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Validity and reliability of a new instrument to measure cancer-related fatigue in adolescents.

Publication ,  Journal Article
Hinds, PS; Hockenberry, M; Tong, X; Rai, SN; Gattuso, JS; McCarthy, K; Pui, C-H; Srivastava, DK
Published in: Journal of pain and symptom management
December 2007

Adolescents undergoing treatment for cancer rate fatigue as their most prevalent and intense cancer- and treatment-related effect. Parents and staff rate it similarly. Despite its reported prevalence, intensity, and distressing effects, cancer-related fatigue in adolescents is not routinely assessed during or after cancer treatment. We contend that the insufficient clinical attention is primarily due to the lack of a reliable and valid self-report instrument with which adolescent cancer-related fatigue can be measured. Our aim was to determine the reliability and construct validity of a new instrument and its ability to measure change in fatigue over time. Initial testing involved 64 adolescents undergoing curative treatment of cancer who completed the Fatigue Scale-Adolescent (FS-A) at two to four key points in treatment in one of four studies. Internal consistency estimates ranged from 0.67 to 0.95. Validity estimates involving the FS-A with the parent version ranged from 0.13 to 0.76; estimates involving the staff version and the Reynolds Depression Scale were 0.27 and 0.87, respectively. Additional validity findings included significant fatigue differences between anemic and nonanemic patients (P=0.042) and the emergence of four factors in an exploratory factor analysis. Findings further indicate that the FS-A can be used to measure change over time (t=2.55, P<0.01). In summary, the FS-A has moderate to strong reliability and impressive validity coefficients for a new research instrument.

Duke Scholars

Published In

Journal of pain and symptom management

DOI

EISSN

1873-6513

ISSN

0885-3924

Publication Date

December 2007

Volume

34

Issue

6

Start / End Page

607 / 618

Related Subject Headings

  • Surveys and Questionnaires
  • Reproducibility of Results
  • Neoplasms
  • Male
  • Humans
  • Female
  • Fatigue
  • Anesthesiology
  • Adolescent
  • 42 Health sciences
 

Citation

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ICMJE
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Hinds, P. S., Hockenberry, M., Tong, X., Rai, S. N., Gattuso, J. S., McCarthy, K., … Srivastava, D. K. (2007). Validity and reliability of a new instrument to measure cancer-related fatigue in adolescents. Journal of Pain and Symptom Management, 34(6), 607–618. https://doi.org/10.1016/j.jpainsymman.2007.01.009
Hinds, Pamela S., Marilyn Hockenberry, Xin Tong, Shesh N. Rai, Jamie S. Gattuso, Kathleen McCarthy, Ching-Hon Pui, and Deo Kumar Srivastava. “Validity and reliability of a new instrument to measure cancer-related fatigue in adolescents.Journal of Pain and Symptom Management 34, no. 6 (December 2007): 607–18. https://doi.org/10.1016/j.jpainsymman.2007.01.009.
Hinds PS, Hockenberry M, Tong X, Rai SN, Gattuso JS, McCarthy K, et al. Validity and reliability of a new instrument to measure cancer-related fatigue in adolescents. Journal of pain and symptom management. 2007 Dec;34(6):607–18.
Hinds, Pamela S., et al. “Validity and reliability of a new instrument to measure cancer-related fatigue in adolescents.Journal of Pain and Symptom Management, vol. 34, no. 6, Dec. 2007, pp. 607–18. Epmc, doi:10.1016/j.jpainsymman.2007.01.009.
Hinds PS, Hockenberry M, Tong X, Rai SN, Gattuso JS, McCarthy K, Pui C-H, Srivastava DK. Validity and reliability of a new instrument to measure cancer-related fatigue in adolescents. Journal of pain and symptom management. 2007 Dec;34(6):607–618.
Journal cover image

Published In

Journal of pain and symptom management

DOI

EISSN

1873-6513

ISSN

0885-3924

Publication Date

December 2007

Volume

34

Issue

6

Start / End Page

607 / 618

Related Subject Headings

  • Surveys and Questionnaires
  • Reproducibility of Results
  • Neoplasms
  • Male
  • Humans
  • Female
  • Fatigue
  • Anesthesiology
  • Adolescent
  • 42 Health sciences