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J Pain Symptom Manage · Jul 2020
Cross-cultural Adaptation and Psychometric Validation of the French Version of the FAMCARE-Patient Questionnaire (FFP-16) for Outpatients with Advanced-stage Cancer.
- François Chaumier, Thomas Flament, Thierry Lecomte, Hélène Vegas, Marion Stacoffe, Eric Pichon, Bérangère Narciso, Morgane Caulet, Catherine Barbe, Anaïs Jaillais, Delphine Carmier, Marie-Agnès By, Marianne Bourdon, and Jean-Benoît Hardouin.
- Palliative Care Team, CHRU de Tours, Tours, France; INSERM SPHERE U1246, Université de Tours, Université de Nantes, Tours, France. Electronic address: francois.chaumier@univ-tours.fr.
- J Pain Symptom Manage. 2020 Jul 1; 60 (1): 94-100.e1.
ContextSatisfaction is known to be correlated with the quality of care; it indicates the adequacy of the caregivers' responses in meeting the needs and expectations of patients. The FAMCARE-Patient questionnaire has been used to quantify satisfaction level in outpatients with advanced-stage cancers.ObjectivesTo translate and cross-culturally adapt the FAMCARE-Patient questionnaire for French patients and to evaluate the psychometric properties of this version.MethodsThe original questionnaire was translated into French and adapted to French cultural context by an expert committee. The French FAMCARE-Patient Version 16 (FFP-16) was then pilot tested among 51 patients. Subsequently, psychometric properties were evaluated in a cross-sectional study by administrating the new tool to 176 adult outpatients with advanced-stage cancer who underwent oncological care at our university hospital.ResultsWe performed a confirmatory factor analysis and assessed the reliability and validity of the questionnaire. The one-factor structure was confirmed, and it had an acceptable fit with a comparative fit index and root mean square error of approximation of 0.93 and 0.07, respectively. Internal reliability was high as shown by Cronbach's alpha (α = 0.95). Reproducibility was very good (intraclass correlation coefficient 0.91). The FFP-16 score was independent of the Eastern Cooperative Oncology Group and the overall Edmonton Symptom Assessment Scale distress scores. It was significantly but weakly correlated with anxiety, well-being, and overall quality of life (Spearman's correlation coefficient = -0.18, -0.20, and 0.30, respectively; P < 0.05).ConclusionWe found the FFP-16 questionnaire to be a reliable and valid instrument for the assessment of satisfaction in French outpatients with advanced-stage cancer.Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
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