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The Italian Version of the FAMCARE-P13 Questionnaire: A Validation Study
Massa Giacomo1, Tinè Gabriele2, Zecca Ernesto3
1Unit of Palliative Care (M.G., Z.E., P.A., F.V., T.A., B.C., C.A.), Pain Therapy and Rehabilitation, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy; Department of Clinical Sciences and Community Health Dipartimento di Eccellenza 2023-2027 (M.G., C.A.), Università degli Studi di Milano, Milan, Italy.
Purpose:
The FAMCARE-P13 is a tool designed to evaluate patients' satisfaction with received healthcare. This self-reported questionnaire has already been adapted and validated in different languages but not Italian. The study aims to examine the cultural adaptation of the Italian version of the FAMCARE-P13 questionnaire and evaluate its psychometric properties in outpatients with advanced cancer.
Methods:
The FAMCARE-P13, a questionnaire of 13 items scored on a 5-point Likert scale (from 1 = "very dissatisfied" to 5 = "very satisfied"), was culturally adapted into Italian through forward-back translation by native Italian and English speakers. The questionnaire was then administered to a balanced sample of outpatients with five advanced cancer histologies. The following psychometric analyses were performed: Confirmatory Factor Analysis to test the presence of a single latent factor, Cronbach's α to test internal consistency, intraclass correlation coefficient to evaluate test-retest reliability after 3 days, and a known-group validity analysis.
Results:
A total of 300 patients completed the questionnaire. Confirmatory factor analysis fully supported a one-factor structure of the tool, with the model exhibiting robust fit indices, specifically a comparative fit index of 0.96 and a Tucker-Lewis Index of 0.95. The satisfaction was closely related to doctors' availability and availability to communicate. Cronbach's α was 0.95 (95% CI: 0.94-0.95), showing satisfactory internal consistency. Test-retest analysis showed stability over time, with a global intraclass correlation coefficient of 0.91 (P-value < 0.0001).
Conclusion:
The Italian version of the FAMCARE-P13 questionnaire appears valid for assessing the satisfaction with the care received by patients with advanced cancer.
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