The use of the FACT-H&N (v4) in clinical settings within a developing country: A mixed method study

Bilal, S, Doss, JG and Rogers, Simon N (2014) The use of the FACT-H&N (v4) in clinical settings within a developing country: A mixed method study. Journal of Cranio-Maxillofacial Surgery, 42 (8). pp. 1590-1597. ISSN 1010-5182 DOI https://doi.org/10.1016/j.jcms.2014.04.015

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Abstract

In the last decade there has been an increasing awareness about ‘quality of life’ (QOL) of cancer survivors in developing countries. The study aimed to cross-culturally adapt and validate the FACT-H&N (v4) in Urdu language for Pakistani head and neck cancer patients. In this study the ‘same language adaptation method’ was used. Cognitive debriefing through in-depth interviews of 25 patients to assess semantic, operational and conceptual equivalence was done. The validation phase included 50 patients to evaluate the psychometric properties. The translated FACT-H&N was easily comprehended (100%). Cronbach’s alpha for FACT-G subscales ranged from 0.726 e 0.969. The head and neck subscale and Pakistani questions subscale showed low internal consistency (0.426 and 0.541 respectively). Instrument demonstrated known-group validity in differentiating patients of different clinical stages, treatment status and tumor sites (p < 0.05). Most FACT summary scales correlated strongly with each other (r > 0.75) and showed convergent validity (r > 0.90), with little discriminant validity. Factor analysis revealed 6 factors explaining 85.1% of the total variance with very good (>0.8) Kaiser-Meyer-Olkin and highly significant Bartlett’s Test of Sphericity (p < 0.001). The cross-culturally adapted FACT-H&N into Urdu language showed adequate reliability and validity to be incorporated in Pakistani clinical settings for head and neck cancer patients.

Item Type: Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RT Nursing
Divisions: Nursing and Midwifery
Date Deposited: 06 Jan 2015 14:23
URI: http://repository.edgehill.ac.uk/id/eprint/6250

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