Measuring family functioning in families with parental cancer: Reliability and validity of the German adaptation of the Family Assessment Device (FAD)
Abstract Objective The concept of family functioning is gaining importance in psycho-oncology research and health care services. The Family Assessment Device (FAD) is a well-established measure of family functioning. Psychometric properties inherent in the German 51-item adaptation of the FAD are ex...
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| Veröffentlicht in: | Journal of psychosomatic research 2017-02, Vol.93, p.110-117 |
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| creator | Beierlein, Volker, M.Sc Bultmann, Johanna Christine, M.Sc Möller, Birgit, Ph.D von Klitzing, Kai, M.D Flechtner, Hans-Henning, M.D Resch, Franz, M.D Herzog, Wolfgang, M.D Brähler, Elmar, Ph.D Führer, Daniel, M.Sc Romer, Georg, M.D Koch, Uwe, M.D., Ph.D Bergelt, Corinna, Ph.D |
| description | Abstract Objective The concept of family functioning is gaining importance in psycho-oncology research and health care services. The Family Assessment Device (FAD) is a well-established measure of family functioning. Psychometric properties inherent in the German 51-item adaptation of the FAD are examined in different samples of families with parental cancer. Methods Acceptance, reliability, and validity of FAD scales are analysed in samples from different study settings ( N = 1701 cancer patients, N = 261 partners, N = 158 dependent adolescent children 11 to 18 years old). Results Missing items in the FAD scales (acceptance) are rare for adults (< 1.1%) and adolescent children (< 4.4%). In samples of adults and older adolescents (15 to 18 y
ears
), all FAD scales except for the Roles scale are significantly reliable (
0
.75 ≤ Cronbach
'
s α ≤ 0
.88). The scales correlate highly (
0
.46 ≤ Pearson
'
s r ≤ 0
.59) with the criterion satisfaction with family life (convergent validity), and have smaller correlations (
0
.16 ≤ r ≤ 0
.49) with measures of emotional distress and subjective well-being (divergent validity). In most FAD scales, adults seeking family counselling report worse family functioning (
0
.24 ≤ Cohen
'
s d ≤ 0
.59) than adults in other samples with parental cancer (discriminative validity). Conclusion Overall, the German 51-item adaptation of the FAD reveals good acceptance, reliability, and validity for cancer patients and their relatives. Particularly the scale General Functioning shows excellent psychometric properties. The FAD is suitable in the assessment of families with parental cancer for adults and adolescents older than 11 years. |
| doi_str_mv | 10.1016/j.jpsychores.2016.11.007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1861587765</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S002239991630513X</els_id><sourcerecordid>1861587765</sourcerecordid><originalsourceid>FETCH-LOGICAL-c457t-548a8980b40a86804944ce5fb4f67cef9044a3e52cce304bcc0e5242613420453</originalsourceid><addsrcrecordid>eNqNks9u1DAQxiMEokvhFZAlLuWQMI6dxOGAtLRsQSpC4o_EzXKcCeslcYKdLMqL9HnrKC2VeuJkzfg334z9TRQRCgkFmr85JIfBz3rfO_RJGjIJpQlA8SjaUFGUMWU5PI42AGkas7IsT6Jn3h8AIC_T7Gl0kgoKhRD5Jrr-jMpPzthfpFGdaWfSTFaPprdLytg1a9CTv2bck0E5tKNqiVZWo3tLvmJrVBWIcSbK1uSoWlMvQd-QcY_kEl2nLFG1Gka1yN5d7NZuW-_R-y6Ikgs8Go3kbLe9eP08etKo1uOL2_M0-rH78P38Y3z15fLT-fYq1jwrxjjjQolSQMVBiVwALznXmDUVb_JCY1MC54phlmqNDHilNYSApzllPAWesdPobNUdXP9nQj_KzniNbass9pOXVOQ0E0WRL-irB-ihn5wN00lacqAFo2kRKLFS2vXeO2zk4Eyn3CwpyMU7eZD33snFO0mpDN6F0pe3Daaqw_pf4Z1ZAXi_Ahh-5GjQSa8NBh9q41CPsu7N_3R590BEt8YardrfOKO_f5P0qQT5bdmhZYVoziCj7Ce7AVuqxZw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1940173127</pqid></control><display><type>article</type><title>Measuring family functioning in families with parental cancer: Reliability and validity of the German adaptation of the Family Assessment Device (FAD)</title><source>Elsevier ScienceDirect Journals Complete - AutoHoldings</source><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Beierlein, Volker, M.Sc ; Bultmann, Johanna Christine, M.Sc ; Möller, Birgit, Ph.D ; von Klitzing, Kai, M.D ; Flechtner, Hans-Henning, M.D ; Resch, Franz, M.D ; Herzog, Wolfgang, M.D ; Brähler, Elmar, Ph.D ; Führer, Daniel, M.Sc ; Romer, Georg, M.D ; Koch, Uwe, M.D., Ph.D ; Bergelt, Corinna, Ph.D</creator><creatorcontrib>Beierlein, Volker, M.Sc ; Bultmann, Johanna Christine, M.Sc ; Möller, Birgit, Ph.D ; von Klitzing, Kai, M.D ; Flechtner, Hans-Henning, M.D ; Resch, Franz, M.D ; Herzog, Wolfgang, M.D ; Brähler, Elmar, Ph.D ; Führer, Daniel, M.Sc ; Romer, Georg, M.D ; Koch, Uwe, M.D., Ph.D ; Bergelt, Corinna, Ph.D</creatorcontrib><description>Abstract Objective The concept of family functioning is gaining importance in psycho-oncology research and health care services. The Family Assessment Device (FAD) is a well-established measure of family functioning. Psychometric properties inherent in the German 51-item adaptation of the FAD are examined in different samples of families with parental cancer. Methods Acceptance, reliability, and validity of FAD scales are analysed in samples from different study settings ( N = 1701 cancer patients, N = 261 partners, N = 158 dependent adolescent children 11 to 18 years old). Results Missing items in the FAD scales (acceptance) are rare for adults (< 1.1%) and adolescent children (< 4.4%). In samples of adults and older adolescents (15 to 18 y
ears
), all FAD scales except for the Roles scale are significantly reliable (
0
.75 ≤ Cronbach
'
s α ≤ 0
.88). The scales correlate highly (
0
.46 ≤ Pearson
'
s r ≤ 0
.59) with the criterion satisfaction with family life (convergent validity), and have smaller correlations (
0
.16 ≤ r ≤ 0
.49) with measures of emotional distress and subjective well-being (divergent validity). In most FAD scales, adults seeking family counselling report worse family functioning (
0
.24 ≤ Cohen
'
s d ≤ 0
.59) than adults in other samples with parental cancer (discriminative validity). Conclusion Overall, the German 51-item adaptation of the FAD reveals good acceptance, reliability, and validity for cancer patients and their relatives. Particularly the scale General Functioning shows excellent psychometric properties. The FAD is suitable in the assessment of families with parental cancer for adults and adolescents older than 11 years.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2016.11.007</identifier><identifier>PMID: 28107886</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Acceptance ; Adaptation ; Adolescent ; Adolescents ; Adult ; Adults ; Cancer ; Child ; Children ; Convergent validity ; Counseling ; Cronbach's alpha ; Cross-Cultural Comparison ; Emotional distress ; Evaluation ; Families & family life ; Family Assessment Device ; Family functioning ; Family relations ; Family Relations - psychology ; Family therapy ; Female ; Germany ; Health care ; Humans ; Male ; Oncology ; Parents ; Parents & parenting ; Parents - psychology ; Psychiatry ; Psychological distress ; Psychometric properties ; Psychometrics - statistics & numerical data ; Quantitative psychology ; Relatives ; Reliability ; Reproducibility of Results ; Statistics as Topic ; Surveys and Questionnaires ; Teenagers ; Well being</subject><ispartof>Journal of psychosomatic research, 2017-02, Vol.93, p.110-117</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Feb 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-548a8980b40a86804944ce5fb4f67cef9044a3e52cce304bcc0e5242613420453</citedby><cites>FETCH-LOGICAL-c457t-548a8980b40a86804944ce5fb4f67cef9044a3e52cce304bcc0e5242613420453</cites><orcidid>0000-0001-6978-1587</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2016.11.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,30997,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28107886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beierlein, Volker, M.Sc</creatorcontrib><creatorcontrib>Bultmann, Johanna Christine, M.Sc</creatorcontrib><creatorcontrib>Möller, Birgit, Ph.D</creatorcontrib><creatorcontrib>von Klitzing, Kai, M.D</creatorcontrib><creatorcontrib>Flechtner, Hans-Henning, M.D</creatorcontrib><creatorcontrib>Resch, Franz, M.D</creatorcontrib><creatorcontrib>Herzog, Wolfgang, M.D</creatorcontrib><creatorcontrib>Brähler, Elmar, Ph.D</creatorcontrib><creatorcontrib>Führer, Daniel, M.Sc</creatorcontrib><creatorcontrib>Romer, Georg, M.D</creatorcontrib><creatorcontrib>Koch, Uwe, M.D., Ph.D</creatorcontrib><creatorcontrib>Bergelt, Corinna, Ph.D</creatorcontrib><title>Measuring family functioning in families with parental cancer: Reliability and validity of the German adaptation of the Family Assessment Device (FAD)</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>Abstract Objective The concept of family functioning is gaining importance in psycho-oncology research and health care services. The Family Assessment Device (FAD) is a well-established measure of family functioning. Psychometric properties inherent in the German 51-item adaptation of the FAD are examined in different samples of families with parental cancer. Methods Acceptance, reliability, and validity of FAD scales are analysed in samples from different study settings ( N = 1701 cancer patients, N = 261 partners, N = 158 dependent adolescent children 11 to 18 years old). Results Missing items in the FAD scales (acceptance) are rare for adults (< 1.1%) and adolescent children (< 4.4%). In samples of adults and older adolescents (15 to 18 y
ears
), all FAD scales except for the Roles scale are significantly reliable (
0
.75 ≤ Cronbach
'
s α ≤ 0
.88). The scales correlate highly (
0
.46 ≤ Pearson
'
s r ≤ 0
.59) with the criterion satisfaction with family life (convergent validity), and have smaller correlations (
0
.16 ≤ r ≤ 0
.49) with measures of emotional distress and subjective well-being (divergent validity). In most FAD scales, adults seeking family counselling report worse family functioning (
0
.24 ≤ Cohen
'
s d ≤ 0
.59) than adults in other samples with parental cancer (discriminative validity). Conclusion Overall, the German 51-item adaptation of the FAD reveals good acceptance, reliability, and validity for cancer patients and their relatives. Particularly the scale General Functioning shows excellent psychometric properties. The FAD is suitable in the assessment of families with parental cancer for adults and adolescents older than 11 years.</description><subject>Acceptance</subject><subject>Adaptation</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Adults</subject><subject>Cancer</subject><subject>Child</subject><subject>Children</subject><subject>Convergent validity</subject><subject>Counseling</subject><subject>Cronbach's alpha</subject><subject>Cross-Cultural Comparison</subject><subject>Emotional distress</subject><subject>Evaluation</subject><subject>Families & family life</subject><subject>Family Assessment Device</subject><subject>Family functioning</subject><subject>Family relations</subject><subject>Family Relations - psychology</subject><subject>Family therapy</subject><subject>Female</subject><subject>Germany</subject><subject>Health care</subject><subject>Humans</subject><subject>Male</subject><subject>Oncology</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Parents - psychology</subject><subject>Psychiatry</subject><subject>Psychological distress</subject><subject>Psychometric properties</subject><subject>Psychometrics - statistics & numerical data</subject><subject>Quantitative psychology</subject><subject>Relatives</subject><subject>Reliability</subject><subject>Reproducibility of Results</subject><subject>Statistics as Topic</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><subject>Well being</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNks9u1DAQxiMEokvhFZAlLuWQMI6dxOGAtLRsQSpC4o_EzXKcCeslcYKdLMqL9HnrKC2VeuJkzfg334z9TRQRCgkFmr85JIfBz3rfO_RJGjIJpQlA8SjaUFGUMWU5PI42AGkas7IsT6Jn3h8AIC_T7Gl0kgoKhRD5Jrr-jMpPzthfpFGdaWfSTFaPprdLytg1a9CTv2bck0E5tKNqiVZWo3tLvmJrVBWIcSbK1uSoWlMvQd-QcY_kEl2nLFG1Gka1yN5d7NZuW-_R-y6Ikgs8Go3kbLe9eP08etKo1uOL2_M0-rH78P38Y3z15fLT-fYq1jwrxjjjQolSQMVBiVwALznXmDUVb_JCY1MC54phlmqNDHilNYSApzllPAWesdPobNUdXP9nQj_KzniNbass9pOXVOQ0E0WRL-irB-ihn5wN00lacqAFo2kRKLFS2vXeO2zk4Eyn3CwpyMU7eZD33snFO0mpDN6F0pe3Daaqw_pf4Z1ZAXi_Ahh-5GjQSa8NBh9q41CPsu7N_3R590BEt8YardrfOKO_f5P0qQT5bdmhZYVoziCj7Ce7AVuqxZw</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Beierlein, Volker, M.Sc</creator><creator>Bultmann, Johanna Christine, M.Sc</creator><creator>Möller, Birgit, Ph.D</creator><creator>von Klitzing, Kai, M.D</creator><creator>Flechtner, Hans-Henning, M.D</creator><creator>Resch, Franz, M.D</creator><creator>Herzog, Wolfgang, M.D</creator><creator>Brähler, Elmar, Ph.D</creator><creator>Führer, Daniel, M.Sc</creator><creator>Romer, Georg, M.D</creator><creator>Koch, Uwe, M.D., Ph.D</creator><creator>Bergelt, Corinna, Ph.D</creator><general>Elsevier Inc</general><general>Elsevier Science 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>7QJ</scope><scope>7TK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6978-1587</orcidid></search><sort><creationdate>20170201</creationdate><title>Measuring family functioning in families with parental cancer: Reliability and validity of the German adaptation of the Family Assessment Device (FAD)</title><author>Beierlein, Volker, M.Sc ; Bultmann, Johanna Christine, M.Sc ; Möller, Birgit, Ph.D ; von Klitzing, Kai, M.D ; Flechtner, Hans-Henning, M.D ; Resch, Franz, M.D ; Herzog, Wolfgang, M.D ; Brähler, Elmar, Ph.D ; Führer, Daniel, M.Sc ; Romer, Georg, M.D ; Koch, Uwe, M.D., Ph.D ; Bergelt, Corinna, Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-548a8980b40a86804944ce5fb4f67cef9044a3e52cce304bcc0e5242613420453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acceptance</topic><topic>Adaptation</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Adults</topic><topic>Cancer</topic><topic>Child</topic><topic>Children</topic><topic>Convergent validity</topic><topic>Counseling</topic><topic>Cronbach's alpha</topic><topic>Cross-Cultural Comparison</topic><topic>Emotional distress</topic><topic>Evaluation</topic><topic>Families & family life</topic><topic>Family Assessment Device</topic><topic>Family functioning</topic><topic>Family relations</topic><topic>Family Relations - psychology</topic><topic>Family therapy</topic><topic>Female</topic><topic>Germany</topic><topic>Health care</topic><topic>Humans</topic><topic>Male</topic><topic>Oncology</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>Parents - psychology</topic><topic>Psychiatry</topic><topic>Psychological distress</topic><topic>Psychometric properties</topic><topic>Psychometrics - statistics & numerical data</topic><topic>Quantitative psychology</topic><topic>Relatives</topic><topic>Reliability</topic><topic>Reproducibility of Results</topic><topic>Statistics as Topic</topic><topic>Surveys and Questionnaires</topic><topic>Teenagers</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beierlein, Volker, M.Sc</creatorcontrib><creatorcontrib>Bultmann, Johanna Christine, M.Sc</creatorcontrib><creatorcontrib>Möller, Birgit, Ph.D</creatorcontrib><creatorcontrib>von Klitzing, Kai, M.D</creatorcontrib><creatorcontrib>Flechtner, Hans-Henning, M.D</creatorcontrib><creatorcontrib>Resch, Franz, M.D</creatorcontrib><creatorcontrib>Herzog, Wolfgang, M.D</creatorcontrib><creatorcontrib>Brähler, Elmar, Ph.D</creatorcontrib><creatorcontrib>Führer, Daniel, M.Sc</creatorcontrib><creatorcontrib>Romer, Georg, M.D</creatorcontrib><creatorcontrib>Koch, Uwe, M.D., Ph.D</creatorcontrib><creatorcontrib>Bergelt, Corinna, Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beierlein, Volker, M.Sc</au><au>Bultmann, Johanna Christine, M.Sc</au><au>Möller, Birgit, Ph.D</au><au>von Klitzing, Kai, M.D</au><au>Flechtner, Hans-Henning, M.D</au><au>Resch, Franz, M.D</au><au>Herzog, Wolfgang, M.D</au><au>Brähler, Elmar, Ph.D</au><au>Führer, Daniel, M.Sc</au><au>Romer, Georg, M.D</au><au>Koch, Uwe, M.D., Ph.D</au><au>Bergelt, Corinna, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measuring family functioning in families with parental cancer: Reliability and validity of the German adaptation of the Family Assessment Device (FAD)</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>93</volume><spage>110</spage><epage>117</epage><pages>110-117</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>Abstract Objective The concept of family functioning is gaining importance in psycho-oncology research and health care services. The Family Assessment Device (FAD) is a well-established measure of family functioning. Psychometric properties inherent in the German 51-item adaptation of the FAD are examined in different samples of families with parental cancer. Methods Acceptance, reliability, and validity of FAD scales are analysed in samples from different study settings ( N = 1701 cancer patients, N = 261 partners, N = 158 dependent adolescent children 11 to 18 years old). Results Missing items in the FAD scales (acceptance) are rare for adults (< 1.1%) and adolescent children (< 4.4%). In samples of adults and older adolescents (15 to 18 y
ears
), all FAD scales except for the Roles scale are significantly reliable (
0
.75 ≤ Cronbach
'
s α ≤ 0
.88). The scales correlate highly (
0
.46 ≤ Pearson
'
s r ≤ 0
.59) with the criterion satisfaction with family life (convergent validity), and have smaller correlations (
0
.16 ≤ r ≤ 0
.49) with measures of emotional distress and subjective well-being (divergent validity). In most FAD scales, adults seeking family counselling report worse family functioning (
0
.24 ≤ Cohen
'
s d ≤ 0
.59) than adults in other samples with parental cancer (discriminative validity). Conclusion Overall, the German 51-item adaptation of the FAD reveals good acceptance, reliability, and validity for cancer patients and their relatives. Particularly the scale General Functioning shows excellent psychometric properties. The FAD is suitable in the assessment of families with parental cancer for adults and adolescents older than 11 years.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>28107886</pmid><doi>10.1016/j.jpsychores.2016.11.007</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6978-1587</orcidid></addata></record> |
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| ispartof | Journal of psychosomatic research, 2017-02, Vol.93, p.110-117 |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Acceptance Adaptation Adolescent Adolescents Adult Adults Cancer Child Children Convergent validity Counseling Cronbach's alpha Cross-Cultural Comparison Emotional distress Evaluation Families & family life Family Assessment Device Family functioning Family relations Family Relations - psychology Family therapy Female Germany Health care Humans Male Oncology Parents Parents & parenting Parents - psychology Psychiatry Psychological distress Psychometric properties Psychometrics - statistics & numerical data Quantitative psychology Relatives Reliability Reproducibility of Results Statistics as Topic Surveys and Questionnaires Teenagers Well being |
| title | Measuring family functioning in families with parental cancer: Reliability and validity of the German adaptation of the Family Assessment Device (FAD) |
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