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  11. Validity, Test-retest Reliability, And Responsiveness Of The Indonesian Version Of Facit-cost Measure For Subjective Financial Toxicity

Validity, test-retest reliability, and responsiveness of the Indonesian version of FACIT-COST measure for subjective financial toxicity

Stevanus Pangestu1,2,3, Fredrick Dermawan Purba4, Hari Setyowibowo4

  • 1Department of Health Policy, Corvinus University of Budapest, Fővám tér 8, Budapest, 1093, Hungary. pangestu@atmajaya.ac.id.

Health and Quality of Life Outcomes
|October 19, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

The Indonesian version of the Financial Toxicity (FACIT-COST) measure was validated in breast cancer patients. This tool accurately assesses financial toxicity, aiding policy development for cancer care support in Indonesia.

Area of Science:

  • Oncology
  • Health Economics
  • Psychometrics

Background:

  • Financial toxicity significantly impairs patients' financial well-being due to cancer diagnosis and treatment costs.
  • The widely used FACIT-COST measure for financial toxicity has not been validated in Indonesian.
  • This study aimed to validate the Indonesian version of FACIT-COST in breast cancer patients.

Purpose of the Study:

  • To validate the Indonesian version of the FACIT-COST measure for assessing subjective financial toxicity in breast cancer patients.
  • To evaluate the psychometric properties of the Indonesian FACIT-COST, including validity, reliability, and responsiveness.

Main Methods:

  • A prospective cohort study involving 300 female breast cancer patients in Indonesia.
  • Administration of the Indonesian FACIT-COST (v2) via interviews, supplemented by clinical data from medical records.
Keywords:
Breast cancerCOSTFinancial toxicityResponsiveness

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  • Assessment of distributional characteristics, structural validity (PCA, CFA), internal consistency (Cronbach's alpha, McDonald's omega), known-groups validity, test-retest reliability, and responsiveness.

    • Main Results:

    • The Indonesian FACIT-COST demonstrated a two-factor structure confirmed by PCA and CFA.
    • Adequate internal consistency reliability (Cronbach's alpha: 0.774-0.882; McDonald's omega: 0.786-0.888) was observed.
    • The measure showed significant discrimination across various demographic and clinical groups, excellent test-retest reliability (ICC=0.96), and satisfactory responsiveness.

    Conclusions:

    • The Indonesian FACIT-COST is the first validated measure of financial toxicity in Indonesian breast cancer patients.
    • The instrument exhibits acceptable psychometric performance, serving as a valid tool for measuring subjective financial toxicity.
    • This validated tool can inform health policies and resource allocation to enhance cancer care support in Indonesia.
    Test-retest reliability
    Validity