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With over 25 years of licensing and Intellectual Property (IP) management experience, we can optimize your measure’s exposure and support its use within the HEOR and QOL scientific communities. COA Management & Licensing Services QUESTIONNAIRE LICENSING SERVICES With over 25 years of licensing and Intellectual Property (IP) management experience, we can optimize your measure’s exposure and support its use within the HEOR and QOL scientific communities. Why choose FACIT.org as your licensing partner? Simple We make it easy . All licensing and related infrastructure tasks are coordinated at one source. Flexible Flexible terms . Measurement ownership by FACIT.org or the original copyright holder. Shared licensing and distribution fees possible. Support Support you need . FACIT.org provides users all scoring, interpretation and relevant publications, and all general Q&A support for measure implementation. Service Unparalleled customer service . At FACIT.org, we are always open to measure-specific needs, questions or adaptations. We Offer... Dynamic Partnership FACIT.org can either incorporate your measure into our existing structure or develop a new measure-specific infrastructure. Measurement Promotion License and distribute English/source language versions to users at no fee. Research-centric License for academic and non-profit clinical use of any language version is provided at no fee. No Repeat Costs After an initial translation fee for pharma-sponsored trials, subsequent uses of said translation(s) are free of charge to the sponsor. A licensing fee applies to for-profit requests by companies who are not the original sponsor. Cooperation While FACIT.org charges a licensing fee to for-profit users who request translated versions, we can sometimes adapt fees if required by the IP developer. View Additional Measures We License We look forward to hearing from you to assist in supporting the licensing and distribution of your validated instrument! Contact Our Licensing Team About Managing Your Measure

FACIT-CD Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia For patients with Cervical Dysplasia LICENSE THIS MEASURE Overview Language Availability Licensing Selected References Related Measures Overview Overview Below are the details for the FACIT-CD measure: MEASURE NAME: Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia (FACIT-CD) VERSION: 4 NUMBER OF ITEMS: 34 PATIENT POPULATION: Cancer patients 18 years and older with cervical dysplasia 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: Physical Well-Being, Treatment Satisfaction, General Perceptions, Emotional Well-Being, Relationships TIME FOR COMPLETION: 10-15 minutes SCORING: Manual scoring template, some items are reverse scored. Subscale scores and total scores possible. RELATED MEASURES: FACT-Cx , FACT-EN , FACT-O DOWNLOAD MEASURE IN ENGLISH DOWNLOAD SCORING DOCUMENT Language Availability Available translations of the FACIT-CD can be obtained by registering for permission. Users are not permitted to translate the FACIT-CD without permission from FACIT.org. Permission from FACIT.org to translate the FACIT-CD 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. VIEW AVAILABLE LANGUAGES 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 . LICENSE THIS MEASURE Selected References Selected References Rao, D., Gela, N., Daley, E.M., Kattezham, R., Rodriguez, G., & Cella, D. Developing a measure of health- related quality of life for women with cervical dysplasia resulting from human papillomavirus infection. nternational Journal of STD and AIDS 2010; 21: 697–701. Rask, M., Oscarsson, M., Ludwig, N., & Swahnberg, K. The Swedish translation and cross-cultural adaptation of the Functional Assessment of Chronic Illness Therapy – Cervical Dysplasia (FACIT-CD): linguistic validity and reliability of the Swedish version. BMC Women's Health 2017: 17-24. doi: 10.1186/s12905-017-0381-3. 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. LICENSE THIS MEASURE Related Measures Related Measures FACT-Cx Functional Assessment of Cancer Therapy – Cervix LEARN MORE FACT-EN Functional Assessment of Cancer Therapy – Endometrial LEARN MORE FACT-O Functional Assessment of Cancer Therapy – Ovarian LEARN MORE

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Administration OF THE FACIT MEASURES Ideally, FACIT measures are self-administered. The original FACIT measure administration was via paper format, and most of the early measures were validated in the context of self-report via paper forms. Interviewer administration (in-person and by telephone) has also been used with success when conducted by someone trained in non-biasing interview techniques. More recently, advances in technology have enabled electronic methods for PRO administration, including by telephone using interactive voice response (IVR), and via touchscreen, computer tablet and smartphones using web-based platforms that enable electronic data collection and storage. Research comparing mode of administration for health outcome measures (paper and pencil vs computer-based assessments), including FACIT measures, has demonstrated a high degree of equivalence across a variety of patient populations and clinical settings. Interview administration is appropriate with adequate training of interviewers to minimize bias to patient responses. Across these modes of administration, our data suggest that these alternate formats are essentially equivalent. For self-administration, patients should be instructed to read the brief directions at the top of the page. After the patient's correct understanding has been confirmed, he/she should be encouraged to complete every item in order without skipping any. Some patients may feel that a given question is not applicable to them and will therefore skip the item altogether. However, patients should be encouraged to circle the response that is most applicable. If, for example, a patient is not currently receiving any treatment, the patient should circle “not at all” to the question “I am bothered by side effects of treatment.” Respondent burden is typically minimal given that the questionnaires are written at the 4th grade reading level and are specifically formatted for ease of self-administration. Average time to completion is 5-10 minutes, and even less for some stand-alone scales and symptom indices. The option to complete the questionnaire by interview also decreases burden for patients whose condition (e.g. fatigue; poor eyesight) or mood preclude them from completing the questionnaire by self-administration. We recommend that patients who complete the questionnaire by interview (in person and over the telephone) have a copy of the questionnaire or the response scale as a reference. This can help facilitate response selection in patients who have difficulty recalling the rating scale, and reduce the amount of time needed to repeat rating scale options for each individual item. We encourage the following sequence of modes, in order: Self-administration without assistance Self-administration with assistance from an objective person (i.e., not a friend or family member, but a staff person) Self-administration with assistance from a familiar person Proxy report from a familiar person Skipping items versus making them mandatory This is more of an ethical and practical issue than it is a measurement one. Ethically, patients have a right to refuse any aspect of trial participation, from taking the medicine to going to the laboratory and completing assessments. Therefore, we allow patients to decline any given question, because doing so encourages them to complete the measure rather than quit and refuse to continue. Electronic administration of the FACIT measures occurs regularly and no further usability or validity testing should be necessary. However, FACIT does not provide the electronic platform for administration and scoring of our measures. A guidance for electronic presentation of FACIT items can be found here .

Extensive information about FACIT scales, measuring, scoring and more. FAQ Select from categories below for more information. General Selecting a Measure Populations Administering a Measure Formatting Interpretation User and Permission Fees Multilingual Translations Not finding what you're looking for? Contact Us .

View all available languages for this measure. BACK PROMIS Pool v1.0 - Dyspnea Activity Requirements Languages Arabic English Korean

Download this measure in English. BACK FACIT-BTCSQ English Downloads Download PDF - Baseline Download DOC - Baseline Download PDF - On Therapy Download DOC - On Therapy

Download scoring documents for this measure. BACK PROMIS Pool v1.0 Dyspnea http://www.healthmeasures.net/score-and-interpret/calculate-scores/scoring-instructions

Download this measure in English. BACK FACT-Bl English Downloads Download PDF Download DOC

FBrSI Functional Assessment of Cancer Therapy Brain Cancer Symptom Index - 15 Item Version For patients with Brain cancer; a FACT-Brain Symptom Index (a subset of FACT-Br containing 15 items) LICENSE THIS MEASURE Overview Language Availability Licensing Selected References Related Measures Overview Overview Below are the details for the FBrSI measure: MEASURE NAME: Functional Assessment of Cancer Therapy Brain Cancer Symptom Index - 15 Item Version (FBrSI) VERSION: 4 NUMBER OF ITEMS: 15 PATIENT POPULATION: Brain cancer patients 18 years and older 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: Brain Cancer Subscale TIME FOR COMPLETION: Less than 5 minutes SCORING: Manual scoring template, some items are reverse scored. Total scores available. SAS/SPSS algorithms available RELATED MEASURES: FACT-Br , NFBrSI-24 , FACT-G DOWNLOAD MEASURE IN ENGLISH DOWNLOAD SCORING DOCUMENT Language Availability Available translations of the FBrSI can be obtained by registering for permission. Users are not permitted to translate the FBrSI without permission from FACIT.org. Permission from FACIT.org to translate the FBrSI 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. VIEW AVAILABLE LANGUAGES 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 . LICENSE THIS MEASURE Selected References Selected References Cella, D., Paul, D., Yount, S., Winn, R., Chang, C-H, Banik, D., & Weeks, J. What are the most important symptom targets when treating advanced cancer? A survey of providers in the National Comprehensive Cancer Network (NCCN). Cancer Investigation 2003; 21(4): 526-535. doi: 10.108/CNV-120022366. Cella, D., Rosenbloom, S., Beaumont, J., Yount, J., Paul, D., Hampton, D., Abernethy, A., Jacobsen, P., Syrjala, K., & Von Roenn, J. Development and validation of 11 symptom indexes to evaluate response to chemotherapy for advanced cancer. Journal of the National Comprehensive Cancer Network; 2011; 9(3): 268-278. doi: 10.6004/jnccn.2011.0026. 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. LICENSE THIS MEASURE Related Measures Related Measures FACT-Br Functional Assessment of Cancer Therapy – Brain LEARN MORE NFBrSI-24 National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Brain Cancer Symptom Index - 24 Item Version LEARN MORE FACT-G Functional Assessment of Cancer Therapy – General LEARN MORE

Download scoring documents for this measure. BACK FACT-O Scoring Downloads Download DOC

Download scoring documents for this measure. BACK FOSI Scoring Downloads Download DOC