The Functional Assessment of Cancer Therapy - General (FACT-G) is a 27-item questionnaire designed to measure four domains of HRQOL in cancer patients: Physical, social, emotional, and functional well-being. Original development and validation involved 854 patients with cancer and 15 oncology specialists. An initial pool of 370 overlapping items for breast, lung, and colorectal cancer was generated by open-ended interviews with patients experienced with the symptoms of cancer and oncology professionals. Using preselected criteria, items were reduced to a 38-item general version. Factor and scaling analyses of these 38 items on 545 patients with mixed cancer diagnoses resulted in the 27-item FACT-General (FACT-G). Coefficients of reliability and validity were uniformly high. The scale's ability to discriminate patients on the basis of stage of disease, performance status rating (PSR), and hospitalization status supports its sensitivity. It has also demonstrated sensitivity to change over time.
Functional Assessment of Cancer Therapy – General (FACT-G)
NUMBER OF ITEMS:
Cancer patients 18 years and older
Past 7 days
5 point Likert-type scale
Paper and electronic
Self-administration and interview when applicable
Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, Functional Well-Being
TIME FOR COMPLETION:
Manual scoring template, some items are reverse scored. Subscale scores and total scores possible. SAS/SPSS algorithms available.
Available translations of the FACT-G can be obtained by registering for permission. Users are not permitted to translate the FACT-G without permission from FACIT.org. Permission from FACIT.org to translate the FACT-G may also be contingent upon timeline expectations and availability of FACIT staff. Translations must undergo a rigorous methodology under the guidance of FACIT.org which includes multiple translators, QA steps and cognitive interviews with patients. For commercial use, FACITtrans is the approved translation vendor to translate the FACIT measurement system.
Please contact us for more information.
Licensing fees are assessed on a per trial/per measure basis for commercial use. There is no fee for use of the English version, but a license should be obtained.
Non-commercial use is assessed on a case-by-case basis. Licensing fees are typically not applied to investigator-initiated research, students, or clinical use.
To license an available version of this measure for commercial or non-commercial use, please complete our registration form. All of the information provided in the form will be kept strictly confidential. For questions, please contact us.
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Cella D., Hahn E., Dineen K. Meaningful change in cancer-specific quality of life scores: Differences between improvement and worsening. Quality of Life Research 2002; 11(3): 207-21.
Cheung Y.B., Thumboo J., Gao F., Ng G.Y., Pang G., Koo W.H., Sethi V.K., Wee J., Goh C. Mapping the English and Chinese versions of the Functional Assessment of Cancer Therapy – General to the EQ-5D Utility Index. Value in Health 2009; 12(4): 371-376.
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