A confirmative clinimetric analysis of the 36-item Family Assessment Device

Nina Timmerby, Fiammetta Cosci, Maggie Watson, Claudio Csillag, Florence Schmitt, Barbara Steck, Per Bech, Mikael Thastum

Research output: Contribution to journalJournal articleResearchpeer-review

5 Citations (Scopus)

Abstract

BACKGROUND: The Family Assessment Device (FAD) is a 60-item questionnaire widely used to evaluate self-reported family functioning. However, the factor structure as well as the number of items has been questioned. A shorter and more user-friendly version of the original FAD-scale, the 36-item FAD, has therefore previously been proposed, based on findings in a nonclinical population of adults.

AIMS: We aimed in this study to evaluate the brief 36-item version of the FAD in a clinical population.

METHODS: Data from a European multinational study, examining factors associated with levels of family functioning in adult cancer patients' families, were used. Both healthy and ill parents completed the 60-item version FAD. The psychometric analyses conducted were Principal Component Analysis and Mokken-analysis.

RESULTS: A total of 564 participants were included. Based on the psychometric analysis we confirmed that the 36-item version of the FAD has robust psychometric properties and can be used in clinical populations.

CONCLUSIONS: The present analysis confirmed that the 36-item version of the FAD (18 items assessing 'well-being' and 18 items assessing 'dysfunctional' family function) is a brief scale where the summed total score is a valid measure of the dimensions of family functioning. This shorter version of the FAD is, in accordance with the concept of 'measurement-based care', an easy to use scale that could be considered when the aim is to evaluate self-reported family functioning.

Original languageEnglish
JournalNordic Journal of Psychiatry
Volume72
Issue number4
Pages (from-to)268-272
ISSN0803-9488
DOIs
Publication statusPublished - 2018

Keywords

  • Adult
  • Family/psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms/psychology
  • Psychometrics/instrumentation
  • Reproducibility of Results
  • Self Report/standards

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