Fatigue in cancer patients treated by external radiotherapy an application of the revised piper fatigue scale in malay hasanah che ismail1, biswa mohan biswal2 malaysia sains university, faculty of medical sciences,department of psychiatry1, radiotherapyoncology2 original article fatigue is commonly associated with cancer and its therapy. Quality of life will be measured using the quality of life in adult survivors of cancer scale. Analysis of data reported in this article was derived from the piper fatigue scale revised. Neuberger fatigue questionnaire general description purpose. The original pfs consisted of 40 questions items and the revised pfs pfsr includes 22 questions 8. Online exclusive cne article a qualitative analysis of cancer. Development and implementation of a clinical survey for. Psychometric evaluation in women with breast cancer article pdf available in oncology nursing forum 254.
Cognitive subscale this scale can range from 0 to 40. Quality index psqi, the piper revised fatigue scale, and the center for epidemiological studies depression scale were collected at the initial clinic visit and at 12 weeks from the groups. The maf was originally developed in rheumatoid arthritis but has also been tested in hiv, multiple sclerosis, coronary heart disease, cancer, pulmonary disease, postpartum women and healthy controls. Patients on hd who met the inclusion criteria were chosen from two grade a tertiary general hospitals by convenience sampling and crosssectional survey methods.
We included all intervention studies and observational studies in which a self. The revised piper fatigue scale rpfs is a selfrating scale and a multidimensional assessment tool that has been widely used to measure crf 28. Demographic variables, revised piper fatigue scale and pittsburgh sleep quality index were used to measure the outcome variables. Contact information for basia belza phd, rn, and developer. Piper fatigue scale the piper fatigue scale pfs is a selfadministrated questionnaire developed by piper et al. Over 20 detailed fatigue measurement tools have been used to better delineate patient fatigue symptoms including the brief fatigue inventory 36, functional assessment of cancer therapy. Pdf construct validity of the swedish version of the. Many individuals can experience a sense of unusual or excessive tiredness whenever. Mros measurements visit collected category measurement line. The aim of this study was to translate and culturally adapt the revised piper fatigue scale to swedish. This unusual sense of tiredness is not usually relieved by either a good nights sleep or by rest. The assessment of fatigue in cancer patients is beset by a number of methodological challenges. Using qualitative research methods and content analysis, written statements related to the impact of crf were coded using the following themes.
Many individuals can experience a sense of unusual or excessive tiredness whenever they become ill, receive treatment, or recover from their illnesstreatme nt. Measures of fatigue the fatigue questionnaire, fatigue severity scale, multidimensional assessment of fatigue scale, and short form36 vitality energy fatigue subscale of the short form health survey geri b. Factor analysis of the revised piper fatigue scale in a. Normal work includes both work outside the home and daily chores 012345678 910 c. Fatigue or factf 37, revised piper fatigue scale 38, and multidimensional fatigue inventory 39. Fatigue and depression in patients with lymphoma undergoing. Crf is one of the most common and complex symptoms experienced by patients with cancer. Pfs is a subjective measurement that includes four fatigue domains, which are, behaviourseverity, affective, sensory and cognitive.
The revised piper fatigue scale rpfs is a multidimensional instrument developed to assess cancerrelated fatigue and is one of the most widely used instruments internationally 4. The level of fatigue is measured on a four point likert scale 4 not at all fatigued to 0 very much fatigued webster. New clinical fibromyalgia diagnostic criteria part 1. In 112 patients receiving external radiotherapy for various cancers, there was no significant. Construct validity of the swedish version of the revised piper. Statistical analysis was done using the chisquare test, student t test, repeated measures anova, f test and karl pearsons correlation coefficient test. Revised piper fatigue scale, and thai hospital anxiety and depression scale, the cronbachs alpha coefficient values of five these instruments were. Assessing fatigue in persons with cancer wu 2004 cancer.
Effectiveness of jacobsons progressive muscle relaxation. Purpose the mfi is a 20item scale designed to evaluate. Validation of the revised piper fatigue scale in koreans with. Following is a list of statements that describe the effects of. Open access research translation and validation of the cancer. The primary aim of this study was to translate and evaluate psychometrically for the first time a spanish version of the piper fatigue scale revised spfsr. The revised piper fatigue scale was used to measure fatigue and its dimensions. Among these, the revised piper fatigue scale pfsr is widely used in assessing fatigue in cancer. Pdf psychometric properties of the revised piper fatigue. Initially, focus group methodology and qualitative analysis was used to derive a pool of fatigue related questions for inclusion in a draft instrument. The 22item revised piper fatigue scale rpfs is a multidimensional instrument developed to assess cancerrelated fatigue. Lee eo, lim ny, partk ha, lee is, kim ji, bae jy, et al. The facit fatigue scale is a short, item, easy to administer tool that measures an individuals level of fatigue during their usual daily activities over the past week. An external file that holds a picture, illustration, etc.
A validation study article pdf available in tumori 962. This is also called fatigue to distinguish it from the usual sense of tiredness. This was then administered to a large sample of people with parkinsonism via a postal survey, and the results analysed to devise a shorter. Fatigue was determined by the validated piper fatigue scale before, during and after the trial. Participants were 64 patients with lung any stage, nonsurgery and breast any stage cancer, selected for. The 22item revised piper fatigue scale rpfs is a multidimensional. During consultation an envelope with the revised piper fatigue scale pfs questionnaire was handed to the patient to complete this at home and return to us. Construct validity of the swedish version of the revised. The 22 question piper fatigue scale survey takes less than 2 minutes to complete and it will enable you to. The parkinsons disease fatigue scale pfs16 is a patientrated scale that measures fatigue one of the nonmotor symptoms associated with parkinsons. This study reports on the construct validity of the swedish version of the rpfs from the perspective of rasch measurement. The revised piper fatigue scale pfs is one of the popular instruments to assess perceived fatigue of patients with chronic disease such as cancer. Assessment of fatigue in cancer patients jnci monographs.
Measurement of fatigue in systemic lupus erythematosus. Whereas there is no gold standard fatigue instrument for rheumatologic conditions, the developers of this instrument description chose the multidimensional assessment of fatigue maf because of its relatively low patient burden and its potential clinical utility. The purpose of the study was to investigate the major factors affecting fatigue symptoms and to examine the relationships between fatigue symptoms and subjective and objective indicators in patients on hemodialysis hd. Muscle pain irritable bowel syndrome fatigue tiredness thinking or remembering problem muscle weakness headache paincramps in abdomen numbnesstingling. Department of postgraduate nursing studies, university of otago, christchurch, new zealand. But people who have medical conditions like ms experience stronger feelings of fatigue more often and with greater impact than others. Despite its large utilization in different national contexts and with different populations, its structure appears to vary across cultures, suggesting the need for its validation before use. The piper fatigue scale survey is routinely used by medical researchers to scientifically measure fatigue levels in patients during clinical studies. Psychometric evaluation in women with breast cancer. The revised piper fatoue 22 4 hu 6 b 5 b 5 b uaz 0 10 o lunauauiutni 10 uuuanuutjaloumy1intjtntjz%t uazanu 5 inu 0. There are many instruments that assess fatigue that have been used in research.
The piper fatigue scale pfs is one of the commonly used. A secondary aim was to determine whether the pfs captured multiple distinct aspects of fatigue a multidimensional. The pfs in its current form is composed of 22 numerically scaled, 0 to 10 items that measure four dimensions of subjective fatigue. The fatigue scale measures multidimensional aspects of fatigue. Cancerrelated fatigue crf is the most common and distressing symptom reported by breast cancer survivors. A preliminary open label study was initiated to determine if a combination oral supplement containing a mixture of phosphoglycolipids, coenzyme q10 and microencapsulated nadh could affect fatigue levels in longterm patients with intractable fatigue. Piper bf, dibble sl, dodd mj, weiss mc, slaughter re paul tigroup tests. Construct validity of the swedish version of the revised piper fatigue scale in an oncology samplea rasch analysis. Circle the one number that describes how, during the past 24 hours, fatigue has interfered with your. The maf was originally developed by belza in 1991 3 and is a modification of the piper fatigue scale 4. Aug 30, 2012 brief, valid measures of fatigue, a prevalent and distressing cancer symptom, are needed for use in research. Data were collected with the revised piper fatigue scale pfs and the short form36 sf36 health survey scale in the first two days of radiotherapy t 0, during the third week t 1, and during the last week of treatment t 2. The revised piper fatigue scale is one of the most widely used instruments internationally to assess cancerrelated fatigue.
Parkinsons disease fatigue scale pfs16 printed below are a series of statements about fatigue and the impact that it can have. Outcome measures will be collected at baseline, and at completion of intervention. The lack of a commonly agreed on definition of fatigue is perhaps the greatest challenge. High prevalence of fatigue in inflammatory bowel disease. To confirm the multidimensionality of the piper fatigue scale pfs and to reduce the total number of pfs items without compromising reliability and validity estimates. Fatigue and quality of life among chinese patients with. Methodsthe swedish version of the rpfs was answered by 196 cancer patients fatigued after 4 to 5. For the purposes of this study, we combined patients listed as moderate and severe together and termed them high fatigue. The fatigue scale, sometimes referred to as the chalder fatigue scale the cfqto differentiate it from chronic fatigue syndrome or cfs, is a selfadministered questionnaire for measuring the extent and severity of fatigue within both clinical and nonclinical, epidemiological populations. The center for epidemiologic studies depression scale was used to measure depression on selected days at baseline and during chemotherapy and recovery. Chalder fatigue scale cfq 11 occupational medicine. Validation of the revised piper fatigue scale in koreans.
Abstract fatigue is a common symptom associated with a wide range of chronic diseases. Fatiguerelated hiv disease genenetworks identified in cd14. Thai version, pain numeric ratting scale, revised piper fatigue scale, and thai hospital anxiety and depression scale, the cronbachs alpha coefficient values of five these instruments were. Validation of the revised piper fatigue scale in koreans with chronic. Jacobsen increased recognition of the problem of fatigue in cancer patients can be attributed, in part, to the development of measures that have provided researchers with the tools necessary for quantifying and characterizing fatigue and exploring its etiology and treatment. This studys primary aim was to create a shortened version of the revised piper fatigue scale pfsr based on data from a diverse cohort of breast cancer survivors. Performance of the swedish version of the revised piper. The piper fatigue scale, hospital anxiety and depression scale, symptom experience scale, and medical outcomes study shortform general health survey were completed before and after each treatment.
It is computed by adding raw scores on the following items. Fatigue is the most common side effect of cancer treatment, but it can also be a presenting symptom. Apr 15, 2016 psychometric properties of the fatigue severity scale and the modified fatigue impact scale. This instrument consists of 22 items and four subscales to assess multidimensional fatigue 9. The fatigue severity scale is a 9item scale which measures the severity of fatigue and its effect on a persons activities and lifestyle in patients with a variety of disorders. Such measures include the brief fatigue inventory, the revised piper fatigue scale.
Lipid replacement therapy with a glycophospholipid. Data were analyzed using ttest, anova, pearsons correlation coefficients, and multiple regressions. Convergent validity with the schwartz cancer fatigue scale was 0. When you are comparing your condition with than before, compare it with how it was before the injury or getting ill. Questionnaires also were collected at weeks 2 and 14. Physical subscale this scale can range from 0 to 36. Fatigue, sleep disturbances, depressive symptoms, biomarkers, and exercise. Pdf fatigue is one of the most frequently reported symptoms by cancer patients. Among these, the revised piper fatigue scale pfsr is widely used in assessing fatigue in cancer patients and other populations. Online exclusive cne article a qualitative analysis of.
Crf occurs across the continuum of cancer treatment from prediagnosis to longterm survivorship. The scale allows the measurement of the presence of fatigue seven items and also its impact on daily function nine items and takes around five minutes to administer. Get comprehensive information about fatigue and interventions in this summary for clinicians. Relationship between fatigue symptoms and subjective and. Psychometric properties of the fatigue severity scalerasch analyses of individual responses in a norwegian stroke cohort.
Fatigue severity scale an overview sciencedirect topics. Pdf the revised piper fatigue scale pfsr for italian cancer. The revised piper fatigue scale chinese version was used to measure fatigue, and the chinese version of the sf36 health survey was used to measure quality of life. It includes a highlevel section on professional practice in physiotherapy and an introduction to the world health organisations who international classification of health. Jacobsen increased recognition of the problem of fatigue in cancer patients can be attributed, in part, to the development of. Fatigue has a negative impact on all areas of function and can last well beyond treatment. For translation, guidelines for crosscultural adaptation. The 22 question piper fatigue scale survey takes less than 2 minutes to complete and it will enable you to quickly and accurately assess your current level of fatigue. Brief fatigue inventory 7, the revised piper fatigue scale 8, the cancer fatigue. Effectiveness of relaxation breathing exercise on fatigue. A secondary aim was to determine whether the pfs captured multiple distinct aspects of fatigue a multidimensional model or a single overall fatigue factor a unidimensional model.
Revised piper fatigue scale revised pfs34, 4 dimensions. The adapted symptom distress scale form il 2 rama nurs j mavauoust. Pdf the revised piper fatigue scale pfsr for italian. Open access protocol protocol for a pilot randomised.
To assess the severity of fatigue in general practice settings. Piper pfs scale fatigue aged care tests, assessments and. The data were analyzed by descriptive statistics and multiple regression analysis. There were 7 unidimensional and 18 multidimensional scales. To examine the psychometric properties of the revised piper fatigue scale pfs in dutch cancer patients. Materials and methods research design this study is a methodological research design to evaluate the validity and reliability of the korean version of the revised pfs for patients with hbv. Despite its large utilization in different national contexts and with different populations, its structure appears to vary across. Overall, the subjects perceived a moderate level of fatigue mean total fatigue score, 4. Revised piper fatigue scale, are worded such that they are only appropriate for use with individuals currently experiencing fatigue.
Pdf to confirm the multidimensionality of the piper fatigue scale pfs and to reduce the total number of pfs items without compromising. Korean version of the revised piper fatigue scale pfs in koreans with chronic hepatitis b. Structured questionnaires, revised piper fatigue scale, distress thermometer, and selfefficacy scale for selfmanagement of breast cancer were used to measure fatigue, distress, and selfefficacy. The aim of the present study was to evaluate selected psychometric properties of a swedish version of the rpfs spfs. Brief, valid measures of fatigue, a prevalent and distressing cancer symptom, are needed for use in research. The revised piper fatigue scale pfs is one of the popular. Piper bf1, dibble sl, dodd mj, weiss mc, slaughter re, paul sm. Assessment of fatigue in cancer patients oxford academic journals. More than 15% reported experiencing a high level of fatigue. The revised piper fatigue scale pfsr for italian cancer patients. Effect of exercise on biomarkers, fatigue, sleep disturbances. Modified fatigue impact scale mfis fatigue is a feeling of physical tiredness and lack of energy that many people experience from time to time. In addition, 100 consecutive attenders to a general practice completed the fatigue scale and the fatigue item of the revised clinical interview schedule cisr. The revised pfs is a 22item selfreport instrument designed to measure fatigue, which was originally developed for cancer patients.
Fatigue pdqhealth professional version national cancer. How well do the statements describe your own feelings and experiences over the past two weeks. In addition, the zung selfrating depression scale26 encompasses a single fatigue item that is assessed on a 4point likert scale none, some of the time, most of the time, all of the time, during the preceding week. It was originally devised for people with multiple sclerosis or systemic lupus erythematosus1.
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