Paper
Friday, 21 July 2006
This presentation is part of : Developing Measurement Instruments
Development of the Comprehensive Inventory of Functioning-Cancer
Lorraine Tulman, RN, DNSc, FAAN, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA and Jacqueline Fawcett, RN, PhD, FAAN, College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
Learning Objective #1: describe how the Comprehensive Inventory of Functioning-Cancer measures functional status.
Learning Objective #2: describe how the Comprehensive Inventory of Functioning-Cancer differs from other instruments that measure functional status.
Purpose: The Roy Adaptation Model-based Comprehensive Inventory of Functioning-Cancer (CIF-CA) was developed to measure actual and desired functional status in women with cancer. The CIF-CA is a major revision of the Inventory of Functional Status-Cancer. Six subscales measure women’s performance of personal care, family care, household, social, community, and occupational activities following diagnosis of cancer (actual functional status) and the level at which they wish to perform those activities (desired functional status). Sample: Reliability and construct validity estimates were obtained from a sample of 190 women diagnosed with breast, lung, or colon cancer within the past two years. Results: The entire range of scores was used for all subscales except for the personal care activities subscale, which was slightly restricted at the low end. Estimates of internal consistency reliability were adequate for most item to subscale coefficients (.68 to .93 for actual functional status; .61 to .85 for desired functional status) and for most subscale to total scale coefficients (.46 to .86 for actual functional status; .62 to .83 for desired functional status). Initial construct validity coefficients, using subscale to subscale correlations, were .10 to .61 for actual functional status and .33 to .62 for desired functional status. As expected, those correlations were relatively low, indicating that the subscales measured separate dimensions of functional status. Conclusion: Further testing of the CIF-CA in other samples of women with diverse types of cancer is recommended. Development of a version for men with cancer also is recommended. Assessment of functional status with the CIF-CA provides the basis for nursing interventions to assist patients with cancer adjust to changes in performance of usual activities and promote desired optimal performance. Assessment of patients' actual and desired functional status also serves as an important outcome of nursing and medical interventions.

See more of Developing Measurement Instruments
See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)