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Validation of the Hindi version of the Multidimensional Fatigue Inventory-20 (MFI-20) in Indian cancer patients

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Abstract

Objective

The present study was designed to validate the Hindi version of the Multidimensional Fatigue Inventory-20 (MFI-20) in Indian oncology population.

Methods

The original English version of the MFI-20 was translated into Hindi (hMFI-20) using the translation and back translation processes. The hMFI-20 was administered to 200 cancer patients. The item analysis for hMFI-20 was carried out using the corrected item-total correlation. The confirmatory factor analysis (CFA) was employed to test whether the original factor structure of MFI-20 is confirmed for the hMFI-20. Further, convergent and discriminant validities were also tested. The reliability of the hMFI-20 was evaluated by computing composite reliability and Cronbach’s α coefficient.

Results

Corrected item-total correlation value for each of the items of hMFI-20 was greater than 0.6. Results of the CFA (comparative fit indices (CFI) = 0.91, root mean squared residual (RMR) = 0.04, root mean square error of approximation (RMSEA) = 0.028, and χ 2 = 45.68, p > 0.05) indicated that the five-factor model provided a good fit to the data. The findings indicated that hMFI-20 has a good convergent (composite reliability (CR) >0.7; average variance extracted value (AVE) >0.5) and discriminant (maximum shared variance (MSV) < AVE; average shared variance (ASV) < AVE; square root of AVE > inter-factor correlations) validities. The Cronbach’s α coefficient for the total hMFI-20 was 0.8 and was more than 0.7 for each of the five factors.

Conclusions

We conclude that the hMFI-20 has a high internal consistency and reasonable construct validity. Therefore, the hMFI-20 is a reliable and valid tool to assess the multidimensional fatigue in Indian oncology population. However, we recommend further validation of hMFI-20 in population of cancer patients of different linguistic settings and regions of India.

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Acknowledgments

This study was supported by the University Grants Commission, New Delhi, through its DRS-Special Assistance Program sanctioned to the School of Life Sciences, Pt. Ravishankar Shukla University, Raipur, in the thrust area “Chronobiology.” We are grateful to Prof. A.K. Pati, School of Life Sciences, Pt. Ravishankar Shukla University, Raipur, for the valuable suggestions and for reviewing the manuscript. We thank two anonymous reviewers for offering numerous constructive suggestions. We are thankful to all cancer patients for their voluntary participation in the present study.

Conflicts of interest

None of the funding source influenced the study design, collection, analysis, interpretation of data, and decision to submit the manuscript. We state that we have had full access to all the data in the study and that we agree to allow the journal to review our data if requested.

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None

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Authors and Affiliations

  1. Chronobiology and Animal Behavior Laboratory, School of Studies in Life Sciences, Pt. Ravishankar Shukla University, Raipur, 492010, India

    Priyanka Chandel, Armiya Sultan & Arti Parganiha

  2. Psychometrics Laboratory, School of Studies in Psychology, Pt. Ravishankar Shukla University, Raipur, 492010, India

    Khan Abraruzzaman Khan

  3. Regional Cancer Center, Dr. B.R. Ambedkar Memorial Hospital, Raipur, 492001, India

    Vivek Choudhary

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  1. Priyanka Chandel
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Correspondence to Arti Parganiha.

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Chandel, P., Sultan, A., Khan, K.A. et al. Validation of the Hindi version of the Multidimensional Fatigue Inventory-20 (MFI-20) in Indian cancer patients. Support Care Cancer 23, 2957–2964 (2015). https://doi.org/10.1007/s00520-015-2661-5

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