Psychometric properties of the Perform Questionnaire: a brief scale for assessing patient perceptions of fatigue in cancer (original) (raw)
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Oncology, 2006
Objectives: Fatigue has become a major issue of concern in the care of cancer patients, as it has been shown to compromise their quality of life in a significant and lasting way. However, there is a lack of economic and specific measures. The Fatigue Assessment Questionnaire (FAQ) has been developed based on thorough interviews and tested on a large mixed sample of cancer patients. The purposes of this paper are to test the psychometric properties of the FAQ and to provide norms for the German population. Methods: The FAQ was administered to a representative sample of the German population (1,340 female and 1,101 male participants) along with standardized scales of depression, mood and life satisfaction. Results: We could confirm that fatigue is multidimensional and can be measured by the scales of physical, affective and cognitive fatigue with good reliability and validity. The dependency of fatigue on sex and age makes it useful to have standard fatigue scores for oncological research as provided in this paper. Conclusion: The FAQ is a promising, differentiated, yet economic instrument for further use in oncological research.
Assessment of fatigue in cancer and non-cancer patients and in healthy individuals
Supportive Care in Cancer, 1993
Fatigue is a very complex phenomenon. It has been described as a major distressing symptom in cancer patients. It is a multidimensional experience that focuses not only on biochemical or pathophysiological causes, but also involves psychological and behavioural aspects. Until today, measurement of fatigue has been a neglected topic in medicine and nursing and a nihilistic attitude still prevails. The lack of valid, reliable tools of measurement is one of the problems inhibiting further research. Only recently has quality-oflife research begun to acknowledge this phenomenon and include fatigue in assessment. In this study, fatigue was measured and explored in cancer patients noncancer patients and in healthy individuals. A clear distinction evolved between "healthy" fatigue in healthy individuals and "unhealthy" fatigue in cancer patients, where the impact of fatigue was far more negative. Characteristic fatigue profiles underlined these findings. The new visual-analogue fatigue scale, to measure fatigue four times dally, proved to be very useful. Further research is needed to develop therapeutic strategies and to support the patients who have to cope with this distressing symptom.
Value in Health, 2009
Objectives: Existing instruments that measure the impact of cancerrelated fatigue on health-related quality of life do not usually incorporate the attitudes, beliefs and perspectives of patients. This study aimed to develop an instrument to measure the impact of cancer-related fatigue on the health-related quality of life of cancer patients. Methods: Items were generated from a literature review, focus groups of cancer patients and meetings with oncologists. Potential items were administered to cancer patients to facilitate item reduction, which was based on clinimetric and psychometric analyses and qualitative criteria. A preliminary assessment of feasibility, reliability and validity of the retained items was performed.
Clinical & Translational Oncology, 2008
Purpose Fatigue is a cancer-related symptom with great impact on patients’ daily lives, but often not discussed with their oncologists. This survey explored functional and psychological fatigue impact among different cancer symptoms according to patient’s perception (pp). Methods A cross-sectional, self-administered survey was conducted in 10 oncologist services throughout Spain. Demographical data and tumour diagnoses were collected. Fatigue impact on functional and social activities (Likert scale) and on emotional well-being (visual analogue scale) was measured. The pp of oncologist’s response to fatigue report was recorded. Results 505 surveyed cancer patients were analysed (55.2% women, aged 58.8 years ±11.7), 97.8% remembered experiencing fatigue during treatment. 27.1% did not discuss their fatigue with their oncologist. Fatigue affected patient’s daily routine (≥50% of times) included self-care (58.26%), entertainment activities (69.8%), and relationships (71.4%). Fatigue was the most bothersome symptom of cancer. Conclusions Cancer patients perceive fatigue as the symptom with highest impact on their daily living and that substantially affects their emotional and social areas.
Quality of Life Research, 2015
Purpose To identify patients having fatigue, it is necessary to assess the patients fatigue systematically. This study investigates three different approaches to the assessment of needs concerning fatigue in patients with advanced cancer and addresses the following questions. Methods In a cross-sectional nationwide survey, patients were asked about their needs concerning fatigue in three different ways: Fatigue intensity was measured with the European Organisation for Research and Treatment of Cancer quality of life questionnaire, fatigue burden (the extent fatigue was a problem) and fatigue felt need (whether the patient experienced an unmet need regarding their fatigue) was measured with the Three-Levels-of-Needs Questionnaire. The relations between these three approaches were investigated using cross-tabulations, polychromic correlations, receiver operating curves, and area under the curve. Results In total, 1447 patients participated (61 %). Of these, 34 % reported at least quite a bit fatigue (intensity), 36 % reported at least quite a bit fatigue burden, and 35 % reported experiencing an unmet need. There was a high correlation between fatigue intensity and fatigue burden (0.91). Fatigue intensity was also correlated with experiencing an unmet need and having at least a little fatigue predicted experiencing an unmet need. Conclusion Overall, no matter which approach was used, about a third of the patients had a need concerning fatigue. In nearly all cases, patients who had fatigue also experienced fatigue to be a problem. The QLQ-C30 item 'Were you tired' worked as a screening tool to identify patients experiencing an unmet need concerning fatigue.
Level of Fatigue Among Male Patients with Cancer
2019
Cancer-related fatigue (CRF) is one of the symptoms commonly experienced by cancer patients and has an impact on decreasing quality of life. The study aimed to explore the characteristics of cancer patients who experience cancer-related fatigue. The study involved 15 cancer patients using purposive sampling. The research instrument used a questionnaire characteristic of the research subjects and the Brief Fatigue Inventory. Descriptive data analysis using percentages and numbers. The results showed that most cancer patients experienced moderate fatigue, in the age range of the early elderly, stage III and received combination therapy. Fatigue in cancer patients is a symptom caused by multi factors. Cancer stage and type of treatment is one aspect that appears in the severity of perceived fatigue. CRF can occur in all phases of the disease, age, and type of treatment. Patient education about CRF needs to be done especially related to the management of fatigue that can be done both be...
Factors Associated to Cancer Related Fatigue: A Literature Review
Journal of A Sustainable Global South
Cancer related fatigue is one of the common problems that occur in patients with cancer. This condition is also experienced by cancer patients who receive chemotherapy, radiation therapy, bone marrow transplantation, or other cancer treatments. Continued of cancer related fatigue can disturb the quality of life of patients so that a good assessment and management of this condition is needed. The purpose of this study is for factors related to fatigue in cancer patients. These factors can be new scientific evidence for the treatment of fatigue in cancer patients. This was literature review study. Research data is collected from books, research results, journals, magazines and articles related to the research objectives. The results show that various factors associated to cancer related fatigue discussed in patients are hemoglobin level, type and amount of therapy, sleep quality, nutritional status, level of physical activity, psychological pressure, stress, infection status and comor...