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.