Psychometric Testing of Three Chinese Fatigue Instruments in Taiwan

Shiow Ching Shun, Susan L. Beck, Marjorie A. Pett, Patricia H. Berry

Research output: Contribution to journalArticlepeer-review

43 Scopus citations


The purpose of this study was to evaluate the psychometric properties (reliabilities and validities) and ease of use of three translated fatigue instruments: Chinese versions of the Cancer Fatigue Scale, the Fatigue Symptom Inventory (FSI), and the Schwartz Cancer Fatigue Scale-revised. Convenience sampling was used to recruit 243 cancer outpatients at a chemotherapy treatment center in Taiwan. The results indicated that the three scales had good internal consistency (Cronbach's alphas for three total scales > 0.80) and were brief (less than 6 minutes to complete), valid (confirmed by convergent, divergent, and discriminant validity), and feasible measures (completion rates > 97%) of fatigue for use with Taiwanese cancer patients. However, 27% of cancer patients reported that the FSI was difficult for them to complete. Differences in factorial validity between each original scale and its Chinese version indicate a need for further testing in Taiwan.

Original languageEnglish (US)
Pages (from-to)155-167
Number of pages13
JournalJournal of Pain and Symptom Management
Issue number2
StatePublished - Aug 2006
Externally publishedYes


  • Neoplasm
  • construct validity
  • fatigue
  • psychometric testing
  • reliability

ASJC Scopus subject areas

  • General Nursing
  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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