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Quality of Life Research

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09-07-2024

Development of a PROMIS multidimensional cancer-related fatigue (mCRF) form using modern psychometric techniques

Auteurs: Cai Xu, Chris Sidey-Gibbons, Tamara E. Lacourt

Gepubliceerd in: Quality of Life Research | Uitgave 9/2024

Abstract

Purpose

To develop a PRO assessment of multidimensional cancer-related fatigue based on the PROMIS fatigue assessments.

Method

Cancer patients reporting fatigue were recruited from a comprehensive cancer care center and completed a survey including 39 items from the PROMIS Cancer Item Bank-Fatigue. Component and factor structures of the fatigue items were explored with Monte Carlo parallel factor and Mokken analyses, respectively. Psychometric properties were determined using item response theory, ensuring unidimensionality, scalability, and item independence.

Results

Fatigue scores from a sample of 333 fatigued cancer patients (mean age = 59.50, SD = 11.62, 67% women) were used in all scale development analyses. Psychometric analyses yielded 3 dimensions: motivational fatigue (15 items), cognitive fatigue (9 items), and physical fatigue (9 items). The subscales showed strong unidimensionality, were scalable, and were free of differential item function. Confirmatory factor analyses in a new sample of 182 patients confirmed the findings.

Conclusion

The resulting 33-item PROMIS multidimensional cancer-related fatigue (mCRF) form provides a novel measure for the assessment of the different dimensions of cancer-related fatigue. It is the only multidimensional scale specific for cancer patients that has been developed using modern psychometric approaches. With its 3 dimensions (motivational, cognitive, and physical fatigue), this scale accurately captures the fatigue experienced by cancer patients, allowing clinicians to optimize fatigue management and improve patient care. The scale could also advance research on the nature and experience of cancer-related fatigue.

vorige artikel Correction: Introduction and validation of the open symptom framework: a public domain modular framework for patient-reported measurement of symptoms related to cancer and its treatment

volgende artikel How do patients interpret and respond to a novel patient-reported eastern cooperative oncology group performance status (ECOG)?

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Titel: Development of a PROMIS multidimensional cancer-related fatigue (mCRF) form using modern psychometric techniques
Auteurs: Cai Xu
Chris Sidey-Gibbons
Tamara E. Lacourt
Publicatiedatum: 09-07-2024
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 9/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-024-03705-0

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