3-factor structure could be considered equivalent between the sexes up to the level of strong invariance. Strict invariance was not supported.
  
  
  CONCLUSIONS
  Overall, IIRS scores can be interpreted similarly for men and women with cancer. Illness intrusiveness can be considered as important in the psychosocial adaptation of people with cancer as it is for people affected by other chronic conditions.
authors.affiliation: Psychosocial Oncology and Palliative Care Program.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Mah
authors.affiliation: Department of Radiation Oncology.
authors.forename: Andrea
authors.initials: A
authors.lastname: Bezjak
authors.affiliation: Odette Cancer Centre.
authors.forename: D Andrew
authors.initials: DA
authors.lastname: Loblaw
authors.affiliation: Department of Psychiatry, St. Joseph's Health Centre.
authors.forename: Andrew
authors.initials: A
authors.lastname: Gotowiec
authors.affiliation: Ontario Cancer Institute.
authors.forename: Gerald M
authors.initials: GM
authors.lastname: Devins
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000534:rehabilitation*; D011446:Prospective Studies; D011594:Psychometrics / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology*; D015203:Reproducibility of Results; D012737:Sex Factors; D012803:Sick Role; D011795:Surveys and Questionnaires