cancer fatigue scale

Then, the responses to the remaining 27 items were assessed by factor analysis followed by varimax rotation. Accepted: 2020 Mar 12;23(1):53-58. doi: 10.1298/ptr.E10003. Long-term cancer survivor fatigue is under-reported, underdiagnosed, and undertreated. Second, this scale was specifically designed to reflect the nature of cancer-related fatigue, and to assess the physical, affective, and cognitive aspects of fatigue. The best measure of fatigue comes from the way you describe your fatigue level to your cancer care team. 1 2 3 4 5, 15 Do you feel such fatigue that you don't know what to do with yourself? Of the participants, 40.2% had physical impairments with a Performance Status of 1 or greater. Further research is needed to investigate the discriminative validity of the CFS with regard to affective aspect of fatigue. What do cancer patients mean when they complain of concentration and memory problems?. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. You can describe your level of fatigue as none, mild, moderate, or severe. The subjects in the present study were outpatients and inpatients with cancer at the National Cancer Center Hospital East, Japan. Usually, it comes on suddenly, does not result from activity or exertion, and is not relieved by rest or sleep. Fighting Cancer Fatigue. They do have some merit in their simplicity, however. It can happen at varying points in the cancer experience. The prevalence of psychiatric disorders among cancer patients. We gratefully acknowledge the assistance of Dr. Satoshi Sasaki, MD, PhD, of the Epidemiology and Biostatistics Division, National Cancer Center Research Institute East, Japan for supervising the statistical analysis. The average age of the participants was 61 years (range, 35–84 years). Clipboard, Search History, and several other advanced features are temporarily unavailable. A qualitative study to explore the concept of fatigue/tiredness in cancer patients and in healthy individuals. Epub 2015 Feb 2. The second subscale consisted of 4 items that assessed affective activity, and we called it the affective subscale. Cancer-related fatigue (CRF) is characterized by feelings of tiredness, weakness, and lack of energy, and is distinct from the "normal" drowsiness experienced by … Cancer 2000;89:1634-1646, with permission from John Wiley & Sons, Inc. These scales are brief enough to assess fatigue in cancer patients but, like the Pearson–Byars, may be difficult to translate. It can range from mild to severe, and may be either temporary or a long-term effect. The Functional Assessment of Cancer Therapy Fatigue (FACT-F) subscale 31 is a 13-item scale, mainly used in interventional studies. 2020 Jan-Dec;19:1534735420917211. doi: 10.1177/1534735420917211. Construct validity was evaluated based on whether repeating factor analysis reproduced the factor loading pattern that was seen in the scale development phase.  |  Thirty-two patients asked to complete both HADS and MMS concurrently. Measuring fatigue and other anemia-related symptoms with the functional assessment of cancer therapy (FACT) measurement system. Side effects and emotional distress during chemotherapy. Integr Cancer Ther. The scale development phase involved the development of a draft scale, completion of the draft questionnaire by cancer patients, and the development of the final Cancer Fatigue Scale (CFS) based on factor analysis. Fatigue in women treated with bone marrow transplantation for breast cancer a comparison with women with no history of cancer. Relations between the symptoms and the feeling of fatigue. The average time required by 30 Palliative Care Unit outpatients to complete the questionnaire was 132.9 seconds (SD = 77.2, median = 111.5 seconds). J Patient Rep Outcomes. Or you can use a scale of 0 to 10, where 0 means no fatigue at all, and 10 means the worst fatigue you can imagine. 2018 Feb 23;48(1):124-130. doi: 10.3906/sag-1707-125. *Subtractions adjust for 0 as a state of no fatigue. In particular, item 9, which uses the word “fed-up” (. Fatigue. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. The CFS had good stability (average test-retest reliability r = 0.69, P < 0.001) and good internal consistency (Cronbach's alpha coefficient for all 15 items = 0.88). 7 Most commonly, fatigue is found as one item on a scale measuring functional status or evaluating mood or as an item in a toxicity report. On average, cancer-related fatigue is "more severe, more distressing, and less likely to be relieved by rest" than fatigue experienced by healthy people. The six interference items correlate with standard quality-of … NIH The purpose of the present study was to develop a brief self-rating scale for assessing cancer-related fatigue and to validate the new scale using the responses of cancer patients. We also reviewed published papers about fatigue, and some items selected were based on these papers. It was developed in the mid-1990’s to meet a growing demand for more precise evaluation of fatigue associated with anemia in cancer patients. Convergent validity was evaluated by calculating Pearson's correlations between the CFS scores and the VAS scores. We also thank the staff at the National Cancer Center Hospital East, Japan especially Shigeru Imoto, MD, PhD, of the Division of Breast Surgery, as well as Yurie Sugihara, BA, Yuko Kojima, RN, Kumiko Harada, RN, and Ms. Miho Sakai, of the Psycho-Oncology Division, National Cancer Research Institute East, Japan, for their research assistance. We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). Psychological problems associated with diagnosis and treatment of lymphomas. This report describes the development and validation of the Cancer Fatigue Scale, which is composed of 3 factors and 15 items. Until very recently, fatigue has not been measured routinely in many diseases, such as cancer, despite its impact on patients and its effect on quality of life. Focused Health Assessment PHYSICAL ASSESSMENT SYMPTOM ASSESSMENT Vital Signs Prior studies showed that the prevalence of fatigue is greater than 50% for advanced cancer patients. We developed a 58-item draft questionnaire. Cancer patients who had not participated in the scale development phase were asked to complete the CFS. Rhoten D. Fatigue and the postsurgical patient. Multilingual translation of the Functional Assessment of Cancer Therapy (FACT) quality of life measurement system. Construct validity, confirmed by repeating factor analysis, was good. Educational and Industrial Testing Service, Test–Retest Reliability and Telephone Usage, Demographic and Clinical Characteristics of the Subjects in Validation Phase (, Factor Loading Pattern (Followed by Varimax Rotation) of the Cancer Fatigue Scale in Validation Phase (, Descriptive Data and Reliability of the Cancer Fatigue Scale in Validation Phase, Intersubscale Correlations Between the Separate Cancer Fatigue Scale Factors in Validation Phase (, Correlations between the Cancer Fatigue Scale and VAS, PS, HADS, and MMS. It is possible to manage fatigue. Depression and anxiety are two of the most prevalent psychiatric symptoms in cancer patients. It is a reliable, valid and parsimonious, 6-item, instrument that measures cancer-related fatigue on a physical and perceptual dimension. Fatigue and its associated factors in ambulatory cancer patients a preliminary study. J Pain Symptom Manage. Cancer-related fatigue is a common side effect during cancer treatment, and research demonstrates that it is a troubling, lingering side effect for many long-term survivors. Each of the three subscales and the total scale of the CFS demonstrated high internal consistency, and the strong correlation in the test–retest reliability data suggests that each subscale and total scale provides good reliability. For some, it is the most distressing symptom. First, patient populations were large but heterogeneous. Holley SK. At its worst, cancer-related fatigue is a draining, unrelenting exhaustion that impedes the ability to enjoy life and carry out daily activities. The associations between the CFS and the ECOG Performance Status, HADS, and MMS were also assessed by calculating Pearson's correlation coefficients. This study consisted of two phases: scale development and validation. Factors contributing to emotional distress during cancer chemotherapy. HADS and MMS were selected for comparison with the CFS based on the results of our factor analysis of the responses to the draft questionnaire. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. The present study indicates that the CFS is a brief, valid, and feasible measure of fatigue for use with cancer patients. The most frequent cancer site was the lung (26.2%), followed by the colon (18.7%). The Performance Status significantly correlated with the physical subscale scores. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. Furthermore, they only allow for a limited number of possible responses. Schad F, Thronicke A, von Trott P, Oei SL. We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale Fatigue is also a common symptom of some types of cancer. In addition, ambulatory cancer patients from the Palliative Care Unit were asked to complete the questionnaire on two occasions to investigate the possibility of using the CFS over the telephone. An English version of the complete scale is presented in, Another 307 cancer patients who had not participated in the scale development phase participated in the validation phase (. The Schwartz Cancer Fatigue Scale (SCFS) was developed specifically to measure cancer-related fatigue. 2015 Aug;19(4):427-32. doi: 10.1016/j.ejon.2014.12.004. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Certain cancers such as breast and prostate cancer can change the levels of hormones in your body. Please enable it to take advantage of the complete set of features! 1 2 3 4 5, 4 Do you feel you have become careless? This site needs JavaScript to work properly. It may be related to the disease itself or cancer treatment and may continue beyond completion of treatment among long-term cancer survivors. Higher scores reveal more severe fatigue. Unidimensional scales also are not suitable for the in-depth study of fatigue because they assess only one aspect of fatigue. Finally, the third factor, the affective aspect of fatigue, is unlikely to be related to positive wording because several items that had negative wording and were concerned with the affective aspect of fatigue also loaded this factor in the development phase, although these items were deleted because their loadings were less than 0.65. 2020 Jan-Dec;19:1534735420963780. doi: 10.1177/1534735420963780. Oei SL, Thronicke A, Kröz M, von Trott P, Schad F, Matthes H. Integr Cancer Ther. Convergent validity was shown by the significant correlations between each subscale of the CFS and the VAS of fatigue, which is widely used for assessing fatigue; this result indicated that the three factors we identified, namely physical, affective, and cognitive aspects of fatigue, reflect the patients' perception of fatigue. Its internal consistency was found to be α=0.95 for physical functioning and the test–retest reliability as r=0.90. Frequency and correlates of fatigue in lung cancer patients receiving radiation therapy. We chose the translation methodology developed by Bonomi et al. Cross-cultural adaptation, reliability, and validity of the Turkish version of the Cancer Fatigue Scale in patients with breast cancer. Cronbach's alpha coefficients for this patient sample were 0.90, 0.78, 0.79, and 0.88 for the physical subscale, affective subscale, cognitive subscale, and total scale, respectively. Reliability was evaluated by calculating Cronbach's alpha coefficient, a measure of the internal consistency of responses to a group of items. Instruments for assessing the fatigue experienced by cancer patients must have three qualities: First, the format must be based on self-rating, because fatigue is a subjective symptom, and the questionnaire must be brief and simple enough to be completed by cancer patients suffering from fatigue. 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