Evaluation of the modified fatigue impact scale in four different European countries
Abstract
OBJECTIVE: To evaluate the psychometric properties of the Modified Fatigue Impact Scale (MFIS) in four different European countries. METHODS: Individuals with definite multiple sclerosis (MS) were selected from centres in Italy (n =50), Spain (n =30), Slovenia (n =50) and Belgium (n =51) and completed the MFIS and the Fatigue Severity Scale (FSS) twice (interval < or =3 days). RESULTS: In all four samples, the MFIS demonstrated a good reproducibility (intraclass correlation coefficient > or = 0.84), with no significant differences between countries (P =0.77). Moderate correlations were found between the MFIS and FSS. No significant correlations were found between the MFIS and age, gender, type of MS, duration of the disease or EDSS score. Factor analysis of all samples (n = 181) could not completely confirm the original assumptions concerning the physical, cognitive and psychosocial component The total score, the physical and the cognitive subscale of the scale were homogeneous (Cronbach's alpha 0.92, 0.88 and 0.92, respectively), but the psychosocial subscale had a Cronbach's alpha of 0.65. CONCLUSIONS: No cultural or linguistic differences were found in the psychometric properties of the Belgian, Italian, Slovenian or Spanish version of the MFIS. We recommend this scale for research purposes and in clinical practice. Due to the limited value of the psychosocial subscale, we recommend interpreting this subscale with caution.
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The Modified Fatigue Impact Scale has demonstrated satisfactory validity and internal consistency.
“Fatigue will be studied using the Modified Fatigue Impact Scale (34), an abbreviated version of the longer, previous Fatigue Impact Scale, with demonstrated satisfactory validity and internal consistency (35).”
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- Authors
- Kos, D., Kerckhofs, E., Carrea, I., Verza, R., Ramos, M., & Jansa, J.
- Affiliations
- Vrije Universiteit Brussel (BE)
- Associazione Italiana Sclerosi Multipla (IT)
- Hospital de Dia de Esclerosi Multiple, C/Teodora Lamadrid 21=23, 08022 Barcelona, Spain
- Department of Neurology, University Medical Centre Ljubljana, Zaloska 2, 1000 Ljubljana, Slovenia
- Corresponding author
- Kos, D
- ORCID
- Venue
- Multiple Sclerosis Journal
- Publisher
- SAGE Publications
- Published
- 2005-02
- Volume
- 11
- Issue
- 1
- Pages
- 76-80
- ISSN
- 1352-4585 (ISSN-L)
- 1477-0970
- OpenAlex
- W2023604417
- Cited by
- 381
- References
- 18
- Citations by year
- 2026: 31 · 2025: 28 · 2024: 36 · 2023: 22 · 2022: 38 · 2021: 30 · 2020: 24 · 2019: 23 · 2018: 16 · 2017: 16 · 2016: 7 · 2015: 15 · 2014: 9 · 2013: 19 · 2012: 9
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Multiple Sclerosis Journal (publishedVersion)
- PubMed (publishedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- Modified Fatigue Impact Scale, multiple sclerosis, fatigue, psychometric properties, cross-cultural validation, Fatigue Severity Scale, reliability statistics, factor structure, European patients
- MeSH terms
- Adult, Cross-Cultural Comparison, Disability Evaluation, Europe, Evaluation Studies as Topic, Fatigue, Female, Humans, Language, Male, Middle Aged, Multiple Sclerosis, Psychometrics, Reproducibility of Results
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