The development and preliminary testing of an instrument for assessing fatigue self-management outcomes in patients with advanced cancer

Chan, Raymond Javan, Yates, Patsy, & McCarthy, Alexandra L. (2017) The development and preliminary testing of an instrument for assessing fatigue self-management outcomes in patients with advanced cancer. Cancer Nursing, 40(1), pp. 48-57.

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Abstract

Background

  • Fatigue is one of the most distressing and commonly experienced symptoms in patients with advanced cancer. Although the self-management (SM) of cancer-related symptoms has received increasing attention, no research instrument assessing fatigue SM outcomes for patients with advanced cancer is available.

Objectives

  • to describe the development and preliminary testing of an interviewer administered instrument for assessing the frequency, and perceived levels of effectiveness and self-efficacy associated with fatigue SM behaviors in patients with advanced cancer.

Methods

  • The development and testing of the Self-efficacy in Managing Symptoms Scale- Fatigue Subscale for Patients with Advanced Cancer (SMSFS-A) involved a number of procedures: item-generation using a comprehensive literature review and semi-structured interviews, content validity evaluation using expert panel reviews, and face validity and test-retest reliability evaluation using pilot testing.

Results

  • Initially, 23 items (22 specific behaviors with one global item) were generated from the literature review and semi-structured interviews. After two rounds of expert panel review, the final scale was reduced to 17 items (16 behaviors with one global item). Participants in the pilot test (n=10) confirmed that the questions in this scale were clear and easy to understand. Bland-Altman analysis showed agreement of results over a one-week interval.

Conclusions

  • The SMSFS-A items were generated using multiple sources. This tool demonstrated preliminary validity and reliability.

Implications for practice

  • The SMSFS-A has the potential to be used for clinical and research purposes. Nurses can use this instrument for collecting data to inform the initiation of appropriate fatigue SM support for this population.

Impact and interest:

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ID Code: 92117
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Advanced cancer, Fatigue, Cancer-related fatigue, Instrument development, Reliability, Self-efficacy, Self-management, Validity
DOI: 10.1097/NCC.0000000000000347
ISSN: 1538-9804
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > ONCOLOGY AND CARCINOGENESIS (111200) > Oncology and Carcinogenesis not elsewhere classified (111299)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2015 Wolters Kluwer Health, Inc.
Copyright Statement: This is a non-final version of an article published in final form in (provide complete journal citation)
Deposited On: 21 Jan 2016 03:08
Last Modified: 25 Jan 2017 16:50

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