Evidence map›Paper›PMID 34019976›Full record

ArticleJournal of pain and symptom management2021

Two Factor Structures Possible for the FACIT-Sp in Patients With Heart Failure.

Lubin R Deng, Kevin S Masters, Sarah J Schmiege, Edward Hess, David B Bekelman

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02713347 (Palliative Care to Improve Quality of Life in CHF and COPD), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 40% of its field
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.

NCT02713347 nacompletednot on this map

Palliative Care to Improve Quality of Life in CHF and COPD

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2016 to 2021Enrolled306ConditionsHeart Failure, Pulmonary Disease, Chronic Obstructive, Emphysema, Pulmonary Fibrosis, Interstitial Lung DiseaseArmsADAPT Intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 3 institutions in 1 country.

Lubin R DengDenver/Seattle Center of Innovation, Department of Veterans Affairs Eastern Colorado Health Care System (L.R.D., E.H., D.B.B.), Aurora, Colorado, USA. Electronic address: lubin.deng@columbia.edu.
Kevin S MastersDepartment of Psychology, University of Colorado Denver (K.S.M.), Denver, Colorado, USA.
Sarah J SchmiegeDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus (S.J.S.), Aurora, Colorado, USA.
Edward HessDenver/Seattle Center of Innovation, Department of Veterans Affairs Eastern Colorado Health Care System (L.R.D., E.H., D.B.B.), Aurora, Colorado, USA.
David B BekelmanDenver/Seattle Center of Innovation, Department of Veterans Affairs Eastern Colorado Health Care System (L.R.D., E.H., D.B.B.), Aurora, Colorado, USA; Division of General Internal Medicine, University of Colorado School of Medicine (D.B.B.), Aurora, Colorado, USA.
University of Colorado Denver · USVA Eastern Colorado Health Care System · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Improving Symptoms and Quality of Life in Advanced Chronic Heart FailureR01NR013422 · NINR · DENVER RESEARCH INSTITUTE · PI BEKELMAN, DAVID B. · 2011 to 2015
$1.4M
NCATS NIH HHS UL1 TR001082NINR NIH HHS R01 NR013422
6 · The paper itself

Abstract

contextThe Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp) is a 12-item measure of spiritual well-being in chronic illness originally developed in patients with cancer. The overall scale, a two-factor model (meaning/peace, faith), and a three-factor model (meaning, peace, faith) have been proposed for the FACIT-Sp, and consensus on the best factor structure has not been reached. In addition, the factor structure of the FACIT-Sp has not been considered in patients with heart failure.

objectivesTo examine the factor structure of the FACIT-Sp in heart failure patients.

methodsA confirmatory factor analysis framework was used to test three competing models on 217 patients with heart failure using data from the CASA (Collaborative Care to Alleviate Symptoms and Adjust to Illness) trial. The overall scale (single factor), two-factor, and three-factor models were tested using baseline data, then confirmed with 12-month data. Model modifications were made based on empirical inspection of baseline data and replicated using 12-month data. Cronbach's alpha and correlations with measures of quality of life and psychological health were examined.

resultsAll three models had strong factor loadings on all items except the negatively worded items. The two-factor and three-factor models fit reasonably well after modifications, but the single factor did not fit well (1/2/3-factor: RMSEA 0.14/0.09/0.06, CFI 0.85/0.93/0.97, SRMR 0.09/0.05/0.04). Internal consistency was sufficient for all factors.

conclusionThe two-factor and three-factor models were supported in heart failure patients. The three-factor model demonstrated better statistical fit but was not more interpretable. KEY MESSAGE: This study investigated the factor structure of the FACIT-Sp in patients with heart failure. The two-factor and three-factor models were supported, but the single factor model was not. Negatively worded items did not perform well.

Indexed as

Heart FailureQuality of LifeHumansPsychometricsSpiritualitySurveys and QuestionnairesFactor analysisheart failuremeaningpeace, faithspiritual well-being

Identifiers

PMID34019976
PMCPMC8556182
OpenAlexW3132782755

What OpenQuestion holds

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Registered trials

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.