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Application of the Multidimensional Fatigue Inventory to Ethiopian Cancer Patients

Objectives: Fatigue is a frequent debilitating symptom associated with cancer.
However, scientific data on cancer-related fatigue is scarce in developing nations. This
work examines psychometric properties of the multidimensional fatigue inventory (MFI-
20) and analyzes the level of fatigue among Ethiopian patients with cancer in comparison
with data from Germany.
Methods: A sample of 256 patients with cancer drawn from a hospital in Ethiopia was
examined with the MFI-20 and the European Organization for Research and Treatment
of Cancer Quality of Life questionnaire (EORTC QLQ-C30). A comparative sample of
780 German patients with cancer served as the control.
Results: The MFI-20 scales and total score showed acceptable reliability (a = 0.60–
0.93) with a considerable convergent validity between MFI-20 and the EORTC QLQ-C30
fatigue scale (r = 0.67–0.75). The Ethiopian patients with cancer reported higher levels of
fatigue than the German patients. Analyses of variance showed that Ethiopian patients
with cancer who were illiterate, having advanced cancer, and those who did not receive
either surgery or chemotherapy reported especially high levels of fatigue.
Conclusion: The MFI-20 is a fairly reliable and valid instrument to be used with Amharic
speaking patients with cancer. The high level of fatigue in these patients implies that
appropriate cancer care is needed in developing countries.

Identiferoai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:84456
Date31 March 2023
CreatorsWondie, Yemataw, Hinz, Andreas
PublisherFrontiers Research Foundation
Source SetsHochschulschriftenserver (HSSS) der SLUB Dresden
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text
Rightsinfo:eu-repo/semantics/openAccess
Relation1664-1078, 687994

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