Colombian validation of the FACT-B scale for measuring breast cancer patients' quality of life

Authors

  • Ricardo Sánchez-Pedraza
  • Fabio Alexander Sierra-Matamoros
  • David Fernando López-Daza

DOI:

https://doi.org/10.18597/rcog.171

Keywords:

Breast neoplasm, women's health, quality of life, psychometry/methods, questionnaires

Abstract

Objective: Evaluating the psychometric properties of the Spanish version of the FACT-B scale using Colombian patients suffering from breast cancer.

Materials and methods: A sample of 198 patients diagnosed as having breast cancer completed the FACT-B questionnaire and the European Organisation for Research and Treatment of Cancer (EORTC) questionnaire including the general quality of life questions (QLQ-C30) and the breast cancer-specific module (QLQ-BR23). 37 patients from such sample were re-evaluated two weeks after the first evaluation for determining questionnaire test-retest reliability and 50 patients one month after receiving surgical treatment for evaluating sensitivity to change. Statistical analysis involved factorial analysis, structural equation modelling (SEM), correlation coefficients (Pearson and Lin), Cronbach's alpha and ANOVA.

Results: 5 factors were identified in exploratory factor analysis (EFA). Confirmatory EFA suggested poor original structure adjustment in this sample. Analysis of correlation between FACT-B and EORTC-QLQ BR23 suggested that these two scales evaluated the same construct. Internal consistency was above 0.65 for all domains; only the functional wellbeing domain (out of the 5 domains) revealed some change regarding results following surgical treatment.

Conclusion: The Spanish version of the FACT-B questionnaire used in Colombia had suitable reliability and detected changes in some of the construct's domains following treatment. Content validity must be studied in greater depth.

Author Biographies

Ricardo Sánchez-Pedraza

Médico psiquiatra. Magíster en Epidemiología Clínica, Universidad Nacional de Colombia, Instituto Nacional de Cancerología. Grupo de investigación clínica, Instituto Nacional de Cancerología, Bogotá, Colombia.

Fabio Alexander Sierra-Matamoros

Psicólogo. Candidato a Magíster en Epidemiología Clínica, Universidad Nacional de Colombia, Instituto Nacional de Cancerología, Bogotá, Colombia.

David Fernando López-Daza

Nutricionista dietista. Especialista en Epidemiología Clínica, Instituto Nacional de Cancerología, Bogotá, Colombia.

References

Hery C, Ferlay J, Boniol M, Autier P. Quantification of changes in breast cancer incidence and mortality since 1990 in 35 countries with Caucasian-majority populations. Ann Oncol 2008;19:1187-94.

Ferlay J, Shin H, Bray F, Forman D, Mathers C, Parkin D. Cancer Incidence and Mortality Worldwide. Globocan 2008 v1.2. Lyon: International Agency for Research on Cancer; 2010 [Visitado 2012 Mar 05]. Disponible en: http://globocan.iarc.fr.

Lozano-Ascencio R, Gómez-Dantes H, Lewis S, Torres-Sánchez L, López-Carrillo L. Breast cancer trends in Latin America and the Caribbean. Salud Publica Mex 2009;51:S147-56.

Mandelblatt J, Armetta C, Yabroff KR, Liang W, Lawrence W. Descriptive review of the literature on breast cancer outcomes: 1990 through 2000. J Natl Cancer Inst Monogr 2004:8-44.

Tassin S, Bragard I, Thommessen M, Pitchot W. Psychosocial aspects of breast cancer. Rev Med Liege 2011;66:315-9.

King CR. Advances in how clinical nurses can evaluate and improve quality of life for individuals with cancer. Oncol Nurs Forum 2006;33:S5-12.

Navarro V. Neoliberalism, globalization, and inequalities: Consequences for health and quality of life. Amityville, NY: Baywood Pub; 2007.

Montazeri A, Gillis CR, McEwen J. Measuring quality of life in oncology: is it worthwhile? II. Experiences from the treatment of cancer. Eur J Cancer Care (Engl) 1996;5:168-75.

Montazeri A, Gillis CR, McEwen J. Measuring quality of life in oncology: is it worthwhile? I. Meaning, purposes and controversies. Eur J Cancer Care (Engl) 1996;5:159-67.

Bottomley A. The cancer patient and quality of life. Oncologist 2002;7:120-5.

Varricchio CG. Measurement issues in quality-of-life assessments. Oncol Nurs Forum 2006;33:S13-21.

Aaronson NK. Assessment of quality of life and benefits from adjuvant therapies in breast cancer. Recent Results Cancer Res 1993;127:201-10.

Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol 1993;11:570-9.

Brady MJ, Cella DF, Mo F, Bonomi AE, Tulsky DS, Lloyd SR, et al. Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. J Clin Oncol 1997;15:974-86.

Glangkarn S, Promasatayaprot V, Porock D, Edgley A. Measuring quality of life in thai women with breast cancer. Asian Pac J Cancer Prev 2011;12:637-44.

Montazeri A. Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. J Exp Clin Cancer Res 2008;27:32.

Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993;85:365-76.

Yoo HJ, Ahn SH, Eremenco S, Kim H, Kim WK, Kim SB, et al. Korean translation and validation of the functional assessment of cancer therapybreast (FACT-B) scale version 4. Qual Life Res 2005;14:1627-32.

Wan C, Zhang D, Yang Z, Tu X, Tang W, Feng C, et al. Validation of the simplified Chinese version of the FACT-B for measuring quality of life for patients with breast cancer. Breast Cancer Res Treat 2007;106:413-8.

Pandey M, Thomas BC, Ramdas K, Eremenco S, Nair MK. Quality of life in breast cancer patients: validation of a FACT-B Malayalam version. Qual Life Res 2002;11:87-90.

Fernandez-Suárez HG, Blum-Grynberg B, Aguilar- Villalobos EJ, Bautista-Rodríguez H. Validation of an instrument to measure life quality in breast cancer patients. Rev Med Inst Mex Seguro Soc 2010;48:133-8.

Sánchez R, Venegas M, Otero J, Sánchez O. Adaptación transcultural de dos escalas para medir la calidad de vida en pacientes con cáncer en colombia. Revista Colombiana de Cancerología 2009;13:205-12.

Sánchez R, Ballesteros M, Arnold BJ. Validation of the FACT-G scale for evaluating quality of life in cancer patients in Colombia. Qual Life Res 2011;20:19-29.

Delgado-Sánz MC, García-Mendizábal MJ, Pollan M, Forjaz MJ, López-Abente G, Aragones N, et al. Heathrelated quality of life in Spanish breast cancer patients: a systematic review. Health Qual Life Outcomes 2011;9:3.

Pett MA, Lackey NR, Sullivan JJ. Making sense of factor analysis : the use of factor analysis for instrument development in health care research. Thousand Oaks: Sage; 2003.

Kelloway EK. Using LISREL for structural equation modeling: a researcher’s guide. Thousand Oaks: Sage; 1998.

Diamantopoulos A, Siguaw JA. Introducing LISREL: a guide for the uninitiated. London: Sage; 2000.

Biglia N, Moggio G, Peano E, Sgandurra P, Ponzone R, Nappi RE, et al. Effects of surgical and adjuvant therapies for breast cancer on sexuality, cognitive functions, and body weight. J Sex Med 2010;7:1891-900.

Bredart A, Dolbeault S, Savignoni A, Besancenet C, This P, Giami A, et al. Prevalence and associated factors of sexual problems after early-stage breast cancer treatment: results of a French exploratory survey. Psychooncology 2011;20:841-50.

Krychman ML, Katz A. Breast cancer and sexuality: multimodal treatment options. J Sex Med 2012;9:5-13.

Ussher JM, Perz J, Gilbert E. Changes to Sexual wellbeing and intimacy after breast cancer. Cancer Nurs 2012 Jan 4.

Dapueto JJ, Francolino C, Gotta I, Levin R, Alonso I, Barrios E, et al. Evaluation of the Functional Assessment of Cancer Therapy-General Questionnaire (FACT-G) in a South American Spanish speaking population. Psychooncology 2001;10:88-92.

How to Cite

1.
Sánchez-Pedraza R, Sierra-Matamoros FA, López-Daza DF. Colombian validation of the FACT-B scale for measuring breast cancer patients’ quality of life. Rev. colomb. obstet. ginecol. [Internet]. 2012 Sep. 30 [cited 2024 May 10];63(3):196-20. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/171

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Published

2012-09-30

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Original Research
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