Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-24T10:36:00.729Z Has data issue: false hasContentIssue false

Translation and validation of the Persian version of the functional assessment of chronic illness therapy—Spiritual well-being scale (FACIT-Sp) among Muslim Iranians in treatment for cancer

Published online by Cambridge University Press:  11 October 2012

Najmeh Jafari
Affiliation:
Community Medicine Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Ahmadreza Zamani
Affiliation:
Community Medicine Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Mark Lazenby
Affiliation:
Schools of Nursing and Divinity and Core Faculty, Council on Middle East Studies, Yale University, New Haven, Connecticut
Ziba Farajzadegan*
Affiliation:
Community Medicine Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Hamid Emami
Affiliation:
Radiotherapy Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Amir Loghmani
Affiliation:
Community Medicine Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
*
Address correspondence and reprint requests to: Ziba Farajzadegan, Community Medicine Department, Isfahan University of Medical Sciences, Hezar Jerib St., Isfahan, Iran. E-mail: [email protected]

Abstract

Objective:

The Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being (FACIT-Sp) scale is a valid and reliable instrument to provide an inclusive measure of spirituality in research and clinical practice. The aim of this study was to translate and investigate the reliability and validity of the Persian version of the FACIT-Sp.

Method:

The 12 item spiritual well-being subscale of the FACIT-Sp Version 4 was translated into the Persian language, Farsi, using the FACIT translation methodology. The questionnaire was administered to a diverse sample of 153 patients in treatment for cancer. Internal consistency was assessed by Cronbach's α coefficient, confirmatory factor analysis (CFA) was applied to assess construct validity, and regression analysis was used to assess the predictor role of the FACIT-Sp in health-related quality of life (HRQOL).

Results:

Cronbach's α reliability coefficient for the FACIT-Sp subscales ranged from 0.72 to 0.90. The CFA generally replicated the original conceptualization of the three subscales of the FACIT-Sp12 (Peace, Meaning, and Faith). All three subscales significant predicted HRQOL.

Significance of results:

The Persian version of the FACIT-Sp scale is a reliable and valid tool for the clinical assessment of, and research into, the spiritual well-being of Muslim Iranian and Farsi-speaking patients in other regions of the world who are in treatment for cancer.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Aaronson, N., Ahmedzai, S., Bergman, B., et al. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85, 365.CrossRefGoogle ScholarPubMed
Baetz, M. & Toews, J. (2009). Clinical implications of research on religion, spirituality, and mental health. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 54, 292.Google Scholar
Brady, M.J., Peterman, A.H., Fitchett, G., et al. (1999). A case for including spirituality in quality of life measurement in oncology. Psycho-Oncology, 8, 417428.3.0.CO;2-4>CrossRefGoogle ScholarPubMed
Bredle, J.M., Salsman, J.M., Debb, S.M., et al. (2011). Spiritual well-being as a component of health-related quality of life: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp). Religions, 2, 7794.Google Scholar
Breitbart, W., Rosenfeld, B., Gibson, C., et al. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psycho-Oncology, 19, 2128.Google Scholar
Campbell, J.D., Yoon, D.P. & Johnstone, B. (2010). Determining relationships between physical health and spiritual experience, religious practices, and congregational support in a heterogeneous medical sample. Journal of Religion and Health, 49, 317.CrossRefGoogle Scholar
Cella, D.F., Tulsky, D.S., Gray, G., et al. (1993). The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. Journal of Clinical Oncology, 11, 570579.CrossRefGoogle ScholarPubMed
Dein, S., Cook, C.C.H., Powell, A. et al. (2010). Religion, spirituality and mental health. The Psychiatrist, 34, 6364.Google Scholar
Edwards, A., Pang, N., Shiu, V., et al. (2010). Review: The understanding of spirituality and the potential role of spiritual care in end-of-life and palliative care: A meta-study of qualitative research. Palliative Medicine, 24, 753.Google Scholar
Eremenco, S.L., Cella, D. & Arnold, B.J. (2005). A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Evaluation & the Health Professions, 28, 212232.CrossRefGoogle ScholarPubMed
Fehring, R.J., Miller, J.F. & Shaw, C. (1997). Spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancer. Oncology Nursing Forum, 24, 663671.Google Scholar
Finkelstein, F.O., West, W., Gobin, J., et al. (2007). Spirituality, quality of life and the dialysis patient. Nephrology Dialysis Transplantation, 22, 2432.Google Scholar
Ghaem, H., Haghighi, A.B., Jafari, P., et al. (2007). Validity and reliability of the Persian version of the multiple sclerosis quality of life questionnaire. Neurology India, 55, 369.Google Scholar
Kleinbaum, D.G., Kupper, L.L. & Muller, K.E. (2007). Applied Regression Analysis and Other Multivariable Methods. Fresno: Thomson Publications.Google Scholar
Koenig, H.G. (2009). Research on religion, spirituality, and mental health: A review. Canadian Journal of Psychiatry, 54, 283291.Google Scholar
Krupski, T.L., Kwan, L., Fink, A., et al. (2006). Spirituality influences health related quality of life in men with prostate cancer. Psycho-Oncology, 15, 121131.Google Scholar
Lazenby, J.M. (2010). On “spirituality,” “religion,” and “religions”: A concept analysis. Palliative & Supportive Care, 8, 469476.Google Scholar
Lazenby, M., Khatib, J., Al-Khair, F., et al. (2011). Psychometric properties of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-Sp) in an Arabic-speaking, predominantly Muslim population. Psychooncology doi:10.1002/pon.2062.Google Scholar
Mueller, P.S., Plevak, D.J. & Rummans, T.A. (2001). Religious involvement, spirituality, and medicine: implications for clinical practice. Mayo Clinic Proceedings, 76, 12251235.Google Scholar
Murphy, P.E., Fitchett, G., Stein, K., et al. (2010). An examination of the 3-factor model and structural invariance across racial/ethnic groups for the FACIT-Sp: a report from the American Cancer Society's Study of Cancer Survivors-II (SCS-II). Psycho-Oncology, 19, 264272.Google Scholar
Nelson, J.M. (2009). Religion, spirituality, and physical health. Psychology, Religion, and Spirituality, doi:10.1007/978-0-387-87573-6_10Google Scholar
Noguchi, W., Ohno, T., Morita, S., et al. (2004). Reliability and validity of the Functional Assessment of Chronic Illness Therapy–Spiritual (FACIT–Sp) for Japanese patients with cancer. Supportive Care in Cancer, 12, 240245.Google Scholar
Park, N.S., Lee, B.S., Sun, F., et al. (2011). Typologies of religiousness/spirituality: Implications for health and well-being. Journal of Religion and Health, doi:10.1007/s10943-011-9520-6.Google Scholar
Peterman, A., Fitchett, G., Brady, M., et al. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24, 4958.Google Scholar
Rosenthal, R. & Rosnow, R. (1991). Essentials of Behavioural Research. New York: McGraw Hill Book Co.Google Scholar
Selman, L., Harding, R., Gysels, M., et al. (2011). The measurement of spirituality in palliative care and the content of tools validated cross-culturally: A systematic review. Journal of Pain and Symptom Management, 41, 728753.Google Scholar
Sulmasy, D.P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. The Gerontologist, 42, 2433.CrossRefGoogle ScholarPubMed
Vallurupalli, M., Lauderdale, K., Balboni, M.J., et al. (2011). The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. The Journal of Supportive Oncology, 10, 8187.CrossRefGoogle ScholarPubMed
Wachholtz, A.B., Pearce, M.J. & Koenig, H. (2007). Exploring the relationship between spirituality, coping, and pain. Journal of Behavioral Medicine, 30, 311318.CrossRefGoogle ScholarPubMed
Whitford, H.S. & Olver, I.N. (2011). The multidimensionality of spiritual wellbeing: Peace, meaning, and faith and their association with quality of life and coping in oncology. Psychooncology, 21, 602610.Google Scholar
Whitford, H.S., Olver, I.N. & Peterson, M.J. (2008). Spirituality as a core domain in the assessment of quality of life in oncology. Psychooncology, 17, 11211128.Google Scholar
Wood, P. (2008). Confirmatory factor analysis for applied research. The American Statistician, 62, 9192.Google Scholar