Abstract:
INTRODUCTION:Within an ongoing project of the EORTC Quality of Life Group, we are developing computerized adaptive test (CAT) measures for the QLQ-C30 scales. These new CAT measures are conceptualised to reflect the same constructs as the QLQ-C30 scales. Accordingly, the Fatigue-CAT is intended to capture physical and general fatigue. METHODS:The EORTC approach to CAT development comprises four phases (literature search, operationalisation, pre-testing, and field testing). Phases I-III are described in detail in this paper. A literature search for fatigue items was performed in major medical databases. After refinement through several expert panels, the remaining items were used as the basis for adapting items and/or formulating new items fitting the EORTC item style. To obtain feedback from patients with cancer, these English items were translated into Danish, French, German, and Spanish and tested in the respective countries. RESULTS:Based on the literature search a list containing 588 items was generated. After a comprehensive item selection procedure focusing on content, redundancy, item clarity and item difficulty a list of 44 fatigue items was generated. Patient interviews (n = 52) resulted in 12 revisions of wording and translations. DISCUSSION:The item list developed in phases I-III will be further investigated within a field-testing phase (IV) to examine psychometric characteristics and to fit an item response theory model. The Fatigue CAT based on this item bank will provide scores that are backward-compatible to the original QLQ-C30 fatigue scale.
journal_name
Health Qual Life Outcomesjournal_title
Health and quality of life outcomesauthors
Giesinger JM,Aa Petersen M,Groenvold M,Aaronson NK,Arraras JI,Conroy T,Gamper EM,Kemmler G,King MT,Oberguggenberger AS,Velikova G,Young T,Holzner B,European Organisation for Research and Treatment of Cancer Quality of Life Groudoi
10.1186/1477-7525-9-19subject
Has Abstractpub_date
2011-03-29 00:00:00pages
19issn
1477-7525pii
1477-7525-9-19journal_volume
9pub_type
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