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Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being



Below are the details for the FACIT-Sp measure:


Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being (FACIT-Sp)






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, Spiritual Well-Being 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-Sp can be obtained by registering for permission. Users are not permitted to translate the FACIT-Sp without permission from Permission from to translate the FACIT-Sp 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

Bormann, J., Aschbacher, K., Wetherell, J., Roesch, S., & Redwine., L.  Effects of faith/assurance on cortisol levels are enhanced by a spiritual mantram intervention in adults with HIV: A randomized trial.  Journal of Psychosomatic Research 2009; 66: 161–171.  doi:  10.1016/j.jpsychores.2008.09.017.

Bormann, J., Gifford, A., Shively, M., Smith, T., Redwine, L., Kelly, A., Becker, S., Gershwin, M., Bone, P., & Belding, W.  Effects of Spiritual Mantram Repetition on HIV Outcomes: A Randomized Controlled Trial.  Journal of Behavioral Medicine 2006; 29(4):  359-376.  doi: 10.1007/s10865-006-9063-6.

Brady, M.J., Peterman, A.H., Fitchett, G., Mo, M., & Cella, D.  A case for including spirituality in quality of life measurement in oncology. Psycho-Oncology 1999; 8: 417-428.  

Bredle, J., Salsman, J., Debb, S., Arnold, B., & Cella, D.  Spiritual Well-Being as a component of health-related quality of life: the functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp). Religions 2011; 2(1): 77-94.  doi: 10.3390/rel2010077.

Canada, A, Murphy, P., Fitchett, G., Peterman, A., & Schover, L.  A 3-factor model for the FACIT-Sp. Psycho-Oncology 2008; 17: 908–916.  doi: 10.1002/pon.1307.

Cotton, S., Levine, E., Fitzpatrick, C., Dold, K, & Targ, E.  Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psycho-Oncology 1999; 8: 429–438.  

Dapueto, J., Servente, L., Francolino, C., & Hahn, E.  Determinants of Quality of Life in Patients with Cancer: A South American Study. Cancer 2005; 103(5): 1072-1081.  doi: 10.1002/cncr.20870.

Edmondson, D., Park, C., Blank, T., Fenster, J., & Mills, M.  Deconstructing spiritual well-being: existential well-being and HRQOL in cancer survivors. Psycho-Oncology 2008; 17: 161–169.  doi: 10.1002/pon.1197.

Fradelos, E., Tzavella, F., Koukia, E., Tsaras, K., Papathanasiou, I., Aroni, A., Alikari, V., Ralli, M., Bredle, J., & Zyga1, S.  The translation, validation and cultural adaptation of functional assessment of chronic illness therapy – spiritual well-being 12 (FACIT-SP12) scale in Greek language. Mater Sociomed 2016; 28(3): 229-234.  doi: 10.5455/msm.2016.28.229-234.

Hawkes, A., Pakenham, K., Chambers, S., Patrao, T., & Courneya, K.  Effects of a Multiple Health Behavior Change Intervention for Colorectal Cancer Survivors on Psychosocial Outcomes and Quality of Life: a Randomized Controlled Trial. Annals of Behavioral Medicine. 2014; 48:359–370.  doi: 10.1007/s12160-014-9610-2. 

Jafari, N., Farajzadegan, Z., Zamani, A., Bahrami, F., Emami, H., & Loghmani, A.  Spiritual well-being and quality of life in Iranian women with breast cancer undergoing radiation therapy. Support Cancer Care 2013; 21: 1219-12225.  doi: 10.1007/s00520-012-1650-1.

Jarafi, N., Zamani, A., Lazenby, M., Farajzadegan, Z., Emami, H., & Loghmani, A. Translation and validation of the Persian version of the functional assessment of chronic illness therapy—Spiritual well-being scale (FACIT-Sp) among Muslim Iranians in treatment for cancer.  Palliative and Supportive Care 2013; 11: 29–35.  doi:10.1017/S1478951512000727.  

Kahraman, B.N., Pehlivan, S. The effect of spiritual well-being on illness perception of lung cancer patıents. Support Care Cancer 31, 107 (2023).

Krupski, T., Kwan, L., Fink, A., Sonn, G., Maliski, S., & Litwin, M.  Spirituality Influences Health Related Quality of Life in Men with Prostate Cancer. Psycho-Oncology 2006; 15: 121–131.  doi: 10.1002/pon.929.

Lazenby, M., Khatib, J., 2, Al-Khair, F., & Neamat, M.  Psychometric properties of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being (FACIT-Sp) in an Arabic-speaking, predominantly Muslim population. Psycho-Oncology 2011; 22(1): 220-227.  doi: 10.1002/pon.2062.

McClain, C., Rosenfeld, B., & Breitbart, W.  Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. The Lancet 2003; 361: 1603-1607.

McClain-Jacobson, C., Rosenfeld, B., Rosenfeld, B., Kosinski, A., Pessin, H., Cimino, J., & Breitbart, W.  Belief in an afterlife, spiritual well-being and end-of-life despair in patients with advanced cancer.  General Hospital Psychiatry 2004; 26: 484-486.  doi: 10.1016/j.genhosppsych.

Morgan, P., Gaston-Johansson, F., & Mock, V.  Spiritual Well-Being, Religious Coping, and the Quality of Life of African American Breast Cancer Treatment: A Pilot Study.  The ABNF Journal 2006; 73-77.

Munoz, A., Salsman, J., Stein, K., & Cella, D.  Reference values of the functional assessment of chronic illness therapy - spiritual well-being (FACIT-Sp-12): A report from the American Cancer Society's studies of cancer survivors. Cancer 2015; 121(11):1838-1844. doi: 10.1002/cncr.29286. 

Murphy, P., Canada, A., Fitchett, G., Stein, K., Portier, K., Crammer, C., & Peterman, A.  An examination of the 3-factor model and structural invariance across racial/ethnic groups for the FACIT-Sp: a report from the American Cancer Society’s Study of Cancer Survivors-II (SCS-II).  Psycho-Oncology 2010; 19: 264–272. doi: 10.1002/pon.1559. 

Perkins, E., Small, B., Balducci, L., Extermann, M., Robb, C., & Haley, W.  Individual differences in well-being in older breast cancer survivors. Critical Reviews in Oncology/Hematology 2007; 62: 74-83.  doi:  10.1016/j.critrevonc.2006.11.002. 

Peterman, A., Fitchett, G., Brady, M., & Hernandez, L.  Measuring Spiritual Well-Being in People With Cancer: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp).  Annals of Behavioral Medicine 2002; 24(1):  49–58.

Rodin, G., Zimmermann, C., Rydall, A., Jones, J., Shepherd, A., Moore, M., Fruh, M., Donner, A., Gagliese, L.  The Desire for Hastened Death in Patients with Metastatic Cancer.   Journal of Pain and Symptom Management 2007; 33(6): 661-674.  doi: 10.1016/j.jpainsymman. 

Rodin, G., Lo, C., Mikulincer, M., Donner, A., Gagliese, L., & Zimmermann, C.  Pathways to distress: The multiple determinants of depression, hopelessness, and the desire for hasted death in metastatic cancer patients.  Social Science & Medicine 2008; 68: 562–569.  doi: 10.1016/j.socscimed.

Salsman, J., Yost, K., West, D., & Cella, D.  Spiritual well-being and health-related quality of life in colorectal cancer: A multi-site examination of the role of personal meaning.  Supportive Care in Cancer 2011; 19: 757–764.  doi: 10.1007/s00520-010-0871-4.

Schnoll, R., Harlow, L., & Brower, L.  Spirituality, Demographic, and Disease Factors, and Adjustment to Cancer.  Cancer Practice 2000; 8(6): 298-304.  

Stefanek, M., McDonald, P., & Hess, S.  Religion, Spirituality and Cancer: Current Status and Methodological Challenges.  Psycho-Oncology 2005; 14: 450–463. doi: 10.1002/pon.861. 

Stojković, S. & Prlić, N.  Effect of faith on the acceptance of chronic disease patients.   South Eastern Europe Health Sciences Journal 2012; 2(1): 52-61.

Tate, D. & Forchheimer, M.  Quality of Life, Life Satisfaction, and Spirituality: Comparing Outcomes Between Rehabilitation and Cancer Patients. American Journal of Physical Medicine & Rehabilitation 2002; 81(6): 400-410.   

Trevino, K., Pargament, K., Cotton, S., Leonard. A., Hahn, J., Caprini-Faigin, C., & Tsevat, J.  Religious Coping and Physiological, Psychological, Social, and Spiritual Outcomes in Patients with HIV/AIDS: Cross-sectional and Longitudinal Findings. AIDS and Behavior 2010; 14: 379-389.  doi: 10.1007/s10461-007-9332-6. 

Visser, A., Garssen, B., & Vingerhoets, A.  Spirituality and well-being in cancer patients: a review.  Psycho-Oncology 2010; 19: 565–572.  doi: 10.1002/pon.

Zavala, M., Maliski, S., Kwan, L., Fink, A., & Litwin, M.  Spirituality and quality of life in low-income men with metastatic prostate cancer. Psycho-Oncology 2009; 18: 753–761.  doi: 10.1002/pon.1460.

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 - Spiritual Well-Being 12 Item Scale


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


Functional Assessment of Chronic Illness Therapy - Palliative Care

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