title: Validation evidence for the French Canadian adaptation of the Multidimensional Fatigue Inventory as a measure of cancer-related fatigue.
abstract: Cancer-related fatigue is the most reported symptom among patients with cancer. Researchers in the field of psychooncology have encouraged the development of short instruments, which allow for easier completion by clinical populations while still maintaining solid psychometric properties. The current study examined the validity and reliability of the French Canadian adaptation of the Multidimensional Fatigue Inventory (MFI) among women (n = 277) and men (n = 327) undergoing therapy for breast or prostate cancer, respectively. An exploratory factor analysis of the selected 15-item MFI yielded the following four factors: general/physical, mental, reduced motivation, and reduced activity. This was supported by a confirmatory factor analysis. The reliability, as evaluated by test-retest and Cronbach alpha internal consistency reliability coefficients of the French Canadian shortened MFI, was acceptable. In addition, the four factor-based scores correlated in a theoretically meaningful manner with existing measures of mood disturbance (Profile of Mood States and Hospital Anxiety and Depression Scale), cancer-related stressors (Inventory of Recent Life Experiences), coping with illness (Coping with Health Injuries and Problems Scale), quality of life (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire), and insomnia (Insomnia Severity Index), suggesting good construct, convergent, and concurrent criterion validity. Although further validation is recommended, the results for the French Canadian MFI in assessing cancer-related fatigue in both women and men undergoing cancer treatments showed good psychometric qualities.
authors.affiliation: Faculty of Nursing, Laval University, Québec City, Québec, Canada. lise.fillion@fsi.ulaval.ca
authors.forename: Lise
authors.initials: L
authors.lastname: Fillion
authors.forename: Céline
authors.initials: C
authors.lastname: Gélinas
authors.forename: Sébastien
authors.initials: S
authors.lastname: Simard
authors.forename: Josée
authors.initials: J
authors.lastname: Savard
authors.forename: Pierre
authors.initials: P
authors.lastname: Gagnon
mesh_terms: D000223:Adaptation, Psychological; D000339:Affect; D000368:Aged; D001943:Breast Neoplasms / Q000150:complications* / Q000628:therapy; D002170:Canada; D005163:Factor Analysis, Statistical; D005221:Fatigue / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D005602:France / Q000208:ethnology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009730:Nursing Assessment / Q000379:methods* / Q000592:standards; D015403:Nursing Evaluation Research; D011471:Prostatic Neoplasms / Q000150:complications* / Q000628:therapy; D011594:Psychometrics; D011788:Quality of Life; D012720:Severity of Illness Index; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000209:etiology; D011795:Surveys and Questionnaires / Q000592:standards*; D014175:Translating