BioPsychoSocial
Assessment Tools for the Elderly - Assessment Summary Sheet
Test:
Functional
Living Index – Cancer (FLIC)
Year:
1984
Domain:
Biological, Psychological, Social
Assessment
Tool Category: Disease-Specific
Variations/Translations:
FLIC has been translated into most European
languages, and some Asian and African languages. An abbreviated
version, Quick-FLIC, has been developed in English, Chinese and
Malay (Singapore).
Assessment
Setting: Clinical
Method of
Delivery: Self-administered
questionnaire
Description:
FLIC was developed to determine the response of
cancer patients to their illness and treatment. The FLIC is
intended for inpatients and outpatients with diagnosed malignant
cancer. The 22-item questionnaire is a Visual Analogue Scale
divided into 6 categories.
Scoring/Interpretation:
For scoring, each interval is divided in half
and responses are scored to the nearest whole integer. Scores for
some of the questions are reversed so that higher scores indicate
better health. It is recommended to use the total score rather
than factor scores.
Time to
Administer: Less than 10 minutes.
Availability:
Available as a part of Schipper’s (1985)
publication.
Software: N/A
Website: N/A
Quantitative/Qualitative:
Quantitative
Validity
(Quantitative): Four factors were
consistently identified: physical well-being, emotional state,
sociability, and hardship/disruption due to cancer. A five factor
solution was reported including: physical, emotional and social
functioning; current wellbeing; and symptoms of pain and nausea.
The FLIC can discriminate significantly between patients in the
hospital, getting active treatment, getting adjuvant therapy, off
treatment, and receiving follow-up observation. It is sensitive to
the adverse effects of chemotherapy. The FLIC is correlated with
the Beck Depression Inventory (0.72), General Health Questionnaire
(0.77), Karnofsky Scale (0.69), McGill Pain Questionnaire (0.59),
Katz Index of ADL (0.31), and Functional Assessment of Cancer
Therapy scale (0.58-0.75).
Reliability
(Quantitative): Alpha internal
consistency coefficients for factor scores ranged from 0.64 to
0.87.
References:
Schipper, H.,
Clinch, J., McMurray, A., et al. (1984). Measuring the quality of
life of cancer patients: the Functional Living Index –
Cancer: development and validation. J
Clin Oncol, 2, 472-483.
Schipper, H. &
Levitt, M. (1985). Measuring the quality of life: risks and
benefits. Cancer Treat Rep,
69, 1115-1123.
Comments:
Scale
still lacks extensive information on reliability.
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