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A 3-factor model for the FACIT-Sp.

Andrea L Canada1, Patricia E Murphy, George Fitchett

  • 1Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL 60612-3833, USA. Andrea L Canada@rush.edu

Psycho-Oncology
|December 21, 2007
PubMed
Summary
This summary is machine-generated.

A new 3-factor model of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp) better captures spiritual well-being in cancer survivors. This refined model offers deeper insights into the relationship between religious/spiritual well-being and quality of life.

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Area of Science:

  • Psychology
  • Oncology
  • Psychometrics

Background:

  • The Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp) is widely used to measure religious/spiritual (R/S) well-being in cancer patients.
  • Previous analyses supported a two-factor structure (Meaning/Peace and Faith).
  • A cognitive (Meaning) and affective (Peace) interpretation suggested a potential three-factor structure.

Purpose of the Study:

  • To test a hypothesized three-factor model (Meaning, Peace, and Faith) of the FACIT-Sp.
  • To compare the fit of the three-factor model against the original two-factor model.
  • To examine the associations between the dimensions of the three-factor model and quality of life domains.

Main Methods:

  • Confirmatory factor analysis was used to compare the two- and three-factor models of the FACIT-Sp.
  • The study included 240 long-term female cancer survivors who completed the FACIT-Sp, SF-12, and BSI 18.
  • Associations between the factor solutions and quality of life were assessed using partial correlations.

Main Results:

  • The three-factor model demonstrated a significantly better fit to the data compared to the two-factor model.
  • The refined three-factor solution (Meaning, Peace, Faith) provided a more informative assessment of R/S well-being.
  • Specific dimensions showed distinct associations with quality of life: Peace with mental health, Meaning with physical and mental health, and Faith with mental health.

Conclusions:

  • The findings support a three-factor structure for the FACIT-Sp, enhancing its psychometric properties.
  • This revised model allows for a more nuanced understanding of how different facets of R/S well-being contribute to the quality of life in cancer survivors.
  • The study highlights the importance of differentiating between Meaning, Peace, and Faith in assessing spiritual well-being.