The FACIT-Sp spiritual wellbeing scale: a factor analysis in patients with severe and/or life-limiting medical illnesses.

Autor:	Ahmad N; Pain and Palliative Care Service, Clinical Center, National Institutes of Health, Bethesda, MD, USA., Sinaii N; Biostatistics and Clinical Epidemiology Service, Clinical Center, National Institutes of Health, Bethesda, MD, USA., Panahi S; Pain and Palliative Care Service, Clinical Center, National Institutes of Health, Bethesda, MD, USA., Bagereka P; Pain and Palliative Care Service, Clinical Center, National Institutes of Health, Bethesda, MD, USA., Serna-Tamayo C; Pain and Palliative Care Service, Clinical Center, National Institutes of Health, Bethesda, MD, USA., Shnayder S; Teachers College, Columbia University, New York, NY, USA., Ameli R; Pain and Palliative Care Service, Clinical Center, National Institutes of Health, Bethesda, MD, USA., Berger A; Pain and Palliative Care Service, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Jazyk:	angličtina
Zdroj:	Annals of palliative medicine [Ann Palliat Med] 2022 Dec; Vol. 11 (12), pp. 3663-3673. Date of Electronic Publication: 2022 Nov 03.
DOI:	10.21037/apm-22-692
Abstrakt:	Background: The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp) is a widely used measure of spiritual wellbeing. However, consensus on the best factor structure for this measure has not been reached. Both a 2-factor (Meaning/Peace, Faith) and a 3-factor (Meaning, Peace, Faith) structure are reported in the literature. In this study, we examined the factorial structure of the FACIT-Sp in a population of patients with severe and/or life-limiting medical illnesses. Methods: The present study is a part of a larger study that validated the National Institute of Health-Healing Experiences of All Life Stressors (NIH-HEALS), a measure of psycho-social-spiritual healing developed by the Pain and Palliative Care Service at the National Institutes of Health Clinical Center (NIH-CC). The sample included 200 subjects who were recruited from the NIH Clinical Center inpatient units and outpatient clinics with severe and/or life limiting illnesses (cancer, non-genetic conditions, genetic conditions, blood dyscrasias). FACIT-Sp is a 12-item questionnaire scored on a 5-point Likert scale (0 = not at all; 4 = very much). Exploratory factor analysis (EFA) and principal component analysis (PCA) were used to analyze results and to identify the number of latent constructs and underlying factor structure. Results: The results supported the 3-factor (Meaning, Peace, and Faith) model of the FACIT-Sp and accounted for the most variability (74.20%), followed by the 2-factor solution (64.95%). The identified factors related to Faith, Peace, and Meaning and were consistent with previously reported 3-factor model. Conclusions: This study confirmed the 3-factor structure of FACIT-Sp. This information can inform interventions aimed at improving quality of life and spiritual wellbeing in clinical and palliative care settings.
Databáze:	MEDLINE
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