Functional Assessment of Cancer Therapy (FACT-G)
Cella‚ 1993
Version 4
During the past 7 days.
Physical Well-being
· I have a lack of energy
· I have nausea
· Because of my physical condition‚ I have trouble meeting the needs of my family
· I have pain
· I am bothered by side effects of treatment
· I feel ill
· I am forced to spend time in bed
Social/Family Well-being
· I feel close to my friends
· I get emotional support from my family
· I get support from my friends
· My family has accepted my illness
· I am satisfied with family communication about my illness
· I feel close to my partner (or the person who is my main support)
Regardless of your current level of sexual activity‚ please answer the following question. If you prefer not to answer it‚ please check this box [ ] and go to the next section.
· I am satisfied with my sex life
By circling one (1) number per line‚ please indicate how true each statement has been for you during the past 7 days.
Emotional Well-being
· I feel sad
· I am satisfied with how I am coping with my illness
· I am losing hope in the fight against my illness
· I feel nervous
· I worry about dying
· I worry that my condition will get worse
Functional Well-being
· I am able to work (include work at home)
· My work (include work at home) is fulfilling
· I am able to enjoy life
· I have accepted my illness
· I am sleeping well
· I am enjoying the things I usually do for fun
· I am content with the quality of my life right now
Version 3
During all the past 7 days:
PHYSICIAL WELL-BEING
1. I have a lack of energy
2. I have nausea
3. I have trouble meeting the needs of my family
4. I have pain
5. I am bothered by side effects of treatment
6. In general‚ I feel sick
7. I am forced to spend time in bed
8. How much does your PHYSICAL WELL-BEING affect your quality of life?
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very much so
SOCIAL/FAMILY WELL-BEING
9. I feel distant from my friends
10.I get emotional support from my family
11.I get support from my friends and neighbors
12.My family has accepted my illness
13.Family communication about my illness is poor If you have a spouse/partner‚ or are sexually active‚ please answer #14-15. Otherwise‚ go to #16.
14.I feel close to my partner (or main support)
15.I am satisfied with my sex life
16.How much does your SOCIAL/FAMILY WELL-BEING affect your quality of life?
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very much so
RELATIONSHIP WITH DOCTOR
17.I have confidence in my doctor(s)
18.My doctor is available to answer my questions
19.How much does your RELATIONSHIP WITH THE DOCTOR affect your quality of life?
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very much so
EMOTIONAL WELL-BEING
20.I feel sad
21.I am proud of how I’m coping with my illness
22.I am losing hope in the fight against my illness
23.I feel nervous
24.I worry about dying
25.How much does your EMOTIONAL WELL-BEING affect your quality of life?
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very much so
FUNCTIONAL WELL-BEING
26.I am able to work (include work in home)
27.My work (include work in home) is fulfilling
28.I am able to enjoy life “in the moment”
29.I have accepted my illness
30.I am sleeping well
31.I am enjoying my usual leisure pursuits
32.I am content with the quality of my life right now
33.How much does your FUNCTIONAL WELL-BEING affect your quality of life?
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very much so
Physical Well-Being (PWB‚ 0.65 – 0.82)‚ Social Well-Being (SWB‚ 0.55-.75)‚ Relationship With Doctor (RWD‚ 0.40- 0.75)‚ Emotional Well-Being (EWB‚ 0.66-0.84)‚ Functional Well-Being (FWB‚ 0.75-0.84)‚ Total Score (FACT-G‚ 0.82-0.90)
(0) Not at all‚ (2) A little bit‚ (3) Some- what a bit‚ (4) Quite Very much
Cella‚ D.F. (1992). Quality of life: the concept. J Palliat Care‚ 8:8–13.
Cella‚ David. (1993). “Quality of Life: Concepts and Definition”. Journal of Pain and Symptom Management. 9: 186–192
Cella‚ D.F.‚ Tulsky‚ D.S.‚ Gray‚ G.‚ et al. (1993). The functional assessment of cancer therapy scale: development and validation of the general measure. Journal of Clinical Oncology‚ 11(3):570–579.
Cella‚ D.F.‚ Bonomi‚ A.E.‚ Lloyd‚ S.R.‚ et al. (1995). Reliability and validity of the Functional Assessment of Cancer Therapy-Lung (FACT-L) quality of life instrument. Lung Cancer‚ 12:199–220.
Cella‚ D.F.‚ Bonomi‚ A.E. The Functional Assessment of Cancer Therapy (FACT) and Functional Assessment of HIV Infection (FAHI) quality of life measurement system. In: Spilker B‚ ed. Quality of life and pharmacoeconomics in clinical trials. Philadelphia: Lippincott-Raven‚ 1996:203–214.
Fairclough‚ D.L‚ Cella‚ D.F. (1996). Functional Assessment of Cancer Therapy (FACT-G): non-response to individual questions. Qual Life Res‚ 5:321–329.
Bonomi‚ A.E.‚ Cella‚ D.F.‚ Hahn‚ E.A.‚ et al. (1996). Multilingual translation of the Functional Assessment of Cancer Therapy (FACT) quality of life measurement system. Qual Life Res‚ 5:309–320.
Cella‚ D. (1997). The Functional Assessment of Cancer Therapy-Anemia (FACT-An) Scale: a new tool for the assessment of outcomes in cancer anemia and fatigue. Seminars in Hematology [1997‚ 34(3 Suppl 2):13-19]
Brady‚ M.J.‚ Cella‚ D.F.‚ Mo‚ F.‚ et al. (1997). Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. J Clin Oncol‚ 15:974–986.
Cella‚ D.‚ Hernandez‚ L.‚ Bonomi‚ A.E.‚ et al. (1998). Spanish language translation and initial validation of the Functional Assessment of Cancer Therapy quality-of-life instrument. Med Care‚ 36:1407–1418.
Ward‚ W.L.‚ Hahn‚ E.A.‚ Mo‚ F.‚ et al. (1999). Reliability and validity of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) quality of life instrument. Quality of Life Research‚ 8(3):181–195.
Mullin‚ V.‚ Cella‚ D.‚ Chang‚ C-H.‚ et al. (2000). Development of three African language translations of the FACT-G. Qual Life Res‚ 9:139–149.
Novik‚ A.A.‚ Ionova‚ T.I.‚ Fedorenko‚ D.A.‚ et al. (2000). Sensitivity of FACT-G in quality of life assessment of lung cancer patients after radical surgery. Quality of Life Newsletter‚ 24:12.
Cella‚ D.‚ Hahn‚ E.A.‚ Dineen‚ K. (2002). Meaningful change in cancer-specific quality of life scores: differences between improvement and worsening. Qual Life Res‚ 11:207–221.
McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. OXFORD UNIVERSITY PRESS
