Preliminary results of the generation of a shortened quality-of-life assessment for patients with advanced cancer: The FACIT-Pal-14

Liang Zeng, Gillian Bedard, David Cella, Nemica Thavarajah, Emily Chen, Liying Zhang, Margaret Bennett, Kenneth Peckham, Sandra De Costa, Jennifer L. Beaumont, May Tsao, Cyril Danjoux, Elizabeth Barnes, Arjun Sahgal, Edward Chow*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Objective: Shortened quality-of-life (QOL) tools are advantageous in palliative care patients. Development of such tools begins with the identification of issues relevant to a population. The purpose of this study was to identify the most important items of the Functional Assessment of Chronic Illness Therapy-Palliative Care (FACIT-Pal) to create an abbreviated questionnaire for future palliative care trials. Methods: A convenience sample of patients and health care professionals (HCPs) assessed the relevance of each item of the FACIT-Pal and whether they would include the item in a final questionnaire. Patients and HCPs identified their top 10 most important issues and were asked whether items were inappropriate, upsetting, or irrelevant; a shortened questionnaire was generated from this input. Results: Sixty patients and 56 HCPs participated. The median score in the Karnofsky Performance Scale (KPS) of patients was 70, and the majority of HCPs were radiation oncologists. The 46-item questionnaire was shortened to 14 questions, retaining several items from the Functional Assessment of Cancer Therapy-General (FACT-G) as well as issues pertaining specifically to palliative care patients. Items within the emotional, physical, and functional well-being subscales were retained along with those for various symptoms including constipation, nausea, dyspnea, and sleep. No new content beyond what is covered by the FACIT-Pal was identified consistently by either HCPs or patients. Similarly, no item was consistently rated as being inappropriate, upsetting, or irrelevant in the 14-item questionnaire. Conclusion: The FACIT-Pal-14, a shortened 14-item questionnaire has been generated for the palliative care population. Future studies should complete psychometric validation of this instrument for the assessment of QOL in palliative care patients.

Original languageEnglish (US)
Pages (from-to)509-515
Number of pages7
JournalJournal of palliative medicine
Issue number5
StatePublished - May 1 2013

ASJC Scopus subject areas

  • Nursing(all)
  • Anesthesiology and Pain Medicine


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