Development of the Hirai Cancer Fatigue Scale: Testing its reliability and validity

Abstract Purpose The purpose of this study was to develop the Hirai Cancer Fatigue Scale (HCFS) to assess the fatigue experienced by cancer patients, and to verify its reliability and validity. Methods Based on qualitative research about the perception of fatigue by Japanese cancer patients, we deve...

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Veröffentlicht in:European journal of oncology nursing : the official journal of European Oncology Nursing Society 2015-08, Vol.19 (4), p.427-432
Hauptverfasser: Hirai, Kazue, Kanda, Kiyoko, Takagai, Junko, Hosokawa, Mai
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container_end_page 432
container_issue 4
container_start_page 427
container_title European journal of oncology nursing : the official journal of European Oncology Nursing Society
container_volume 19
creator Hirai, Kazue
Kanda, Kiyoko
Takagai, Junko
Hosokawa, Mai
description Abstract Purpose The purpose of this study was to develop the Hirai Cancer Fatigue Scale (HCFS) to assess the fatigue experienced by cancer patients, and to verify its reliability and validity. Methods Based on qualitative research about the perception of fatigue by Japanese cancer patients, we developed a questionnaire. The content validity was confirmed by 5 expert oncology nurses and 5 oncologists. 281 Japanese cancer patients participated in this study. Construct validity was analyzed using factor analysis, and internal consistency was analyzed using Cronbach's α coefficient. Results A 15-item scale with 3 dimensions, “physical/mental sensation”, “activity-related sensation” and “cognitive sensation,” was developed by factor analysis. This scale had an overall Cronbach's α coefficient of .943 and a test-retest reliability coefficient of r = .820 (p 
doi_str_mv 10.1016/j.ejon.2014.12.004
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Methods Based on qualitative research about the perception of fatigue by Japanese cancer patients, we developed a questionnaire. The content validity was confirmed by 5 expert oncology nurses and 5 oncologists. 281 Japanese cancer patients participated in this study. Construct validity was analyzed using factor analysis, and internal consistency was analyzed using Cronbach's α coefficient. Results A 15-item scale with 3 dimensions, “physical/mental sensation”, “activity-related sensation” and “cognitive sensation,” was developed by factor analysis. This scale had an overall Cronbach's α coefficient of .943 and a test-retest reliability coefficient of r = .820 (p &lt; 0.01), confirming the high reliability of the scale. The correlation coefficient was r = .759 (p &lt; 0.01) between HCFS and abridged Profile of Mood States-Fatigue (POMS-F), and r = .763 (p &lt; 0.01) between HCFS and Cancer Fatigue Scale (CFS), both showing high correlations and confirming criterion-related validity. Conclusion HCFS enables reliable and valid evaluation of Japanese cancer patients' fatigue. Use of the HCFS would assist in convenient self-evaluation of fatigue, and would allow information to be effectively provided to healthcare professionals. It could also be used for outcome evaluation in an intervention study.</description><identifier>ISSN: 1462-3889</identifier><identifier>EISSN: 1532-2122</identifier><identifier>DOI: 10.1016/j.ejon.2014.12.004</identifier><identifier>PMID: 25656217</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Cancer ; Factor Analysis, Statistical ; Fatigue ; Fatigue - etiology ; Fatigue - physiopathology ; Female ; Hematology, Oncology and Palliative Medicine ; Humans ; Japan ; Male ; Measurement ; Middle Aged ; Neoplasms - complications ; Nursing ; Psychometrics ; Quality of Life ; Reproducibility of Results ; Severity of Illness Index ; Surveys and Questionnaires ; Symptom assessment</subject><ispartof>European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2015-08, Vol.19 (4), p.427-432</ispartof><rights>Elsevier Ltd</rights><rights>2014 Elsevier Ltd</rights><rights>Copyright © 2014 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-fc1cc13a0b2d6ae26178d791e0b349caabf2eebfc46945bbbf05747ca912e8193</citedby><cites>FETCH-LOGICAL-c510t-fc1cc13a0b2d6ae26178d791e0b349caabf2eebfc46945bbbf05747ca912e8193</cites><orcidid>0000-0003-4953-0515</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejon.2014.12.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25656217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirai, Kazue</creatorcontrib><creatorcontrib>Kanda, Kiyoko</creatorcontrib><creatorcontrib>Takagai, Junko</creatorcontrib><creatorcontrib>Hosokawa, Mai</creatorcontrib><title>Development of the Hirai Cancer Fatigue Scale: Testing its reliability and validity</title><title>European journal of oncology nursing : the official journal of European Oncology Nursing Society</title><addtitle>Eur J Oncol Nurs</addtitle><description>Abstract Purpose The purpose of this study was to develop the Hirai Cancer Fatigue Scale (HCFS) to assess the fatigue experienced by cancer patients, and to verify its reliability and validity. Methods Based on qualitative research about the perception of fatigue by Japanese cancer patients, we developed a questionnaire. The content validity was confirmed by 5 expert oncology nurses and 5 oncologists. 281 Japanese cancer patients participated in this study. Construct validity was analyzed using factor analysis, and internal consistency was analyzed using Cronbach's α coefficient. Results A 15-item scale with 3 dimensions, “physical/mental sensation”, “activity-related sensation” and “cognitive sensation,” was developed by factor analysis. This scale had an overall Cronbach's α coefficient of .943 and a test-retest reliability coefficient of r = .820 (p &lt; 0.01), confirming the high reliability of the scale. The correlation coefficient was r = .759 (p &lt; 0.01) between HCFS and abridged Profile of Mood States-Fatigue (POMS-F), and r = .763 (p &lt; 0.01) between HCFS and Cancer Fatigue Scale (CFS), both showing high correlations and confirming criterion-related validity. Conclusion HCFS enables reliable and valid evaluation of Japanese cancer patients' fatigue. Use of the HCFS would assist in convenient self-evaluation of fatigue, and would allow information to be effectively provided to healthcare professionals. It could also be used for outcome evaluation in an intervention study.</description><subject>Cancer</subject><subject>Factor Analysis, Statistical</subject><subject>Fatigue</subject><subject>Fatigue - etiology</subject><subject>Fatigue - physiopathology</subject><subject>Female</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Japan</subject><subject>Male</subject><subject>Measurement</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Nursing</subject><subject>Psychometrics</subject><subject>Quality of Life</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Symptom assessment</subject><issn>1462-3889</issn><issn>1532-2122</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1v1DAQxS0EoqXlH-CAfOSS4PFHPhBCQgulSJV62PZs2c6kOHiTxU5W2v--jrZw4IA4zYz03tPo9wh5A6wEBtX7ocRhGkvOQJbAS8bkM3IOSvCCA-fP8y4rXoimac_Iq5QGxlgr6uYlOeOqUhWH-pxsv-ABw7Tf4TjTqafzD6TXPhpPN2Z0GOmVmf3DgnTrTMAP9A7T7McH6udEIwZvrA9-PlIzdvRggu_ycUle9CYkfP00L8j91de7zXVxc_vt--bzTeEUsLnoHTgHwjDLu8ogr6BuuroFZFbI1hlje45oeyerViprbc9ULWtnWuDYQCsuyLtT7j5Ov5b8mN755DAEM-K0JA01B6F4C_AfUlYrJU-p_CR1cUopYq_30e9MPGpgeuWuB71y1yt3DVxn7tn09il_sTvs_lh-g86CjycBZiAHj1En5zET7nxEN-tu8v_O__SX3QU_-tzJTzxiGqYljhm1Bp2yQW_X5tfiQTLGmWjEI4C3qGw</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Hirai, Kazue</creator><creator>Kanda, Kiyoko</creator><creator>Takagai, Junko</creator><creator>Hosokawa, Mai</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><orcidid>https://orcid.org/0000-0003-4953-0515</orcidid></search><sort><creationdate>20150801</creationdate><title>Development of the Hirai Cancer Fatigue Scale: Testing its reliability and validity</title><author>Hirai, Kazue ; Kanda, Kiyoko ; Takagai, Junko ; Hosokawa, Mai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-fc1cc13a0b2d6ae26178d791e0b349caabf2eebfc46945bbbf05747ca912e8193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Cancer</topic><topic>Factor Analysis, Statistical</topic><topic>Fatigue</topic><topic>Fatigue - etiology</topic><topic>Fatigue - physiopathology</topic><topic>Female</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Japan</topic><topic>Male</topic><topic>Measurement</topic><topic>Middle Aged</topic><topic>Neoplasms - complications</topic><topic>Nursing</topic><topic>Psychometrics</topic><topic>Quality of Life</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>Symptom assessment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirai, Kazue</creatorcontrib><creatorcontrib>Kanda, Kiyoko</creatorcontrib><creatorcontrib>Takagai, Junko</creatorcontrib><creatorcontrib>Hosokawa, Mai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>European journal of oncology nursing : the official journal of European Oncology Nursing Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirai, Kazue</au><au>Kanda, Kiyoko</au><au>Takagai, Junko</au><au>Hosokawa, Mai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of the Hirai Cancer Fatigue Scale: Testing its reliability and validity</atitle><jtitle>European journal of oncology nursing : the official journal of European Oncology Nursing Society</jtitle><addtitle>Eur J Oncol Nurs</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>19</volume><issue>4</issue><spage>427</spage><epage>432</epage><pages>427-432</pages><issn>1462-3889</issn><eissn>1532-2122</eissn><abstract>Abstract Purpose The purpose of this study was to develop the Hirai Cancer Fatigue Scale (HCFS) to assess the fatigue experienced by cancer patients, and to verify its reliability and validity. 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Cancer
Factor Analysis, Statistical
Fatigue
Fatigue - etiology
Fatigue - physiopathology
Female
Hematology, Oncology and Palliative Medicine
Humans
Japan
Male
Measurement
Middle Aged
Neoplasms - complications
Nursing
Psychometrics
Quality of Life
Reproducibility of Results
Severity of Illness Index
Surveys and Questionnaires
Symptom assessment
title Development of the Hirai Cancer Fatigue Scale: Testing its reliability and validity
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