Reliability and Validity of the Functional Assessment of Chronic Illness Therapy-Palliative Care (FACIT-Pal) Scale

Abstract

The Functional Assessment of Chronic Illness Therapy (FACIT) system provides a general, multidimensional measure of health-related quality of life (FACT-G) that can be augmented with disease or symptom-specific subscales. The 19-item palliative care subscale of the FACIT system has undergone little psychometric evaluation to date. The aim of this paper is to report the internal consistency, factor structure, and construct validity of the instrument using the palliative care subscale (FACIT-Pal). Two hundred fifty-six persons with advanced cancer in a randomized trial testing a palliative care psychoeducational intervention completed the 46-item FACIT-Pal at baseline. Internal consistency was greater than 0.74 for all subscales and the total score. Seventeen of the 19 palliative care subscale items loaded onto the four factor solution of the established core measure (FACT-G). As hypothesized, total scores were correlated with measures of symptom intensity (r = −0.73, P < 0.001) and depression (r = −0.75, P < 0.001). The FACIT-Pal was able to discriminate between participants who died within three months of completing the baseline and participants who lived for at least one year after completing the baseline assessment (t = −4.05, P <0.001). The functional well-being subscale discriminated between participants who had a Karnofsky performance score (KPS) of 70 and below and participants with a KPS score of 80 and above (t = 3.40, P <0.001). The findings support the internal consistency reliability and validity of the FACITPal as a measure of health-related quality of life for persons with advanced cancer.

Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention

“…. 20,61,62 The ESAS is a nine-item patient-rated symptom scale developed and validated in cancer patients receiving palliative care (range 0-900, with higher scores indicating greater symptom intensity). 48,49 The HADS is a widely used 14-item instrument that measures symptoms of anxiety and depression.…”

ESC Guidelines for the Diagnosis And Treatment of Acute And Chronic Heart Failure 2008

“…Do takich skal należą: Palliative Care Outcome Scale [657], Skala Karnofsky'ego [658] oraz FACIT-Pal (Functional Assessment of Chronic Illness Therapy-Palliative Care) [659].…”

Verification of the psychometric properties of the Japanese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 palliative (EORTCQLQ-C15-PAL)

“…Several QOL assessment forms developed in the past have been examined to assess their reliability and validity for use in palliative care [3][4][5]. However, the only QOL assessment forms for use in palliative cancer care for which validity has been examined for use in Japan are the Japanese versions of the McGill Quality of Life Questionnaire (MQOL) [6] and The Care Notebook [7].…”