Physical Therapy Department, University of Malaga, Malaga, Spain.
Eur J Cancer Care (Engl). 2013 Mar;22(2):245-52. doi: 10.1111/ecc.12022. Epub 2013 Jan 16.
This paper proposes 'QuickPIPER', a 15-item, validated one-dimensional model representing cancer-related fatigue, based on factor analysis testing of the Piper Fatigue Scale-revised (R-PFS). One hundred and eleven breast cancer survivors participated in this prospective, observational study of the QuickPIPER validation. Participants completed the R-PFS and the Profile of Mood States (POMS) Fatigue and Vigor subscales. The questionnaires were tested concurrently before and after a multimodal exercise programme trial. Psychometric characteristics assessed from the sample included internal consistency and factor analysis, concurrent criterion validity and predictive ability. The results shows that the correlation matrix for the QuickPIPER questionnaire was determined as suitable with the Kaiser-Meyer-Oklin values (0.89) and Bartlett's Test of Sphericity (P < 0.001). The total cumulative variance explained was 65.32%. The goodness-of-fit indices of confirmatory factor analysis were satisfactory (normed fit index = 0.91 and comparative fit index = 0.92). Test-retest reliability was very good (r = 0.947, P < 0.001). The QuickPIPER scores correlated with POMS Fatigue (r = 0.800) and POMS Vigor (r = -0.352) subscales. Predictive ability showed that the area under the curves for the screening questionnaires was 0.743 (95% confidence interval 0.579-0.906). The 15-item QuickPIPER possesses similar properties to the 22-item R-PFS and offers the important advantage of brevity.
本文提出了“QuickPIPER”,这是一个基于 Piper 疲劳量表修订版(R-PFS)的因子分析测试的 15 项癌症相关疲劳验证的一维模型。111 名乳腺癌幸存者参与了这项前瞻性观察性研究,以验证 QuickPIPER。参与者在参加多模式运动计划试验前后同时完成了 R-PFS 和状态-特质焦虑问卷(POMS)疲劳和活力分量表。从样本中评估的心理测量特征包括内部一致性和因子分析、同时效标效度和预测能力。结果表明,QuickPIPER 问卷的相关矩阵被确定为适合 Kaiser-Meyer-Oklin 值(0.89)和 Bartlett 球形检验(P < 0.001)。总累积方差解释率为 65.32%。验证性因子分析的拟合优度指数令人满意(标准化拟合指数 = 0.91,比较拟合指数 = 0.92)。重测信度非常好(r = 0.947,P < 0.001)。QuickPIPER 评分与 POMS 疲劳(r = 0.800)和 POMS 活力(r = -0.352)分量表相关。预测能力表明,筛选问卷的曲线下面积为 0.743(95%置信区间 0.579-0.906)。15 项 QuickPIPER 具有与 22 项 R-PFS 相似的特性,并且具有简洁的重要优势。