Psychometric Properties of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) in Chinese Patients Receiving Maintenance Dialysis》.pdf

Vol. 49 No. 1 January 2015 Journal of Pain and Symptom Management 135 Brief Methodological Report Psychometric Properties of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) in Chinese Patients Receiving Maintenance Dialysis Si-Yuan Wang, RN, BSN, Xiao-Ying Zang, RN, PhD, Jun-Duo Liu, MD, Min Gao, RN, BSN, Mei Cheng, RN, MD, and Yue Zhao, RN, PhD School of Nursing (S.-Y.W., X.-Y.Z., M.C., Y.Z.), Tianjin Medical University, and Organ Transplant Center (J.-D.L., M.G.), Tianjin First Center Hospital, Tianjin, China; and School of Nursing (M.C.), Binzhou Medical University, Binzhou, China Abstract Context. Fatigue is a common symptom reported by patients with end-stage renal disease, and it can significantly decrease patients’ quality of life. A brief and convenient fatigue assessment tool is needed for Chinese patients on maintenance dialysis. Objectives. To determine the psychometric characteristics of the Chinese version of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT- Fatigue) in patients receiving maintenance dialysis. Methods. The Chinese version of the FACIT-Fatigue was obtained from the FACIT system. Test-retest reliability of this scale was examined using intraclass correlation coefficients, and the internal consistency was calculated by Cronbach’s alpha. Content validity was examined using the content validity index (CVI), scale- level CVI/universal agreement, and scale-level CVI/average agreement. Construct validity was tested using Pearson product-moment correlations of the FACIT-Fatigue scores with the Revised Piper Fatigue Scale, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index, and disease characteristics during the same period. Results. A total of 172 patients (111 males and 61 females, mean age 52.6 12.5 years) completed this study, with a median FACIT-Fatigue score of 41 (first and third quartile