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FACIT-Fatigue

Functional Assessment of Chronic Illness Therapy – Fatigue Scale

A 13-item FACIT Fatigue Scale

Overview

Overview

The Functional Assessment of Chronic Illness Therapy – Fatigue Scale (FACIT-Fatigue) is a 13-item measure that assesses self-reported fatigue and its impact upon daily activities and function. It was developed in the mid-1990’s to meet a growing demand for more precise evaluation of fatigue associated with anemia in cancer patients. Subsequent to its development, it has been employed in over 150 published studies including over 40,000 people. Since 1995, studied groups have included cancer patients receiving chemotherapy, cancer patients not receiving chemotherapy, long term cancer survivors, childhood cancer survivors and several other clinical samples, including people with rheumatoid arthritis, osteoarthritis, psoriatic arthritis, ankylosing spondylitis, multiple sclerosis, psoriasis, systemic sclerosis/scleroderma, sarcoidosis, paroxysmal nocturnal hemoglobinuria, chronic obstructive pulmonary disease (COPD), stroke, HIV/AIDS, systemic lupus erythematosus (SLE), hidradenitis suppurativa, Crohn’s disease, ulcerative colitis, primary Sjögren’s syndrome, Gaucher disease, chronic immune thrombocytopenia, chronic kidney disease, and Parkinson’s disease, as well as the general United States population. In all cases, the FACIT-Fatigue has been found to be reliable and valid. It is a subset of the longer (47-item) Functional Assessment of Cancer Therapy – Anemia (FACT-An), which includes the 27-item FACT-G and a 20-item subscale addressing additional concerns associated with the anemia of cancer and its treatment. This 20-item subscale, referred to as the anemia subscale, is comprised of 13 items that assess fatigue and its impact (the FACIT-Fatigue), and 7 additional symptoms associated with anemia (e.g., shortness of breath; headache).

MEASURE NAME:

Functional Assessment of Chronic Illness Therapy – Fatigue Scale (FACIT-Fatigue)

VERSION:

4

NUMBER OF ITEMS:

13

PATIENT POPULATION:

Patients 18 years and older experiencing fatigue

RECALL PERIOD:

Past 7 days

RESPONSE SCALE:

5 point Likert-type scale

DATA COLLECTION:

Paper and electronic

ADMINISTRATION:

Self-administration and interview when applicable

SUBSCALE DOMAINS:

Fatigue

TIME FOR COMPLETION:

Less than 5 minutes

SCORING:

Manual scoring template, some items are reverse scored. Total scores possible. SAS/SPSS algorithms available.

RELATED MEASURES:

Language Availability

Available translations of the FACIT-Fatigue can be obtained by registering for permission. Users are not permitted to translate the FACIT-Fatigue without permission from FACIT.org. Permission from FACIT.org to translate the FACIT-Fatigue 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.

Language Availability
Licensing

Licensing

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.

Selected References

Selected References

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Chang C-H, Bresnahan B, Gagnon D, Zagari M, McNulty P, Vercammen E, Georgoulias V, Husseini F, Cella D. Testing the validity of pooling multilingual health-related quality of life data from a multinational trial of Epoetin alfa in anemic cancer patients receiving nonplatinum-based chemotherapy. Unpublished manuscript.


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Demetri GD, Kris M, Wade J, Degos L, Cella DF. Quality-of-life benefit in chemotherapy patients treated with epoetin alfa is independent of disease response or tumor type: results from a prospective community oncology study. Journal of Clinical Oncology 1998; 16(10):3412-3425.  


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O'Shaughnessy JA, Vukelja SJ, Holmes FA, Savin M, Jones M, Royall D, George M, Von Hoff D. Feasibility of quantifying the effects of epoetin alfa therapy on cognitive function in women with breast cancer undergoing adjuvant or neoadjuvant chemotherapy. Clinical Breast Cancer 2005; 5(6):439-46.


Österborg A, Brandberg Y, Molostova V, Iosava G, Abdulkadyrov K, Hedenus M, Messinger D. Randomized, double-blind, placebo-controlled trial of recombinant human erythropoietin, epoetin beta, in hematologic malignancies. Journal of Clinical Oncology 2002; 20(10):2486-2494.  


Patrick DL, Gagnon DD, Zagari MJ, Mathijs R, Sweeteham J. Assessing the clinical significance of health-related quality of life (HrQOL) improvements in anaemic cancer patients receiving epoetin alfa. European Journal of Cancer 2003; 39:335-345. 


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Quirt I, Robeson C, Lau CY, Kovacs M, Burdette-Radoux S, Dolan S, Tang SC, McKenzie M, Couture F, the Canadian Eprex Oncology Study Group. Epoetin alfa therapy increases hemoglobin levels and improves quality of life in patients with cancer-related anemia who are not receiving chemotherapy and patients with anemia who are receiving chemotherapy. Journal of Clinical Oncology 2001; 19(21):4126-4134.

 

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Reddy S, Bruera E, Pace E, Zhang K, Reyes-Gibby CC. Clinically important improvement in the intensity of fatigue in patients with advanced cancer. Journal of Palliative Medicine 2007; 10(5):1068-75.


Reese JB, Shelby RA, Abernethy AP. Sexual concerns in lung cancer patients: an examination of predictors and moderating effects of age and gender. Support Care Cancer 2011; 19:161-165.


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Related Measures

Related Measures

FACIT-F

Functional Assessment of Chronic Illness Therapy – Fatigue

FACT-An

Functional Assessment of Cancer Therapy – Anemia

PROMIS SF v1.0 – Fatigue 13a

Patient-Reported Outcomes Measurement Information System Short Form - Fatigue 13a

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