Psychometric Testing of Three Chinese Fatigue Instruments in Taiwan

Shiow Ching Shun, Susan L. Beck, Marjorie A. Pett, Patricia H. Berry

    Research output: Contribution to journalArticlepeer-review

    39 Scopus citations


    The purpose of this study was to evaluate the psychometric properties (reliabilities and validities) and ease of use of three translated fatigue instruments: Chinese versions of the Cancer Fatigue Scale, the Fatigue Symptom Inventory (FSI), and the Schwartz Cancer Fatigue Scale-revised. Convenience sampling was used to recruit 243 cancer outpatients at a chemotherapy treatment center in Taiwan. The results indicated that the three scales had good internal consistency (Cronbach's alphas for three total scales > 0.80) and were brief (less than 6 minutes to complete), valid (confirmed by convergent, divergent, and discriminant validity), and feasible measures (completion rates > 97%) of fatigue for use with Taiwanese cancer patients. However, 27% of cancer patients reported that the FSI was difficult for them to complete. Differences in factorial validity between each original scale and its Chinese version indicate a need for further testing in Taiwan.

    Original languageEnglish (US)
    Pages (from-to)155-167
    Number of pages13
    JournalJournal of Pain and Symptom Management
    Issue number2
    StatePublished - Aug 2006


    • Neoplasm
    • construct validity
    • fatigue
    • psychometric testing
    • reliability

    ASJC Scopus subject areas

    • Nursing(all)
    • Clinical Neurology
    • Anesthesiology and Pain Medicine


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