Functional Assessment of Cancer Therapy General FACTG

The Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System is a collection of QoL questionnaires targeting chronic illnesses. The core questionnaire, or FACT-G, was developed by Cella et al. (1993) and is a widely used cancer-specific instrument (Appendix E8). Similar to the EORTC QLQ-C30, the FACIT questionnaires adopt a modular approach and so a number of supplementary modules specific to a tumour type, treatment or condition are available. Non-cancer-specific FACIT questionnaires are also available for other diseases such as HIV infection and multiple sclerosis.

The FACT-G version 4 contains 27 items arranged in subscales covering four dimensions of QoL: physical well-being, social/family well-being, emotional well-being, and functional well-being. Items are rated from 0 to 4. The items are labelled from "not at all" to "very much", which is the same as for the QLQ-C30 but with the addition of a central "somewhat". Some items are phrased negatively, and should be reverse-scored. Subscale scores are derived by summing item responses, and a total score is derived by summing the subscale scores. Version 3 included an additional item after each subscale, enabling patients to weight each domain on an 11-point scale from "not at all" to "very much so". These questions were of the form: "Looking at the above 7 questions, how much would you say your PHYSICAL WELL-BEING affects your quality of life?" A similar set of items is optional for version 4.

Individual questions are phrased in the first person ("I have a lack of energy"), as compared with the QLQ-C30 that asks questions in the second person ("Have you felt weak?"). Both questionnaires relate lo the past week, and both make similar claims regarding validity and sensitivity.

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Coping with Asthma

Coping with Asthma

If you suffer with asthma, you will no doubt be familiar with the uncomfortable sensations as your bronchial tubes begin to narrow and your muscles around them start to tighten. A sticky mucus known as phlegm begins to produce and increase within your bronchial tubes and you begin to wheeze, cough and struggle to breathe.

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