Validity of the Construct and Reliability of the Indonesian Version of the Cancer Fatigue Scale (CFS) Instrument in Measuring Fatigue in Cancer Patients
DOI:
https://doi.org/10.37287/ijghr.v8i1.1128Keywords:
cancer fatigue scale, cancer patients, construct validity, fatigue, reliabilityAbstract
Cancer-related fatigue is one of the most frequent symptoms and has a significant impact on the quality of life of cancer patients. Accurate fatigue measurements require instruments that are valid and reliable, and appropriate to the cultural and linguistic context. Therefore, it is necessary to test the validity of the construct and reliability of the Indonesian version of the Cancer Fatigue Scale (CFS) before it is widely used. This study aims to test the validity of the construct and reliability of the Indonesian version of the Cancer Fatigue Scale (CFS) instrument in measuring fatigue in cancer patients. This study is an analytical descriptive research using a Cross Sectional design. This research was conducted at Darmais Cancer Hospital (RSKD). The number of samples was 220 people, with a sampling technique, namely purposive sampling. The instrument used in this study was the Cancer Fatigue Scale (CFS) as the core questionnaire. The data was analaysed to test realibility and validity of instruments CFS. The results showed that all Indonesian version of CFS items had a total item–correlation value above the minimum acceptable limit (r > 0.30), indicating adequate construct validity. The reliability test showed Cronbach's alpha value of 0.824, which indicated good internal consistency. The Indonesian version of the Cancer Fatigue Scale has been proven to have good construct validity and reliability, making it suitable for use as an instrument for measuring fatigue in cancer patients in oncology nursing research and practice.
References
Adawiyah, R., Fauji, A., Rahmah, NM, & Astuti, P. (2024). Scoping Review: Instruments Post- Treatment Cancer-Related Fatigue Assessment Cancer. Faletehan Health Journal, 11 (02), 150–157. https://doi.org/10.33746/fhj.v11i02.490
Amarsheda, S., & Bhise, A. R. (2022). Systematic review of cancer-related fatigue instruments in breast cancer patients. Palliative and Supportive Care, 20 (1), 122–128. https://doi.org/10.1017/S1478951521000444
Bower, J. E. (2014). Cancer-related fatigue--mechanisms, risk factors, and treatments. Nature Reviews. Clinical Oncology, 11 (10), 597–609. https://doi.org/10.1038/nrclinonc.2014.127
Charalambous, A., Kaite, C., Constantinou, M., & Kouta, C. (2016). Translation and validation of the Cancer-Related Fatigue Scale in Greek in a sample of patients with advanced prostate cancer. BMJ Open, 6 (12). https://doi.org/10.1136/bmjopen-2016-011798
Guarda Korelo, R.I., Siega, J., Cordeiro Woloschen, A.C., Paula do Amaral, M., Barão dos Santos Ivanski, M., Schleder, J.C., & Fernandes, L.C. (2019). Brazilian Version of Cancer Fatigue Scale: Validation of the Brazilian Version of Cancer Fatigue Scale in Patients With Breast Cancer. Journal of Pain and Symptom Management, 57 (6), 1130–1136. https://doi.org/10.1016/j.jpainsymman.2019.03.011
Ivandra, R., Korelo, G., Siega, J., Carolina, A., Woloschen, C., Paula, M., Bar, M., Ivanski, S., & Schleder, J.C. (2019). Brazilian Version of Cancer Fatigue Scale: Validation of the Brazilian Version of Cancer Fatigue Scale in Patients With Breast Cancer. 57 (6), 1130–1136. https://doi.org/10.1016/j.jpainsymman.2019.03.011
Kang, YE, Yoon, JH, Park, N. hyun, Ahn, YC, Lee, EJ, & Son, C.G. (2023). Prevalence of cancer-related fatigue based on severity: a systematic review and meta-analysis. Scientific Reports, 13 (1), 1–11. https://doi.org/10.1038/s41598-023-39046-0
Keane, K.F., Wickstrom, J., Livinski, A.A., Blumhorst, C., Wang, T.F., & Saligan, L.N. (2024). The definition, assessment, and dimensions of cancer-related fatigue: A scoping review. Supportive Care in Cancer, 32 (7), 1–23. https://doi.org/10.1007/s00520-024-08615-y
Lee, H., Park, E.Y., & Park, K. H. (2025). Assessing cancer-related fatigue: Validation of the Korean version of the cancer fatigue scale among cancer survivors. Asia-Pacific Journal of Oncology Nursing, 12. https://doi.org/10.1016/j.apjon.2025.100657
Lee, H., Park, E.Y., & Sung, J. H. (2023). Validation of the Korean Version of the Cancer Fatigue Scale in Patients with Cancer. Healthcare (Switzerland), 11 (12). https://doi.org/10.3390/healthcare11121796
Li, H., Ng, MSN, Jin, X., & Wong, C.L. (2023). 'Life became slow down': A descriptive qualitative study of the experiences of cancer-related fatigue among people with advanced lung cancer. Palliative Medicine, 37 (8), 1168–1182. https://doi.org/10.1177/02692163231184926
Ma, Y., He, B., Jiang, M., Yang, Y., Wang, C., Huang, C., & Han, L. (2020). Prevalence and risk factors of cancer-related fatigue: A systematic review and meta-analysis. International Journal of Nursing Studies, 111. https://doi.org/10.1016/j.ijnurstu.2020.103707
National Cancer Institute. (2024, November 6). Fatigue (PDQ®) - NCI. Https://Www.Cancer.Gov/about-Cancer/Treatment/Side-Effects/Fatigue/Fatigue-Hp-Pdq#:~:Text=Cancer%20treatment%E2%80%93related%20fatigue%20is%20a,25%20Level%20of.
Okuyama, T., Akechi, T., Kugaya, A., Okamura, H., Shima, Y., Maruguchi, M., Hosaka, T., & Uchitomi, Y. (2000). Development and validation of the cancer fatigue scale: A brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. Journal of Pain and Symptom Management, 19 (1), 5–14. https://doi.org/10.1016/S0885-3924(99)00138-4
O'Regan, P., McCarthy, G., O'Reilly, S., Power, D., Bird, B.H., Murphy, C.G., & Hegarty, J. (2019). Cancer‐related fatigue and self‐care agency: A multicentre survey of patients receiving chemotherapy Patricia. Journal of Clinical Nursing, 28, 4424–4433.
Putri, IM, Nelwati, N., & Huriani, E. (2021). Average Fatigue in Patients Cancer Undergoing Chemotherapy. Journal Nursing Silampari, 5 (1), 390–395. https://doi.org/10.31539/jks.v5i1.3059
Rodriguez-Gonzalez, A., Velasco- Durantez, V., Martin-Abreu, C., Cruz-Castellanos, P., Hernandez, R., Gil-Raga, M., Garcia-Torralba, E., Garcia-Garcia, T., Jimenez-Fonseca, P., & Calderon, C. (2022). Fatigue, Emotional Distress, and Illness Uncertainty in Patients with Metastatic Cancer: Results from the Prospective NEOETIC_SEOM Study. Current Oncology, 29 (12), 9722–9732. https://doi.org/10.3390/curroncol29120763
Şahin, S., Huri, M., Aran, O.T., & Uyanik, M. (2018). Cross-cultural adaptation, reliability, and validity of the Turkish version of the cancer fatigue scale in patients with breast cancer. Turkish Journal of Medical Sciences, 48 (1), 124–130. https://doi.org/10.3906/sag-1707-125
Ver Hoeve, E.S., Calhoun, E., Hernandez, M., High, E., Armin, J.S., Ali-Akbarian, L., Frithsen, M., Andrews, W., & Hamann, H.A. (2024). Evaluating implementation of a community-focused patient navigation intervention at an NCI-designated cancer center using RE-AIM. BMC Health Services Research, 24, 1–20. https://doi.org/https://doi.org/10.1186/s12913-024-10919-y
Yennurajalingam, S., Lu, Z., Moraes, AR De, Tull, NN, Kubiak, M.J., Geng, Y., Andersen, C.R., & Bruera, E. (2023). Meta-Analysis of Pharmacological, Nutraceutical and Phytopharmaceutical Interventions for the Treatment of Cancer Related Fatigue. Cancers, 15 (91), 1–21.
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