Your healthcare team may be able to help prevent or relieve fatigue and improve your quality of life. endobj /TT4 11 0 R /TT2 9 0 R >> >> ��$y�,�".��Eaƣ ����^��p~��#R�7�y̞���5���g� �F ��'�����d1yK�N]�s����v�͸���#�$IJ�}���=:�;�r���\�}�E#�c�[�VD�Dz� Prior studies showed that the prevalence of fa-tigue is greater than 50% for advanced cancer patients 1–3 and for cancer patients who have undergone chemotherapy, The Perform Questionnaire (PQ) is a new scale originally developed among Spanish-speaking patients for the assessment of perception and beliefs about fatigue in cancer … << /Type /Page /Parent 3 0 R /Resources 6 0 R /Contents 4 0 R /MediaBox [0 0 612 792] ��-�����O����7G ��0)1p�(��1�1p\0u1���-(. Evaluating patient distress from cancer-related fatigue: an instrument development study. << /Length 5 0 R /Filter /FlateDecode >> Fatigue Impact Scale Vanage, S. M., Gilbertson, K. K., & Mathiowetz, V. (2003). Modified Fatigue Impact Scale (MFIS) Fatigue is a feeling of physical tiredness and lack of energy that many people experience from time to time. Or you can use a scale of 0 to 10, where 0 means no fatigue at all, and 10 means the worst fatigue you can imagine. ��K0ށi���A����B�ZyCAP8�C���@��&�*���CP=�#t�]���� 4�}���a � ��ٰ;G���Dx����J�>���� ,�_“@��FX�DB�X$!k�"��E�����H�q���a���Y��bVa�bJ0՘c�VL�6f3����bձ�X'�?v 6��-�V`�`[����a�;���p~�\2n5��׌���� �&�x�*���s�b|!� [25] based on a conceptual model derived from a qualitative study about fatigue during treatment of cancer in adolescents. 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/FlateDecode >> stream Purpose Fatigue is a symptom with a relevant impact on the daily lives of cancer patients and is gaining importance as an outcome measure. �����k�f��)�I�c���ګ�>Sô���e}!ȫ74z�����u� Fatigue has long been associated with radiation exposure and is reported as being one of the most common and activity-limiting side effect of radiation therapy for cancer. 2 0 obj endstream Ⱦ�h���s�2z���\�n�LA"S���dr%�,�߄l��t� 4�.0,` �3p� ��H�.Hi@�A>� The Childhood Fatigue Scale (CFS), Parent Fatigue Scale (PFS), and the Staff Fatigue Scale (SFS) are the first to be specifically developed for use with children receiving treatment for cancer. Scale.42-44 Multidimensional measures include the Cancer Fatigue Scale,44,45 Fatigue Assessment Questionnaire,44,46 andtheRevisedPiperFatigueScale.47-49 Single-andmulti-item measures embedded in other scales include the Profile of Mood States Fatigue and Vigor subscales,50 the Symptom Distress Scale,41,51 and the Edmonton Symptom Assess- O*��?�����f�����`ϳ�g���C/����O�ϩ�+F�F�G�Gό���z����ˌ��ㅿ)����ѫ�~w��gb���k��?Jި�9���m�d���wi獵�ޫ�?�����c�Ǒ��O�O���?w| ��x&mf������ �$g�=z֌�W�p�b^^����{�����~�/l�O A global score can ... of fatigue in cancer patients: development and valida-tion of the fatigue symptom inventory. Furthermore, the Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO value) was found to be 0.743 and considered to be satisfactory (>0.5). d����H�ٷ&FU!L��U�T&Y(�`$Üs�Oˠ;X����������?�����6�{�7��e,�ʳ�p}��W���=ᯯ�|�N��0����c�)�]̨���0�WR>�]j��f����� ����x"��H���uܑ�?��u�/9{����GN�[��q-�w��i��2�M�� �TP�����a ��{qTP, ��I�5g*��/�%�3�T���3RP���47�](; �v����b��I/�:^����r�+���'b�/ S����U����+��O�� �&�`II��i�����]���(�^�H����G�4炣�A��LQ����R, �������WN3թi��rMm)��U� 4jZy���3��iYq�i��p�4 �}0f��*�Q�]��.OwH�r��!��� c�䫌݆|�V[���~�UK�,� �Wz� �b�ڂ|�U]G>&_�ËLx,��8���C ���Mc���٭��Z��Q҂�K�����h�OcD`�Gž�\�'��b��8+��� �1, �9.���K�,w��Ȯ����c��‘� ������7~?rֲ��s�8��P7r���~"RUS�z�V!���~+t W��{]�k��gKLP���%Ȁ���(Z/�[��0���Z�ߤ�g�r���J`���gc��qطj+�tYa���[�A*��{ϱW>J̀�IUF�G8m�ҪĵZ�. The psychometric 15 0 obj H�c```f``ab`e`��� Ȁ �@1V� ~���#6~�>\gX�3mi``�|?�J�>�`���n�;��je���T�x*�S+6���r'Dڬ.-�ۖ-��-|�)g�2�U��}5�ڗR,}fk���~^x*����T����Ƌ5/yZ /-ݸ�FY��ׯ_�~�� ��őX�bO�9�=2�+�iQ � �x3�3�a�"�B���ǟ��$8X�Ƚ���:�� � << /Length 13 0 R /N 3 /Alternate /DeviceRGB /Filter /FlateDecode >> ��0�k*7'@t,g���,:9��Di��$��Fa��$��P�Օ�H�b��y����v���qC�ϭZ_����}{��9 |OM}�m�=K��_)���B���ӏ�j�KH����� Strengths of these instruments are their qualitative development from actual experiences of children. [ /ICCBased 12 0 R ] the Cancer Fatigue Scale (9), the Revised Schwartz Cancer Fatigue Scale (10), the Multidimensional Fatigue Inventory (11), and the Multidimensional Fatigue Symptom Inventory (12). 13 0 obj 7 0 obj Scoring Items use an 11-point, Lik ert-type scale that ranges from one fatigue-related extreme to another (lower points on the scale denote less acute problems with fatigue). For example, fatigue can be measured using the Quality of Life Questionnaire published by the European Organization for Research and Treatment of Cancer Questionnaire. Quality of Life Research, 15, 597–606. Printed by Brian Hill on 10/1/2016 3:30:25 PM. [4,13] Most of the research describing the fatigue trajectory during radiation therapy has been conducted with women who have breast cancer and men who have prostate cancer. 23 Alternatively, fatigue can be measured with unidimensional scales, such as the Rhoton Fatigue Scale, 24 or multidimensional scales, such as the Piper Fatigue Scale 25 and the Multidimensional Fatigue Inventory. But people who have medical conditions like MS experience stronger feelings of fatigue more often and with greater impact than others. stream Fatigue is a feeling of tiredness or exhaustion. S���䈡�ٸ88b�T�?�'�W_�֭��isi����2-7��b'��Z�y`��W2|ELj��jާ��u�0���Ү�0iF2����W���(٣��x�})+S�������RW�k�^����j�$��ɹ� ��.3\����r���Ϯ�_�Yq*���©�L��_�w�ד������+��]�e�������D��]�cI�II�OA��u�_�䩔���)3�ѩ�i�����B%a��+]3='�/�4�0C��i��U�@ёL(sYf����L�H�$�%�Y�j��gGe��Q�����n�����~5f5wug�v����5�k��֮\۹Nw]������m mH���Fˍe�n���Q�Q��`h����B�BQ�-�[l�ll��f��jۗ"^��b���O%ܒ��Y}W�����������w�vw����X�bY^�Ю�]�����W�Va[q`i�d��2���J�jGէ������{�����׿�m���>���Pk�Am�a�����꺿g_D�H��G�G��u�;��7�7�6�Ʊ�q�o���C{��P3���8!9������-?��|������gKϑ���9�w~�Bƅ��:Wt>���ҝ����ˁ��^�r�۽��U��g�9];}�}��������_�~i��m��p���㭎�}��]�/���}������.�{�^�=�}����^?�z8�h�c��' %PDF-1.3 DEFINITION OF CANCER-RELATED FATIGUE Cancer-related fatigue is a distressing, persistent, subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning. endobj It is possible to manage fatigue. << /ProcSet [ /PDF /Text ] /ColorSpace << /Cs1 7 0 R >> /Font << /TT1 8 0 R How is cancer-related fatigue treated? Cancer-related fatigue is one of the most common side effects of cancer and its treatment. A recent publication provides information about the format of these and other measures and summarizes their psychometric Extract from the Visual Analog Fatigue Scale reproduced from Glaus A. Fatigue is something that lasts even when a person seems to be getting enough sleep. Moffitt Cancer Center and University of South Florida The Fatigue Symptom Inventory (FSI) , is a 14-item self-report measure designed to assess the severity, frequency, and daily pattern of fatigue as well as its perceived interference with quality chalder fatigue scale name: _____ date: _____ We would like to know more about any problems you have had with feeling tired, weak or lacking in energy in the last month. A1�v�jp ԁz�N�6p\W� p�G@ Fatigue is one of the most frequently reported symptoms by cancer patients. 20 E�6��S��2����)2�12� ��"�įl���+�ɘ�&�Y��4���Pޚ%ᣌ�\�%�g�|e�TI� ��(����L 0�_��&�l�2E�� ��9�r��9h� x�g��Ib�טi���f��S�b1+��M�xL����0��o�E%Ym�h�����Y��h����~S�=�z�U�&�ϞA��Y�l�/� �$Z����U �m@��O� � �ޜ��l^���'���ls�k.+�7���oʿ�9�����V;�?�#I3eE妧�KD����d�����9i���,�����UQ� ��h��6'~�khu_ }�9P�I�o= C#$n?z}�[1 6 0 obj Results The Cancer Fatigue Scale (CFS) had good stability (test–retest reliability r=0.79, p<0.001) and good internal consistency (Cronbach's α coefficient for all 15 items α=0.916). Fatigue was specifically measured by the Schwartz Cancer Fatigue scale, a reliable and valid 6-item scale that assesses the level of subjective fatigue a person currently is experiencing [16]. endobj endobj As many as 9 out of 10 people with cancer (90%) get cancer-related fatigue (CRF). The Schwartz Cancer Fatigue Scale is a 28-item scale and 1–5 rating scale with 1, “not at all,” to 5 “extremely”, that was validated in a mixed cancer population undergoing treatment. ͙�u@ݏR-��5h�=���Y����@ì��0c�3���a�����꒹h�*U���,dݸ���ۼ����{P����#3z���52��@���h��Ļ$ ��Z�[p���y�r( �Ǝ!3̓�� Y�-VY����zk��] /� ��*��s?��6ŶM�r�+� Bge5���*偗�@� �����(�>%��"�$��ʦ��� ����Ͼ�w��wuh�5�Q�f�Y�)˕�Ż!���%�:�n������gu4q�&N2Tr����K:`sj�;,rgJf��sA�� �e��QT!��q��E�>�8g�T�j�� �ל�+s�a���1���k�b׀l^:C����. Cancer 2000;89:1634-1646, with permission from John Wiley & Sons, Inc. 2000 Oct;27(9):1425-31 (PubMed Abstract) Holley SK. 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