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Self-report instruments for fatigue assessment: a systematic review.

Dálete D C F Mota1, Cibele A M Pimenta

  • 1University of Sao Paulo Sao Paulo, Brazil.

Research and Theory for Nursing Practice
|March 21, 2006
PubMed
Summary

This review identified 18 fatigue instruments for adults, highlighting their varied dimensions and applications. Findings are crucial for enhancing the assessment of this common, limiting symptom.

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Area of Science:

  • Medical and Health Sciences
  • Psychology
  • Rehabilitation Medicine

Background:

  • Fatigue is a prevalent and limiting symptom across various health conditions.
  • Accurate assessment of fatigue is essential for effective patient management and treatment.
  • A comprehensive overview of available fatigue assessment instruments is needed.

Purpose of the Study:

  • To systematically review and analyze self-reported fatigue instruments for adults.
  • To identify the characteristics, dimensions, and psychometric properties of existing fatigue measures.
  • To inform the selection of appropriate instruments for fatigue assessment in clinical and research settings.

Main Methods:

  • Systematic literature search across five databases using keywords related to fatigue and assessment instruments.

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  • Inclusion of 18 self-reported fatigue instruments for adults.
  • Analysis of instrument characteristics including dimensions, item count, and psychometric properties (reliability and validity).

    • Main Results:

    • Eighteen fatigue instruments and six definitions of fatigue were identified.
    • Instruments varied in scope, with some disease-specific (e.g., cancer) and others general.
    • Most instruments assessed multiple dimensions of fatigue, including intensity, mental, and physical aspects.
    • Reliability (Cronbach's alpha ≥ .90) was high in seven instruments.
    • Various validity measures were employed, including convergent, divergent, discriminant, and factor analysis.

    Conclusions:

    • A wide array of fatigue assessment instruments exists, catering to different needs and populations.
    • The psychometric properties of these instruments vary, necessitating careful selection.
    • This review provides valuable insights for researchers and clinicians aiming to improve fatigue assessment and management.