The Fatigue Pictogram: Psychometric evaluation of a new clinical tool

Fatigue is one of the most prevalent side effects of cancer, yet clinicians may not focus on it during busy clinic appointments. The purpose of this project was to evaluate the psychometric properties of a new two-item instrument designed to quickly identify patients experiencing difficulties with f...

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Main Authors: Margaret I. Fitch, Terry Bunston, Debra Bakker, Deborah Mings, Pat Sevean
Format: Article
Language:English
Published: Pappin Communications 2011-10-01
Series:Canadian Oncology Nursing Journal
Online Access:http://www.canadianoncologynursingjournal.com/index.php/conj/article/view/142/150
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author Margaret I. Fitch
Terry Bunston
Debra Bakker
Deborah Mings
Pat Sevean
author_facet Margaret I. Fitch
Terry Bunston
Debra Bakker
Deborah Mings
Pat Sevean
author_sort Margaret I. Fitch
collection DOAJ
description Fatigue is one of the most prevalent side effects of cancer, yet clinicians may not focus on it during busy clinic appointments. The purpose of this project was to evaluate the psychometric properties of a new two-item instrument designed to quickly identify patients experiencing difficulties with fatigue. The evaluation was conducted with 190 lung cancer patients attending ambulatory clinics. The Fatigue Pictogram had good reliability for test-retest over a 24-hour period (Weighted Kappa 0.71 for Question 1 and 0.72 for Question 2) and for equivalence of method (in person versus phone) (Weighted Kappa 0.64 for Question 1 and 0.65 for Question 2). Validity was assessed by comparing results of the new tool against the Multidimensional Fatigue Inventory and the SF-36. Overall, patients who indicated high fatigue levels did so on all respective scales. The new Fatigue Pictogram was easy to administer and score in a busy clinical setting. It provides a standardized reliable and valid instrument to identify patients experiencing difficulty with fatigue.
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spelling doaj.art-a8ae422aca074884b32fdc410a0c21bf2022-12-21T19:02:46ZengPappin CommunicationsCanadian Oncology Nursing Journal1181-912X2011-10-0121420521010.5737/1181912x214205210The Fatigue Pictogram: Psychometric evaluation of a new clinical toolMargaret I. Fitch0Terry Bunston1Debra Bakker2Deborah Mings3Pat Sevean4RN, PhD, Head, Oncology Nursing, Co-director, Patient & Family Support Program, Sunnybrook Odette Cancer Centre, 2075 Bayview Avenue, Toronto, ONMSW, PhD (deceased)RN, PhD, Professor, School of Nursing, Laurentian University, 935 Ramsey Lake Road, Sudbury, ONRN, MHSc, GNC(C), IIWCC, 6-3010 Palmer Drive, Burlington, ONRN, MA(N), Associate Professor, School of Nursing, Lakehead University, 955 Oliver Road, Thunder Bay, ONFatigue is one of the most prevalent side effects of cancer, yet clinicians may not focus on it during busy clinic appointments. The purpose of this project was to evaluate the psychometric properties of a new two-item instrument designed to quickly identify patients experiencing difficulties with fatigue. The evaluation was conducted with 190 lung cancer patients attending ambulatory clinics. The Fatigue Pictogram had good reliability for test-retest over a 24-hour period (Weighted Kappa 0.71 for Question 1 and 0.72 for Question 2) and for equivalence of method (in person versus phone) (Weighted Kappa 0.64 for Question 1 and 0.65 for Question 2). Validity was assessed by comparing results of the new tool against the Multidimensional Fatigue Inventory and the SF-36. Overall, patients who indicated high fatigue levels did so on all respective scales. The new Fatigue Pictogram was easy to administer and score in a busy clinical setting. It provides a standardized reliable and valid instrument to identify patients experiencing difficulty with fatigue.http://www.canadianoncologynursingjournal.com/index.php/conj/article/view/142/150
spellingShingle Margaret I. Fitch
Terry Bunston
Debra Bakker
Deborah Mings
Pat Sevean
The Fatigue Pictogram: Psychometric evaluation of a new clinical tool
Canadian Oncology Nursing Journal
title The Fatigue Pictogram: Psychometric evaluation of a new clinical tool
title_full The Fatigue Pictogram: Psychometric evaluation of a new clinical tool
title_fullStr The Fatigue Pictogram: Psychometric evaluation of a new clinical tool
title_full_unstemmed The Fatigue Pictogram: Psychometric evaluation of a new clinical tool
title_short The Fatigue Pictogram: Psychometric evaluation of a new clinical tool
title_sort fatigue pictogram psychometric evaluation of a new clinical tool
url http://www.canadianoncologynursingjournal.com/index.php/conj/article/view/142/150
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