Validation of a three-item Fatigue Severity Scale for patients with substance use disorder: a cohort study from Norway for the period 2016-2020

Abstract

Background Little attention has been paid to customising fatigue questionnaires for patients with Substance Use Disorders (SUDs). The present study aims to validate and shorten the nine-item Fatigue Severity Scale (FSS-9) and Visual Analogue Fatigue Scale (VAFS) for use with this population. Methods We used data from a nested cohort with annual health assessments with responses on the FSS-9 and VAFS. During the period 2016–2020, 917 health assessments were collected from 655 patients with SUD in Bergen and Stavanger, Norway. A total of 225 patients answered the health assessment at least twice. We defined baseline as the first annual health assessment when the health assessments were sorted chronologically per patient. We checked for internal consistency, and we used longitudinal confirmatory factor analysis (CFA) and linear mixed model (LMM) analysis to validate and shorten the FSS-9 and VAFS. Results The internal consistency of the FSS-9 was excellent with a Cronbach’s α of 0.94 at baseline and 0.93 at the second annual health assessment. When shortening the FSS-9 to a three-item FSS (FSS-3, items 5–7), the Cronbach’s α was 0.87 at baseline and 0.84 at the second health assessment. The internal consistency was not affected when the VAFS was added to the FSS-9 and the FSS-3. The longitudinal CFA model showed a well-fitting model for the FSS-3 (χ2 = 13.33, degree of freedom = 8, P = 0.101). The LMM analysis showed equal linear changes at the individual level for the FSS-3 (slope: 0.00, P > 0.05) and FSS-9 (slope: 0.01, P > 0.05) between the health assessments. Conclusion The ten items (FSS-9 plus VAFS) could be shortened to a three-item FSS with high validity and reliability for patients with SUDs. Shortened and validated fatigue scales may be a way to ensure reliable results in this population.

The impact of ageing on adults with cerebral palsy: the results of a national online survey

“…As Table 3 shows, age was significantly correlated with a decline in mobility, increase in pain and difficulty in swallowing. Among the mobility items a higher percentage of older people (those over the age of 55) compared with younger people (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) tended to avoid activities due to a fear of falling, had difficulty walking a long distance, had difficulty standing up from sitting down, avoided lifting and carrying objects, avoided walking on different surfaces, and walked with an aid. A higher percentage of older people had at least a moderate level of bodily pain, experienced pain that interfered with work, and had problems with coughing.…”

“…(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) N = 49 53.7% (35-54) N = 95 46.5% (55 and over) N = 40 Do you walk with an aid? (walking stick, walker or wheelchair) 2 = 7.6, p < 0.05 phi = 0.14 44.3% (18-34) N = 58 48.0% (35-54) N = 85 62.8% (55 and over) N = 54 Pain My level of bodily pain is moderate or severe.…”