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01-02-2014 | Brief Communication | Uitgave 1/2014

Quality of Life Research 1/2014

The Functional Living Index-Cancer is a reliable and valid instrument in Chinese cancer patients

Tijdschrift:
Quality of Life Research > Uitgave 1/2014
Auteurs:
Daniel Y. T. Fong, Alvina H. K. Lee, Stewart Y. Tung, Janet Y. H. Wong, Y. M. Chan, Cynthia R. Goh, Y. B. Cheung

Abstract

Purpose

To evaluate the linguistic and psychometric properties of the Functional Living Index-Cancer (FLIC) in assessing the quality of life of Chinese cancer patients.

Methods

The English FLIC was translated into Traditional Chinese by the standard forward–backward procedure. After cognitive debriefing, a Traditional Chinese FLIC was administered to 500 cancer patients in a major public hospital in Hong Kong. Of which, 200 were invited to complete the questionnaire in 2 weeks. To identify a scale structure appropriate to Chinese, exploratory and confirmatory factor analyses were performed on two randomly split halves of the sample.

Results

We identified five scales of the Traditional Chinese FLIC which assess the physical, psychological, hardship, nausea and social aspects. These five scales and the overall scale demonstrated satisfactory fit and had the alpha coefficient ranged from 0.68 to 0.92. The intra-class correlation coefficient ranged from 0.67 to 0.88. In addition, all FLIC scales were negatively associated with the Eastern Cooperative Oncology Group performance status and, also except for the psychological scale, had lower scores in patients who were treated by chemotherapy.

Conclusions

The Traditional Chinese FLIC is an appropriate health indicator for Chinese cancer patients.

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