Evidence map›Paper›PMID 32246432›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

Psychometric properties of the FACT-G quality of life scale for family caregivers of cancer patients.

Lixin Song, Xianming Tan, Jason Bredle, Antonia V Bennett, Laurel Northouse

Abstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Correlates of illness uncertainty in cancer survivors and family caregivers: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
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  3. Quality of life and appraisal factors of patients with advanced cancer and their family caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  13. Symptom clusters, fear of disease progression, and quality of life in postoperative gastric cancer patients: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lixin SongSchool of Nursing, University of North Carolina-Chapel Hill, Carrington Hall, Chapel Hill, NC, 27599-7460, USA. lsong@unc.edu.
Xianming TanUNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Jason BredleFACIT.org, 151 Bay Cove Drive, Ponte Vedra, FL, USA.
Antonia V BennettUNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Laurel NorthouseSchool of Nursing, University of Michigan-Ann Arbor, Ann Arbor, MI, USA.

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Palliative Care Research Cooperative Group (PCRC): Refinement and ExpansionU2CNR014637 · NINR · UNIVERSITY OF COLORADO DENVER · PI KUTNER, JEAN S · 2018 to 2022
$8.6M
Efficacy of a Couple-focused, Tailored, Symptom Self-Management mHealth Intervention for Prostate Cancer Patients and PartnersR01NR016990 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SONG, LIXIN · 2017 to 2021
$2.6M
Outcomes of Triaged Family Care in Advanced CancerR01CA107383 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NORTHOUSE, LAUREL L. · 2004 to 2008
$2.6M
PROSTATE CANCER--FAMILY CARE FOR PATIENTS AND SPOUSESR01CA090739 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NORTHOUSE, LAUREL L. · 2001 to 2005
$2.3M
Enhancing Survivorship Care Planning for Patients with Localized Prostate Cancer Using A Couple-focused Web-based Tailored Symptom Self-management ProgramR21CA212516 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SONG, LIXIN · 2017 to 2018
$364k
NCI NIH HHS P30 CA016086NCI NIH HHS P30CA016086NCI NIH HHS R01 CA090739NCI NIH HHS R01CA090739NCI NIH HHS R01 CA107383NCI NIH HHS R01CA107383NCI NIH HHS R21 CA212516NINR NIH HHS R01 NR016990NINR NIH HHS R01NR016990NINR NIH HHS U2C NR014637NINR NIH HHS U2CNR014637
6 · The paper itself

Abstract

purposeThis study aimed to examine psychometric properties of a caregiver version of the well-established Functional Assessment of Cancer Therapy-General Scale (FACT-G) after conducting focus groups and obtaining expert input.

methodsWe made minor wording modifications to the Patient FACT-G to enable caregivers to report how the illness affected their overall quality of life (QOL) and well-being on four subscales (physical, social, emotional, functional). We tested the acceptability, precision, factor structure, reliability and validity of the Caregiver FACT-G among partners of prostate cancer patients (N = 263) and caregivers (spouses, siblings, adult children) of patients with advanced cancer (breast, lung, colorectal, prostate) (N = 484) using data from two Randomized Clinical Trials (RCTs).

resultsWith a factor structure similar to the Patient FACT-G, Caregiver FACT-G was acceptable and precise in measuring caregiver QOL, with high inter-factor correlations and internal consistency reliability (Cronbach's alphas 0.81-0.91). The Caregiver FACT-G had strong convergent validity demonstrated by significant positive correlations with caregiver self-efficacy (0.25-0.63), dyadic communication (0.18-0.51), and social support (0.18-0.54) in both samples. It also had strong discriminant validity evidenced by significant inverse correlations with negative appraisal of caregiving (- 0.37 to - 0.69), uncertainty (- 0.28 to - 0.53), hopelessness (- 0.25 to - 0.60), and avoidant coping (- 0.26 to - 0.58) in both samples. Caregivers' baseline FACT-G scores were significantly associated with their physical (0.23) and mental well-being (0.54; 4-month follow-up) and their depression (- 0.69; 3-month follow-up), indicating strong predictive validity.

conclusionThis is the first study evaluating the psychometric properties of the Caregiver FACT-G. More psychometric testing is warranted, especially among caregivers of diverse sociocultural backgrounds.

Indexed as

AdultAgedAged, 80 and overCaregiversFemaleHumansMaleMiddle AgedNeoplasmsPsychometricsQuality of LifeReproducibility of ResultsCancerCaregiverPsychometric propertiesQuality of lifeReliabilityValidity

Identifiers

PMID32246432
PMCPMC7363734

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.