UICC World Cancer Congress 2006

Objective: 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). Methods: 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). Construct validity coefficients (subscale to subscale correlations) were .10 to .61 for actual functional status and .33 to .62 for desired functional status, indicating that subscales measured separate dimensions of functional status. Further testing of the CIF-CA in women with other types of cancer is recommended. Patients' actual and desired functional status are important outcomes of clinical interventions and also provide the basis for interventions to assist patients with cancer to adjust to changes in functioning.