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 MODES OF ADMINISTRATION
The FACIT scales are designed for patient self-administration, but can also be
administered by interview format (person-to-person and over the telephone).
Interview administration is considered appropriate given adequate training of
interviewers so as to elicit non-biased patient responses. One of the aims of a
large multicenter study of cancer and HIV patients (N=1615) was to test the psychometric
properties and statistical equivalence of the English and Spanish language versions of
the FACT subscales across literacy level (low vs. high) and mode of administration
(self vs. interview). Technical equivalence across mode of administration was demonstrated
in the high literacy patients; there were few differences in data quality or psychometric
measurement properties of the FACT-G. Technical equivalence between modes of administration
with the FACT permits unbiased assessment of the impact of chronic illnesses and their
treatments on patients from diverse backgrounds (Hahn, E.A., & Cella, D. (1997). Unbiased
quality of life measurement across literacy levels and mode of administration. Quality of Life Research, 6(140), 654.).
We have additional data to support the appropriateness of computer-administered versions
of the questionnaire, including a multimedia touchscreen program (Hahn, E.A., et al.
(in press). The Talking Touchscreen: a new approach to outcomes assessment in low literacy.
Psycho-Oncology.) We are currently exploring other novel approaches such as computer
automated telephone management, and web-based applications of the FACIT scales. Across
these modes of administration, while there are always small differences, we have
found essential equivalence.
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