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Validation of the 7-item Functional Assessment of Cancer Therapy-General (FACT-G7) as a short measure of quality of life in patients with advanced cancer.
- Source :
-
Cancer (0008543X) . Aug2020, Vol. 126 Issue 16, p3750-3757. 8p. - Publication Year :
- 2020
-
Abstract
- <bold>Background: </bold>Assessing quality of life is essential for individuals with advanced cancer, but lengthy assessments can be burdensome. The authors investigated the psychometric characteristics of the FACT-G7, a 7-item quality-of-life measure derived from the Functional Assessment of Cancer Therapy-General (FACT-G) scale, in advanced cancer.<bold>Methods: </bold>Data were obtained from outpatients with advanced cancer who were enrolled in a randomized controlled trial of early palliative care. At baseline, 228 intervention participants and 233 control participants (N = 461) completed the FACT-G and measures of symptom severity, quality of life near the end of life, problematic medical communication, and satisfaction with care. Follow-up measures were administered monthly for 4 months.<bold>Results: </bold>The FACT-G7 showed good internal consistency (Cronbach α = .72-.80), and its single-factor structure was supported. It correlated strongly with the FACT-G total, physical, and functional indices and with symptom severity (absolute r = 0.73-0.92); more moderately with the FACT-G emotional index and with symptom impact and preparation for the end of life (r = .40-.71); and least with the FACT-G social/family index and with relationship with health care provider, life completion, problematic medical communication, and care satisfaction measures (absolute r = .26-.44). Eastern Cooperative Oncology Group performance status groups differed on FACT-G7 scores, as expected (all P < .001). Improvements in FACT-G7 scores in the intervention group compared with the control group at 3-month (P = .049) and 4-month (P = .034) follow-up supported responsiveness to change and somewhat greater sensitivity than the FACT-G scores.<bold>Conclusions: </bold>The FACT-G7 is a valid, brief measure particularly of the physical and functional facets of quality of life. It may enable rapid quality-of-life assessments in patients with advanced cancer. [ABSTRACT FROM AUTHOR]
- Subjects :
- *FUNCTIONAL assessment
*MEDICAL personnel
*QUALITY of life
*MEDICAL communication
*CANCER patients
*TUMOR treatment
*RESEARCH methodology
*PSYCHOMETRICS
*TUMOR classification
*SEVERITY of illness index
*TREATMENT effectiveness
*QUESTIONNAIRES
*RESEARCH funding
*TUMORS
*PALLIATIVE treatment
TUMORS & psychology
Subjects
Details
- Language :
- English
- ISSN :
- 0008543X
- Volume :
- 126
- Issue :
- 16
- Database :
- Academic Search Index
- Journal :
- Cancer (0008543X)
- Publication Type :
- Academic Journal
- Accession number :
- 144725849
- Full Text :
- https://doi.org/10.1002/cncr.32981