top of page
Gotham__Org Gotham White.png

Functional Assessment of Chronic Illness Therapy - Palliative Care



Below are the details for the FACIT-Pal measure:


Functional Assessment of Chronic Illness Therapy - Palliative Care (FACIT-Pal)






Palliative care patients


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, Palliative Care Subscale


10-15 minutes


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


Language Availability

Available translations of the FACIT-Pal can be obtained by registering for permission. Users are not permitted to translate the FACIT-Pal without permission from Permission from to translate the FACIT-Pal may also be contingent upon timeline expectations and availability of FACIT staff. Translations must undergo a rigorous methodology under the guidance of 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 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

Bagcivan G., Bredle J., Bakitas M., Guciz Dogan B. Reliability and Validity of the Turkish Version of the FACIT-PAL Quality of Life Instrument. J Pain Symptom Manage. 2019 Aug; 58(2): 297-305.e4. doi: 10.1016/j.jpainsymman.2019.04.020. Epub 2019 May 13. PMID: 31096004.

Bakitas, M., Lyons, K., Hegel, M., Balan, S., Barnett, K., Brokaw, F., Byock, I., Hull, J., Li, Z., McKinstry, E., Seville, J., & Ahles, T.  The project ENABLE II randomized controlled trial to improve palliative care for rural patients with advanced cancer: Baseline findings, methodological challenges, and solutions.  Palliative and Supportive Care 2009; 7: 75–86. doi: 10.1017/S1478951509000108.

Frazer MS, Mobley P. A mixed methods analysis of quality of life among late-life patients diagnosed with chronic illnesses. Health Qual Life Outcomes 2017;15:222. doi:10.1186/s12955-017-0797-3

Greisinger, A., Lorimor, R., Aday, L., Winn, R., & Baile, W.  Terminally III Cancer Patients: Their most important concerns.  Cancer Practice 1997; 5(3): 147-154.  

King, M., Agar, M., Currow, D., Hardy, J., Fazekas, B., & McCaffre, N.  Assessing quality of life in palliative care settings: head-to-head comparison of four patient-reported outcome measures (EORTC QLQ-C15-PAL, FACT-Pal, FACT-Pal-14, FACT-G7). Supportive Care in Cancer 2020; 28:141–153.  doi: 10.1007/s00520-019-04754-9. 

Lyons,K., Bakitas, M., Hegel, M., Hanscom, B, Hull, J., & Ahles, T.  Reliability and Validity of the Functional Assessment of Chronic Illness Therapy- Palliative Care (FACIT-Pal) Scale. Journal of Pain and Symptom Management 2009; 37(1).  doi: 10.1016/j.jpainsymman.2007.12.015.

Moldón-Ballesteros E, Llamas-Ramos I, Calvo-Arenillas JI, Cusi-Idigoras O, Llamas-Ramos R. Validation of the Spanish Versions of FACIT-PAL and FACIT-PAL-14 in Palliative Patients. Int J Environ Res Public Health 2022;19:10731. doi:10.3390/ijerph191710731.

Siegert R, Selman L, Higginson IJ, et al. A psychometric evaluation of the functional assessment of chronic illness therapy-palliative care (FACIT-Pal) scale with palliative care samples in three African countries. J Pain Symptom Manage 2014;48:983-991. doi:10.1016/j.jpainsymman.2014.01.010.

Zeng, L., Bedard, G., Cella, D., Thavarajah, N., Chen, E., Zhang, L., Bennett, M., Peckham, K., DeCosta, S., Beaumont, J., Tsao, M., Danjoux, C., Barnes, E., Sahgal, & A. Chow, E. (2013) Preliminary results of the generation of a shortened quality of life assessment for patients with advanced cancer: the FACIT-Pal-14. Journal of Palliative Medicine 2013; 16(5): 509-515.  doi: 10.1089/jpm.2012.059.

Bonomi, A.E., Cella, D.D., Hahn, E.A., Bjordal, K., Sperner, B., Gangeri, L., Bergman, B., Willems, J., Hanquet, P., & Zittoun, R.  Multilingual translation of the Functional Assessment of Cancer Therapy (FACT) quality of life measurement system. Quality of Life Research 1996; 5: 309-320.

Eremenco, S., Arnold, B., Cella, D. A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Evaluation & the Health Professions 2005; 28(2): 212-232.

Webster K., Cella D., Yost K. The Functional Assessment of Chronic Illness Therapy (FACIT) measurement system: Properties applications, and interpretation. Health and Quality of Life Outcomes 2003; 1(1): 79-85.

Yost K.J., Eton D.T. Combining distribution- and anchor-based approaches to determine minimally important differences: The FACIT experience. Evaluation & the Health Professions 2005; 28(2): 172-191.

Related Measures

Related Measures


Functional Assessment of Chronic Illness Therapy - Palliative Care 14 Item Version


Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being


Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being Expanded Version

bottom of page