The Italian Version of the FAMCARE-P13 Questionnaire: A Validation Study

IF 3.5 2区医学 Q2 CLINICAL NEUROLOGY

Journal of pain and symptom management Pub Date : 2025-07-29 DOI:10.1016/j.jpainsymman.2025.07.017

Giacomo Massa MD , Gabriele Tinè MSc , Ernesto Zecca MD , Rosalba Miceli PhD , Alessandra Pigni MD , Viviana Fusetti PhD , Antonino Tallarita BSc , Sara Alfieri PhD , Chiara Vela MScN , Cinzia Brunelli PhD , Augusto Caraceni Prof.

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引用次数: 0

Abstract

Purpose

The FAMCARE-P13 is a tool designed to evaluate patients' satisfaction with received healthcare. This self-reported questionnaire has already been adapted and validated in different languages but not Italian. The study aims to examine the cultural adaptation of the Italian version of the FAMCARE-P13 questionnaire and evaluate its psychometric properties in outpatients with advanced cancer.

Methods

The FAMCARE-P13, a questionnaire of 13 items scored on a 5-point Likert scale (from 1 = “very dissatisfied” to 5 = “very satisfied”), was culturally adapted into Italian through forward-back translation by native Italian and English speakers. The questionnaire was then administered to a balanced sample of outpatients with five advanced cancer histologies. The following psychometric analyses were performed: Confirmatory Factor Analysis to test the presence of a single latent factor, Cronbach's α to test internal consistency, intraclass correlation coefficient to evaluate test-retest reliability after 3 days, and a known-group validity analysis.

Results

A total of 300 patients completed the questionnaire. Confirmatory factor analysis fully supported a one-factor structure of the tool, with the model exhibiting robust fit indices, specifically a comparative fit index of 0.96 and a Tucker-Lewis Index of 0.95. The satisfaction was closely related to doctors' availability and availability to communicate. Cronbach's α was 0.95 (95% CI: 0.94–0.95), showing satisfactory internal consistency. Test-retest analysis showed stability over time, with a global intraclass correlation coefficient of 0.91 (P-value < 0.0001).

Conclusion

The Italian version of the FAMCARE-P13 questionnaire appears valid for assessing the satisfaction with the care received by patients with advanced cancer.

查看原文本刊更多论文

意大利版FAMCARE-P13问卷：验证性研究。

目的：FAMCARE-P13是一个旨在评估患者对所接受医疗保健服务满意度的工具。这个自我报告的问卷已经在不同的语言中进行了改编和验证，但没有意大利语。本研究旨在探讨意大利版FAMCARE-P13问卷的文化适应性，并评估其在晚期癌症门诊患者中的心理测量特性。方法：FAMCARE-P13问卷采用李克特5分制（1 = “非常不满意”至5 = “非常满意”），共13项，由意大利语母语和英语母语人士通过前后翻译进行文化改编。调查问卷随后被分配给具有五种晚期癌症组织学的门诊患者。进行了以下心理测量分析：验证性因子分析以检验单一潜在因素的存在，Cronbach's α检验内部一致性，类内相关系数评估3天后重测信度，以及已知组效度分析。结果：共300例患者完成问卷调查。验证性因子分析完全支持该工具的单因素结构，模型显示出稳健的拟合指数，特别是比较拟合指数为0.96，塔克-刘易斯指数为0.95。满意度与医生的可获得性和可沟通性密切相关。Cronbach’s α为0.95 (95% CI: 0.94, 0.95)，具有良好的内部一致性。结论：意大利版FAMCARE-P13问卷对于评估晚期癌症患者的护理满意度是有效的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pain and symptom management 医学-临床神经学

CiteScore

8.90

自引率

6.40%

发文量

821

审稿时长

26 days

期刊介绍： The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.