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- Title
Psychometric Properties of the Functional Assessment of Cancer Therapy-General for Evaluating Quality of Life in Patients With Life-Limiting Illness in the Emergency Department.
- Authors
Yusufov, Miryam; Adeyemi, Oluwaseun; Flannery, Mara; Bouillon-Minois, Jean-Baptiste; Van Allen, Kaitlyn; Cuthel, Allison M.; Goldfeld, Keith S.; Ouchi, Kei; Grudzen, Corita R.
- Abstract
Background: The Functional Assessment of Cancer Therapy-General (FACT-G) is a widely used quality-of-life measure. However, no studies have examined the FACT-G among patients with life-limiting illnesses who present to emergency departments (EDs). Objective: The goal of this study was to examine the psychometric properties of the FACT-G among patients with life-limiting illnesses who present to EDs in the United States. Methods: This cross-sectional study pooled data from 12 EDs between April 2018 and January 2020 (n = 453). Patients enrolled in the study were adults with one or more of the four life-limiting illnesses: advanced cancer, Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, or End-Stage Renal Disease. We conducted item, exploratory, and confirmatory analyses (exploratory factor analysis [EFA] and confirmatory factor analysis [CFA]) to determine the psychometric properties of the FACT-G. Results: The FACT-G had good internal consistency (Cronbach's alpha α = 0.88). The simplest EFA model was a six-factor structure. The CFA supported the six-factor structure, evidenced by the adequate fit indices (comparative fit index = 0.93, Tucker–Lewis index = 0.92, root-mean-square error of approximation = 0.05; 90% confidence interval: 0.04 – 0.06). The six-factor structure comprised the physical, emotional, work and daily activities-related functional well-being, and the family and friends-related social well-being domains. Conclusions: The FACT-G is a reliable measure of health-related quality of life among patients with life-limiting illnesses who present to the ED. Clinical Trial Registration: NCT03325985.
- Subjects
RESEARCH; CHRONIC kidney failure; WELL-being; HOSPITAL emergency services; CONFIDENCE intervals; RESEARCH evaluation; TERMINALLY ill; RESEARCH methodology evaluation; CROSS-sectional method; ACTIVITIES of daily living; PSYCHOMETRICS; FUNCTIONAL assessment; CRONBACH'S alpha; TUMOR classification; PHYSICAL activity; QUALITY of life; DESCRIPTIVE statistics; OBSTRUCTIVE lung diseases; EMPLOYMENT; INTERPERSONAL relations; RESEARCH funding; CANCER patient medical care; HEART failure
- Publication
Journal of Palliative Medicine, 2024, Vol 27, Issue 1, p63
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2022.0270