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Table 5 FACT-8D descriptive system: how the dimensions and levels map to the 9 component FACT-G items, and associated Canadian utility decrements

From: The FACT-8D, a new cancer-specific utility algorithm based on the Functional Assessment of Cancer Therapies-General (FACT-G): a Canadian valuation study

FACT-8D Dimension (d) FACT-G question

FACT-G item

FACT-G item level (l) and associated utility decrement (wdl)

Level 1 BEST

Level 2

Level 3

Level 4

Level 5 WORST

Pain

GP4

Not at all

A little bit

Somewhat

Quite a bit

Very much

I have pain

 

0

0

 − 0.077

 − 0.187

 − 0.384

Fatigue (lack of energy)

GP1

Not at all

A little bit

Somewhat

Quite a bit

Very much

I have a lack of energy

 

0

 − 0.054

 − 0.075

 − 0.144

 − 0.164

Nausea

GP2

Not at all

A little bit

Somewhat

Quite a bit

Very much

I have nausea

 

0

 − 0.099

 − 0.149

 − 0.162

 − 0.298

Sleep

GF5

Not at all

A little bit

Somewhat

Quite a bit

Very much

I am sleeping well

 

0

0

0

 − 0.077

 − 0.077

Work

GF1

Very much

Quite a bit

Somewhat

A little bit

Not at all

I am able to work (include work at home)

 

0

 − 0.057

 − 0.090

 − 0.090

 − 0.231

Support*

GS2, GS3

Very much

Quite a bit

Somewhat

A little bit

Not at all

I get emotional support from my family and support from my friends

 

0

 − 0.022

 − 0.022

 − 0.120

 − 0.195

Sadness

GE1

Not at all

A little bit

Somewhat

Quite a bit

Very much

I feel sad

 

0

0

 − 0.127

 − 0.127

 − 0.185

Worry my health will get worse

GE6

Not at all

A little bit

Somewhat

Quite a bit

Very much

I worry that my condition will get worse

 

0

 − 0.097

 − 0.097

 − 0.097

 − 0.118

  1. *For the Support dimension, take the better of the two items