The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument.
Abstract
PURPOSE: This is the first published report on the validation of the Functional Assessment of Cancer Therapy-Breast (FACT-B), a 44-item self-report instrument designed to measure multidimensional quality of life (QL) in patients with breast cancer. The FACT-B consists of the FACT-General (FACT-G) plus the Breast Cancer Subscale (BCS), which complements the general scale with items specific to QL in breast cancer. The FACT-B was developed with an emphasis on patients' values and brevity and is available in nine languages. METHODS AND RESULTS: Two validation samples were used for this report. The first (n = 47) was tested twice over a 2-month period to assess sensitivity to change. Significant sensitivity to change in performance status rating (PSR) was demonstrated for the FACT-B total score, the Physical Well-Being (PWB) subscale, the Functional Well-Being (FWB) subscale, and the BCS. Sensitivity to change in QL as measured by the Functional Living Index-Cancer (FLIC) was documented in the FACT-B total score, PWB, FWB, and Emotional Well-Being (EWB). Additional validity and reliability data were obtained from a larger sample (n = 295). The alpha coefficient (internal consistency) for the FACT-B total score was high (alpha = .90), with subscale alpha coefficients ranging from .63 to .86. Evidence supported test-retest reliability, as well as convergent, divergent, and known groups validity. CONCLUSION: The FACT-B is appropriate for use in oncology clinical trials, as well as in clinical practice. It demonstrates ease of administration, brevity, reliability, validity, and sensitivity to change.
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Self-citationConfidant and breast cancer patient reports of quality of life
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“[14] ranged from 0.”
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Importance of Quality of Life in Patients with Non–Small-Cell Lung Cancer
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“Figure 2 plots the EQ-5D-5L and FACT-B scores at follow-up against baseline.”
MethodInfluentialHahn, E. A., Cella, D. F., Dobrez, D. G., Weiss, B. D., Du, H., Lai, J., Victorson, D. E., & Garcia, S. F. (2006) · Quality of Life Research · doi:10.1007/s11136-006-9128-6 · Cited by 41
“It has established reliability and validity, including sensitivity to change [28-32].”
BackgroundSelf-citationSmith, S. K., Rowe, K., & Abernethy, A. P. (2013) · Palliative & Supportive Care · doi:10.1017/s1478951513000345 · Cited by 41
“…the ePRO system was supplemented with additional survey instruments such as the Functional Assessment of Cancer Therapy General-Breast scale (FACT-B; Brady et al., 1997) in order to add the quality of life (QOL), psychological, and other PRO information needed to support programmatic evaluation.”
MethodMadore, S., Kilbourn, K. M., Valverde, P., Borrayo, E. A., & Raich, P. C. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2176-5 · Cited by 41
“Quality of life was measured using The Functional Assessment of Cancer Therapy for Breast Cancer (FACT-B), which is a validated 44-item selfreport measure designed to measure multidimensional quality of life in patients with breast cancer [34, 35].”
MethodBreast Cancer Among Asian Americans: Is Acculturation Related to Health-Related Quality of Life?
Kim, J., Ashing‐Giwa, K. T., Singer, M. K., & Tejero, J. S. (2006) · Oncology nursing forum · doi:10.1188/06.onf.e90-e99 · Cited by 41
“High reliability of the FACT-G subscales (part of FACT-B) has been reported for the English, Spanish, Chinese, and Korean versions (Brady et al., 1997; Dapueto et al., 2003; Lee, Chun, Kang, & Lee, 2004; Yoo et al., 2005; Yu et al., 2000).”
BackgroundMethodResultInfluentialOliveira, I. S., Costa, L. C. M., Manzoni, A. C. T., & Cabral, C. M. N. (2014) · Brazilian Journal of Physical Therapy · doi:10.1590/bjpt-rbf.2014.0045 · Cited by 41
Reh, A., Lu, L., Weinerman, R. S., GRIFO, J. A., Krey, L. C., & Noyes, N. L. (2011) · Journal of Assisted Reproduction and Genetics · doi:10.1007/s10815-011-9559-z · Cited by 41
“Why me?” – women’s use of spiritual causal attributions in making sense of breast cancer
Gall, T. L., & Bilodeau, C. (2017) · Psychology and Health · doi:10.1080/08870446.2017.1293270 · Cited by 43
“The functional assessment of cancer therapy – breast (FACT-B) is a measure of health-related quality of life specific to breast cancer (Brady et al., 1997).”
BackgroundCheng, K. K. F., Lim, E. Y.-T., & Kanesvaran, R. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-018101 · Cited by 42
Nápoles, A. M., Santoyo‐Olsson, J., Stewart, A. L., Ortíz, C., Samayoa, C., Torres‐Nguyen, A., Palomino, H., Coleman, L., Urias, A., Gonzalez, N., et al. (2020) · Psycho-Oncology · doi:10.1002/pon.5481 · Cited by 40
“Breast cancer-specific quality of life scales = FACT-B scales.(23) Depressive symptoms = PHQ-8.”
BackgroundKaiser, C. G., Dietzel, M., Vág, T., & Froelich, M. F. (2020) · European Journal of Radiology · doi:10.1016/j.ejrad.2020.109355 · Cited by 41
Vergote, I. B., & Robertson, J. F. R. (2004) · British Journal of Cancer · doi:10.1038/sj.bjc.6601631 · Cited by 41
“This tool is a sensitive measure for evaluating physical, functional, social and emotional well-being and comprises the FACT-G ‘general’ QoL tool for cancer patients plus the Breast Cancer Subscale (Cella et al, 1993; Brady et al, 1997).”
MethodKinney, C. K., Rodgers, D., Nash, K. A., & Bray, C. O. (2003) · Journal of Holistic Nursing · doi:10.1177/0898010103254919 · Cited by 42
“Brady et al. (1997) reported internal consistency reliability estimates with coefficient α = .”
Ohsumi, S., Shimozuma, K., Ohashi, Y., Takeuchi, A., Suemasu, K., Kuranami, M., Ohno, S., & Watanabe, T. (2012) · Oncology · doi:10.1159/000336480 · Cited by 41
Nechuta, S., Caan, B. J., Chen, W. Y., Flatt, S. W., Lu, W., Patterson, R. E., Poole, E. M., Kwan, M. L., Chen, Z. J., Weltzien, E. K., et al. (2011) · Cancer Causes & Control · doi:10.1007/s10552-011-9805-9 · Cited by 41
“LACE used the Functional Assessment of Cancer Therapy—Breast (FACTB) [40] to asses QOL at the baseline and follow-up surveys.”
MethodExamining health-related quality of life patterns in women with breast cancer
Pinheiro, L. C., Tan, X. M., Olshan, A. F., Wheeler, S. B., Reeder-Hayes, K. E., Samuel, C. A., & Reeve, B. B. (2017) · Quality of Life Research · doi:10.1007/s11136-017-1533-5 · Cited by 40
“The FACT-B has been psychometrically validated and shown to be sensitive to changes over time in women with BC [26].”
BackgroundMethodChanges in sexual problems over time in women with and without early-stage breast cancer
Pérez, M., Liu, Y., Schootman, M., Aft, R., Schechtman, K. B., Gillanders, W. E., & Jeffe, D. B. (2010) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e3181d5dd26 · Cited by 40
QUALITATIVE ASSESSMENT OF BREAST RECONSTRUCTION IN A SPECIALIST BREAST UNIT
Nano, M. T., Gill, P. G., Kollias, J., Bochner, M. A., Carter, N., & Winefield, H. R. (2005) · ANZ Journal of Surgery · doi:10.1111/j.1445-2197.2005.03388.x · Cited by 40
Breast volume replacement using the latissimus dorsi miniflap
Nano, M. T., Gill, P. G., Kollias, J., & Bochner, M. A. (2004) · ANZ Journal of Surgery · doi:10.1046/j.1445-2197.2003.02917.x · Cited by 40
Lilenbaum, R., Rubin, M., Samuel, J. P., Boros, L., Chidiac, T. A., Seigel, L., Dowlati, A., Graham, P., Beaumont, J. L., & Du, H. (2007) · Journal of Thoracic Oncology · doi:10.1097/01.jto.0000263713.38826.8e · Cited by 40
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Stress Reactivity, Health Behaviors, and Compliance to Medical Care in Breast Cancer Survivors
Karvinen, K. H., Murray, N. P., Arastu, H. H., & Allison, R. R. (2013) · Oncology nursing forum · doi:10.1188/13.onf.149-156 · Cited by 39
“Quality of life: The Functional Assessment of Cancer Therapy–Breast (FACT-B) scale (Brady et al., 1997; Cella et al., 1993) was used to measure QOL.”
BackgroundMethodInfluentialHa, B. Y., Jung, E., & Choi, S. Y. (2014) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2014.20.1.83 · Cited by 39
“삶의 질 측정도구는 Brady 등[18]이 개발한 Functional Assessment of Cancer Therapy-Breast Cancer Version 4 (FACT-B)의 한국어판 번역본을 승인받아 사용하였다.”
Effects of yoga on arm volume among women with breast cancer related lymphedema: A pilot study
Fisher, M. I., Donahoe-Fillmore, B., Leach, L. M., O’Malley, C., Paeplow, C., Prescott, T., & Merriman, H. L. (2014) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2014.02.006 · Cited by 43
“The FACT-B is a 36 item QOL questionnaire for BCS with good construct validity (r = .90) and test-retest reliability (ICC = .88) (Brady et al 1997).”
MethodMaratia, S., Cedillo, S., & Rejas, J. (2016) · Quality of Life Research · doi:10.1007/s11136-016-1284-8 · Cited by 39
“As a first step, some of the disease-specific breast cancer HRQoL instruments were found by reviewing the online library of existing PRO instruments Patient-Reported Outcomes and Quality of Life Database (PROQOLID) [14], the websites of three cancer research groups: European Organisation for Research and Treatment of…”
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Longo, D. R., Ge, B., Radina, M. E., Greiner, A. K., Williams, C. D., Longo, G. S., Mouzon, D. M., Natale‐Pereira, A., & Salas‐Lopez, D. (2009) · Journal of Communications In Healthcare · doi:10.1179/cih.2009.2.2.184 · Cited by 39
Depression and quality of life in cancer survivors: is there a relationship with physical activity?
Humpel, N., & Iverson, D. C. (2007) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-4-65 · Cited by 39
“The psychometric properties of the FACT scales are well documented [32,33] and have been found appropriate for use in cancer clinical trials.”
Responsiveness of the EuroQol in breast cancer patients undergoing high dose chemotherapy
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“Finally, fear of death is also part of patients’ stress (Brady et al., 1997).”
BackgroundBorman, P. (2018) · Turkish Journal of Physical Medicine and Rehabilitation · doi:10.5606/tftrd.2018.2843 · Cited by 38
“In conclusion, the Turkish translated version of LYMQOL-Arm is a valid and reliable tool for the assessment of the QoL in patients with BCRL.”
InfluentialNaumann, F., Martin, E., Philpott, M., Smith, C., Groff, D. G., & Battaglini, C. L. (2011) · The Journal of Supportive Oncology · doi:10.1016/j.suponc.2011.09.004 · Cited by 38
Quality of life and adjuvant systemic therapy for early-stage breast cancer
Grimison, P., & Stockler, M. R. (2007) · Expert Review of Anticancer Therapy · doi:10.1586/14737140.7.8.1123 · Cited by 38
Aycinena, A. C., Jennings, K.-A., Gaffney, A. O., Koch, P. A., Contento, I. R., Gonzalez, M., Guidon, E., Karmally, W., Hershman, D. L., & Greenlee, H. (2016) · Health Education & Behavior · doi:10.1177/1090198116642236 · Cited by 38
“Questions were based on previously validated questionnaires (Brady et al., 1997; Contento, 2015; Gotay et al., 2007; Wallston, Stein, & Smith, 1994; Weiss et al., 2005; Zigmond & Snaith, 1983).”
MethodBidstrup, P., Johansen, C., Kroman, N., Belmonte, F., Duriaud, H., Dalton, S., Andersen, K., & Mertz, B. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.19591 · Cited by 38
Peer mentorship to promote physical activity among cancer survivors: effects on quality of life
Pinto, B. M., Stein, K., & DUNSIGER, S. I. (2015) · Psycho-Oncology · doi:10.1002/pon.3884 · Cited by 38
“Functional Assessment of Cancer Therapy Scale for Breast Cancer (FACT-B) is a 55-item scale that assesses QOL and is reliable and valid [26].”
BackgroundQuality of life and symptoms in male breast cancer survivors
Ruddy, K. J., Giobbie‐Hurder, A., Giordano, S. H., Goldfarb, S. B., Kereakoglow, S., Winer, E. P., & Partridge, A. H. (2013) · The Breast · doi:10.1016/j.breast.2012.12.014 · Cited by 37
A Brief Symptom Index for Advanced Lung Cancer
Yount, S., Beaumont, J. L., Rosenbloom, S. K., Cella, D. F., Patel, J. D., Hensing, T. A., Jacobsen, P. B., Syrjala, K. L., & Abernethy, A. P. (2011) · Clinical Lung Cancer · doi:10.1016/j.cllc.2011.03.033 · Cited by 37
Self-citationSupportive Care in Lung Cancer: Milestones Over the Past 40 Years
Molassiotis, A., Uyterlinde, W., Hollen, P. J., Sarna, L. P., Palmer, P. N., & Krishnasamy, M. (2014) · Journal of Thoracic Oncology · doi:10.1097/jto.0000000000000407 · Cited by 36
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Baselga, J. M., Costa, F. P., Gómez, H., Hudis, C. A., Rapoport, B. L., Roche, H. H., Schwartzberg, L. S., Petrenciuc, O., Shan, M., & Gradishar, W. J. (2013) · Trials · doi:10.1186/1745-6215-14-228 · Cited by 37
“Patient-reported outcomes (PROs) include an evaluation of breast cancer symptoms using the Functional Assessment of Cancer Therapy-Breast Symptom Index (8 items) (FBSI-8 questionnaire) [38,39] and health-related quality of life (HRQoL) using the EuroQoL 5-Dimension Questionnaire (EQ-5D) [40].”
MethodGray, L. A., Wailoo, A., & Alava, M. H. (2018) · Value in Health · doi:10.1016/j.jval.2018.06.006 · Cited by 37
Matthies, L. M., Taran, F., Keilmann, L., Schneeweiß, A., Simoes, E., Hartkopf, A. D., Sokolov, A. N., Walter, C. B., Sickenberger, N., Wallwiener, S., et al. (2018) · Journal of Medical Internet Research · doi:10.2196/10004 · Cited by 37
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Laurentiis, M. D., Borštnar, S., Campone, M., Warner, E., Bofill, J. S., Jacot, W., Dent, S. F., Martín, M., Ring, A. E., Cottu, P. H., et al. (2021) · Breast Cancer Research and Treatment · doi:10.1007/s10549-021-06334-0 · Cited by 39
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Quality of life after lung cancer resection
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Postlymphadenectomy Complications and Quality of Life Among Breast Cancer Patients in Brazil
Paim, C. R., Lima, E. D. R. D. P., Fu, M. R., Lima, A. D. P., & Cassali, G. D. (2008) · Cancer Nursing · doi:10.1097/01.ncc.0000305747.49205.b1 · Cited by 37
“18% was distributed in 10 factors, with the items well interrelated as the English version.(27)”
BackgroundAshing‐Giwa, K. T., Kim, J., & Tejero, J. S. (2007) · Quality of Life Research · doi:10.1007/s11136-007-9276-3 · Cited by 37
Paracha, N., Thuresson, P.-O., Moreno, S. G., & MacGilchrist, K. S. (2016) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1080/14737167.2016.1222907 · Cited by 39
“The health-related quality of life (HRQL) of patients with LaBC and mBC is often adversely affected by fatigue, pain, short- or long-term side effects of treatment, reduced functional independence, worries about the illness and breastcancer-specific considerations, including, for women, perceived attractiveness or sen…”
BackgroundPark, H. Y., Lee, B.-J., Kim, J., Bae, J. N., & Hahm, B. (2011) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2011.11.010 · Cited by 36
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“We evaluated breast cancer specific quality of life using the Functional Assessment of Cancer Therapy-Breast (FACT-B) [18], which evaluates overall quality of life, physical well-being, social well-being, emotional well-being, and functional well-being.”
BackgroundWinters, Z., Afzal, M., Rutherford, C., Holzner, B., Rumpold, G., Vieira, R. A. D. C., Hartup, S. M., Flitcroft, K. L., Bjelic‐Radisic, V., Oberguggenberger, A., et al. (2017) · British journal of surgery · doi:10.1002/bjs.10656 · Cited by 36
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Menopausal hot flushes after breast cancer
Fenlon, D., Corner, J. L., & Haviland, J. (2009) · European Journal of Cancer Care · doi:10.1111/j.1365-2354.2007.00902.x · Cited by 36
“This study utilized a flush diary, the Hot Flushes and Night Sweats Questionnaire (HFNSQ), Functional Assessment of Cancer Therapy with Endocrine Subscale (FACT-ES) and Spielberger State/Trait Anxiety Index (STAI) as the main outcome measures.”
MethodInfluentialMental adjustment to cancer and quality of life among women living with breast cancer in Ghana
Kugbey, N., Meyer‐Weitz, A., & Asante, K. O. (2018) · The International Journal of Psychiatry in Medicine · doi:10.1177/0091217418805087 · Cited by 40
“90.(36) Some studies conducted in Africa have found the scale to be reliable with domain-specific values ranging between .”
BackgroundPASSIK, S. D., INMAN, A., KIRSH, K., THEOBALD, D., & DICKERSON, P. (2003) · Palliative and Supportive Care · doi:10.1017/s1478951503030062 · Cited by 35
“The measure has been shown to yield adequate to high internal consistency, exhibiting coefficient alphas ranging from 0.63 to 0.86 on the subscales and 0.90 to 0.95 for the total scale ~Cella et al., 1995; Brady et al., 1997!.”
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“Participant characteristics and treatment-related data were collected at baseline by interview and via medical records.”
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“reported a clinically important increase of ≥8 points [25] on the FACT-B+4 score (score range: 0-160) between baseline to 12 months post-surgery.”
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“6 points) reported in the US data [26].”
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“The FACT-B has a total of 37 questions, which are split among physical (PWB), social/family (SWB), emotional (EWB), functional well-being (FWB), and breast cancer-specific (BCS) subscales [30].”
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“…UBM/Lymphoedema questionnaire ( n = 5), The Breast Cancer and Lymphedema Symptom Experience Index (BCLE-SEI) [45] ( n = 1), Functional Assessment of Cancer Therapy, Breast-Arm Symptom Subscale [46] ( n = 1), or the “breast swelling” item on the EORTC QLQ-BR23 questionnaire [47] ( n = 1).”
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“Several cancerspecific measures exist that are designed to measure QOL in patients during or shortly after treatment, such as the Cancer Rehabilitation Evaluation System (CARES; Ganz, Schag, & Cheng, 1990) and the Functional Assessment for Cancer Therapy-Breast (FACT-B; Brady et al., 1997).”
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“, 1993; Schag, Heinrich, Aadland, & Ganz, 1990) and various project-specific assessments of functional health status, fatigue, vitality, and quality of life (Brady et al., 1997; Broadbent, Petrie, Main, & Weinman, 2006; Esper et al., 1997; Ganz, Day, Ware, Redmond, & Fisher, 1995; Ware, Kosinski, & Keller, 1996; Yelle…”
Fatigue-Based Subgroups of Breast Cancer Survivors With Insomnia
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“90 with convergent, divergent, and known groups validity.(30) At baseline, Cronbach ! for the FACT-B was .”
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Translation and Adaptation of the Genetic Counselling Outcome Scale (GCOS‐24) for Use in Denmark
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“Empowerment”
Sharing in care: engaging care partners in the care and communication of breast cancer patients
Wolff, J. L., Aufill, J., Echavarria, D. M., Heughan, J.-A., Lee, K. T., Connolly, R. M., Fetting, J. H., Jelovac, D., Papathakis, K., Riley, C. D., et al. (2019) · Breast Cancer Research and Treatment · doi:10.1007/s10549-019-05306-9 · Cited by 33
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“The FACT-B and FACIT-Fatigue are widely used measurement tools that have established evidence of internal consistency, test-retest reliability, and convergent and discriminant validity.(14)”
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Every Day Counts: a randomized pilot lifestyle intervention for women with metastatic breast cancer
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“In doing so, we discovered our participants’ baseline scores for physical, social, emotional and functional well-being were higher compared to a larger, more heterogeneous sample of women with MBC [49], but below those for physical, social and functional well-being when compared to a normative sample compromised large…”
Result
Metadata
- Authors
- Brady, M. J., Cella, D. F., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., Deasy, S., Cobleigh, M., & Shiomoto, G.
- Affiliations
- Rush University Medical Center (US)
- Rush University (US)
- Venue
- Journal of Clinical Oncology
- Published
- 1997-03
- Volume
- 15
- Issue
- 3
- Pages
- 974-986
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W1857624176
- Cited by
- 1,752
- References
- 39
- Citations by year
- 2026: 47 · 2025: 76 · 2024: 77 · 2023: 71 · 2022: 97 · 2021: 88 · 2020: 78 · 2019: 87 · 2018: 83 · 2017: 85 · 2016: 83 · 2015: 73 · 2014: 83 · 2013: 70 · 2012: 86
- FWCI
- 5.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (1r29ca051926-01a1)
- National Cancer Institute (R29CA51926)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- FACT-B, breast cancer, quality of life, FACT-G, instrument validation, sensitivity to change, test-retest reliability, internal consistency, known-groups validity, convergent validity, discriminant validity, physical well-being, functional well-being, emotional well-being, Functional Living Index-Cancer, self-report questionnaire
- MeSH terms
- Adult, Aged, Aged, 80 and over, Breast Neoplasms, Female, Humans, Middle Aged, Quality of Life, Self Concept, Sensitivity and Specificity, Severity of Illness Index, Translations, Reproducibility of Results
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