Validation study of the Chinese version of the Brief Fatigue Inventory (BFI-C) 中文版量表.pdfVIP

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Validation study of the Chinese version of the Brief Fatigue Inventory (BFI-C) 中文版量表.pdf

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Validation study of the Chinese version of the Brief Fatigue Inventory (BFI-C) 中文版量表

322 Journal of Pain and Symptom Management Vol. 27 No. 4 April 2004Original Article Validation Study of the Chinese Version of the Brief Fatigue Inventory (BFI-C) Xin Shelley Wang, MD, Xi-Shan Hao, MD, Ying Wang, BS, Hong Guo, MD, Yong-Qin Jiang, RN, Tito R. Mendoza, PhD, and Charles S. Cleeland, PhD Department of Symptom Research (X.S.W., H.G., T.R.M., C.S.C.), Division of Anesthesiology and Critical Care, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA; and Tianjin Medical University Cancer Hospital (X.-S.H., Y.W., Y.-Q.J.), Tianjin, People’s Republic of China Abstract A cross-sectional study was conducted among 249 Chinese cancer patients with multiple diagnoses to validate a Chinese version of the Brief Fatigue Inventory (BFI-C). Cronbach’s coefficient alpha was 0.92 for fatigue severity items and 0.90 for fatigue interference items. Construct validity was explored by principal factor analysis and suggested a two-factor solution: fatigue severity and fatigue interference. Internal consistency reliability was excellent. Convergent validity was examined by correlating the BFI-C with 2 subscales and 2 component scores of the MOS 36-Item Short-Form Health Survey (coefficients ranged between 0.44 and 0.71, P 0.001). Known-group validity was examined by comparing fatigue severity in patients having different scores on the Eastern Cooperative Oncology Group Performance Status Scale. Approximately 60% of patients experienced moderate to severe fatigue (4 or greater on the 0–10 scale of the BFI-C “fatigue worst” item). The BFI-C is a valid, reliable instrument to measure the severity and impact of cancer-related fatigue among Chinese patients. J Pain Symptom Manage 2004;27:322–332. 2004 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved. Key Words Cancer-related fatigue, Chinese, validation, factor analysisscribing symptoms, measurement issues in the Address reprint requests to: Xin Shelley Wang, MD, Departme