Validation of the Canadian Version of the Shame and Stigma Scale for Head and Neck Cancer Patients
Round 1
Reviewer 1 Report
great work as you are making sure the tool is relevant for the Canadian context
wonderful
and you did in both official languages
I just have some questions which are inside the manuscript about the number of measures, important to address the limitations and clarify some part of the design
Comments for author File: Comments.pdf
Author Response
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Author Response File: Author Response.docx
Reviewer 2 Report
Dear Authors
This paper deals with a very interesting and pertinent topic since this type of patients require a lot of care in addition to the physical ones.
The validation and adaptation of scales to detect health problems is fundamental to correct these problems in all societies and in all types of people.
Technically the paper seems to me to be totally correct and the statistical analyses used are appropriate to achieve the objective.
I will only make a few minor comments
Minor issues
In the Abstract it is mentioned that 258 patients have been taken. In the results, 254 patients are mentioned.
It would be good to clarify what the correct figure is. It is also said that it is a strength of the work to have 258 patients. Then a study should have been made of the sample size and how this sample has been taken. In another case a study of the statistical power of this sample can be shown.
Furthermore, I consider that the sample size is not a result and should be, even before the Data Analysis paragraph.
Regarding the descriptive, in this type of questionnaires, I consider that it is good to use also the mode since it is the most repeated result and therefore the most accepted by the majority. And it has a very good interpretation.
The tables should be self-explanatory, so all tables should be accompanied by an explanation of the acronyms (e.g. SD, PSI, IQR....).
Finally, I would like to make a recommendation for future work. It would be of great interest to carry out a study with this questionnaire validated with a gender perspective comparing the SSS results between men and women with face and neck cancer.
Author Response
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Author Response File: Author Response.docx