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Measuring the Motor Aspect of Cancer-Related Fatigue using a Handheld Dynamometer
Published on: February 20, 2020
Comparison of Legacy Fatigue Measures With the PROMIS Pediatric Fatigue Short Form
Catherine F Macpherson1, Jichuan Wang2, Darren A DeWalt3
1Seattle Children's Hospital.
Insights
Pediatric cancer patients
Area of Science:
- Pediatric Oncology
- Patient-Reported Outcomes
- Cancer-Related Fatigue
Background:
- Cancer-related fatigue significantly impacts pediatric patients.
- Accurate measurement of fatigue is crucial for effective care.
- Existing measures may have limitations in pediatric populations.
Purpose of the Study:
- To compare the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Fatigue Short Form with legacy measures.
- To evaluate the ability of these measures to capture changes in cancer-related fatigue.
- To assess the utility of PROMIS measures in pediatric oncology.
Main Methods:
- A study involving 96 racially diverse children and adolescents with cancer.
- Administration of the Fatigue Scale-Child, Fatigue Scale-Adolescent, and PROMIS Pediatric Fatigue Short Form.
- Utilized descriptive, correlational, psychometric, and ROC curve analyses.
Main Results:
- All fatigue measures demonstrated positive correlations at each assessment point.
- Receiver operating characteristic (ROC) curves showed no statistically significant differences between measures.
- Both PROMIS and legacy measures effectively captured fatigue in pediatric cancer patients.
Conclusions:
- Nurses have psychometrically sound options for measuring cancer-related fatigue in pediatric patients.
- The PROMIS Pediatric Fatigue Short Form offers broader age applicability.
- PROMIS measures provide reliable tools for assessing fatigue in pediatric cancer care.
Objectives:
To compare Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Fatigue Short Form measures and legacy patient-reported outcome fatigue measures to capture cancer-related fatigue change in pediatric patients with cancer. .
Sample & Setting:
96 racially diverse children and adolescents with cancer. The study occurred in a 32-bed inpatient unit and three regional outpatient clinics. .
Methods & Variables:
The Fatigue Scale-Child, Fatigue Scale-Adolescent, and the PROMIS Pediatric Fatigue Short Form measures were administered at three time points during chemotherapy. Descriptive, correlational, psychometric, and receiver operating characteristic (ROC) curve analyses were conducted. The variable was pediatric patient-reported fatigue. .
Results:
All measures were positively correlated at each time point. ROC curves were not statistically different from each other at any data point. .
Implications For Nursing:
Nurses have psychometrically strong options for measuring cancer-related fatigue in pediatric patients with cancer, but the PROMIS Pediatric Fatigue Short Form is applicable to more age groups.

