TY - JOUR
T1 - Psychometric and Clinical Assessment of the 10-Item Reduced Version of the Fatigue Scale-Child Instrument
AU - Hinds, Pamela S.
AU - Yang, Jie
AU - Gattuso, Jami S.
AU - Hockenberry, Marilyn
AU - Jones, Heather
AU - Zupanec, Sue
AU - Li, Chenghong
AU - McLaughlin Crabtree, Valerie
AU - Mandrell, Belinda N.
AU - Schoumacher, Robert A.
AU - Vallance, Kelly
AU - Sanford, Stacy
AU - Srivastava, Deo Kumar
N1 - Funding Information:
This study was supported in part by Cancer Center Support CA 21765 from the National Cancer Institute ; grant R01NR007610 from the National Institute of Nursing Research ; a FIRE grant from the Oncology Nurses Foundation ; and the American Lebanese Syrian Associated Charities (ALSAC) . Fatigue Initiative Through Research & Education (FIRE).
PY - 2010/3
Y1 - 2010/3
N2 - Fatigue is one of the most debilitating conditions associated with cancer and anticancer therapy. The lack of reliable and valid self-report instruments has prevented accurate assessment of fatigue in pediatric oncology patients. The purpose of this study was to identify the most sensitive and specific score, that is, the "cut score," on the Fatigue Scale-Child (FS-C) to identify those children with high cancer-related fatigue in need of clinical intervention. We first used Rasch methods to identify the items on the FS-C that distinguished children with high cancer-related fatigue from other children; our findings indicated that the FS-C needed to be reduced from 14 items to 10 items. We then assessed the 10-item FS-C for its psychometric properties and applied the receiver operating characteristics curve analysis to the FS-C responses from 221 children (aged 7-12 years) receiving anticancer treatment. The cut score identified with 75% sensitivity and 73.5% specificity was 12; 73 (33%) patients scored 12 or higher. Findings from this validated instrument provide a needed guide for clinicians to interpret fatigue scores and provide clinical interventions for this debilitating condition to their pediatric patients with cancer.
AB - Fatigue is one of the most debilitating conditions associated with cancer and anticancer therapy. The lack of reliable and valid self-report instruments has prevented accurate assessment of fatigue in pediatric oncology patients. The purpose of this study was to identify the most sensitive and specific score, that is, the "cut score," on the Fatigue Scale-Child (FS-C) to identify those children with high cancer-related fatigue in need of clinical intervention. We first used Rasch methods to identify the items on the FS-C that distinguished children with high cancer-related fatigue from other children; our findings indicated that the FS-C needed to be reduced from 14 items to 10 items. We then assessed the 10-item FS-C for its psychometric properties and applied the receiver operating characteristics curve analysis to the FS-C responses from 221 children (aged 7-12 years) receiving anticancer treatment. The cut score identified with 75% sensitivity and 73.5% specificity was 12; 73 (33%) patients scored 12 or higher. Findings from this validated instrument provide a needed guide for clinicians to interpret fatigue scores and provide clinical interventions for this debilitating condition to their pediatric patients with cancer.
KW - Pediatric
KW - ROC
KW - Rasch
KW - fatigue
KW - oncology
KW - patient-reported outcome
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U2 - 10.1016/j.jpainsymman.2009.07.015
DO - 10.1016/j.jpainsymman.2009.07.015
M3 - Article
C2 - 20303031
AN - SCOPUS:77949469082
SN - 0885-3924
VL - 39
SP - 572
EP - 578
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
IS - 3
ER -
