| Name of the Instrument/Tool | Revised Piper Fatigue Self-Report Scale (PFS-R) |
| First Description |
Piper BF, Dibble SL, Dodd MJ, et al. The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer. Oncol Nurs Forum. 1998 May;25(4):677-84. |
| Year | 1998 |
| Domains | |
| Concept of constructs | Fatigue |
| Population/Disease | Generic |
| Originally developed for | --- |
| Other rheumatic diseases where can be applied (only if validated) |
Systemic Lupus Erythematosus (SLE), Fibromyalgia (FM) |
| Additional population with no rheumatic diseases |
Yes Cancer |
| Language: Originally published in | English |
| Available in Language | Portuguese, Swedish, French, Greek, Dutch |
| REFERENCE IDENTIFICATION | |
| Author/s | Piper BF, Dibble SL, Dodd MJ, Weiss MC, Slaughter RE, Paul SM |
| Title | The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer |
| Journal | Oncol Nurs Forum |
| Year | 1998 |
| Vol | 25 |
| Num | 4 |
| Pages | 677-84 |
| Country | USA |
| Language | English |
| Other references of interest | |
| Link | http://pubs.sciepub.com/ajnr/6/6/7/index.html |
| Brief Description |
Effectiveness of exercises on fatigue level in patients with systemic lupus erythematosus |
| Link | https://pubmed.ncbi.nlm.nih.gov/17086781/ |
| Brief Description |
Factor analysis of the Revised Piper Fatigue Scale in a caregiver sample |
| Link | https://pubmed.ncbi.nlm.nih.gov/33091265/ |
| Brief Description |
Measures of Fatigue in Patients With Rheumatic Diseases: A Critical Review |
| Instrument/Tool Translations References | |
| Link | https://pubmed.ncbi.nlm.nih.gov/16713528/ |
| Brief Description |
Psychometric properties of the revised Piper Fatigue Scale in Dutch cancer patients were satisfactory |
| Link | https://pubmed.ncbi.nlm.nih.gov/23695719/ |
| Brief Description |
The Piper Fatigue Scale-Revised: translation and psychometric evaluation in Spanish-speaking breast cancer survivors |
| Link | https://pubmed.ncbi.nlm.nih.gov/20572586/ |
| Brief Description |
The revised piper fatigue scale (PFS-R) for Italian cancer patients: a validation study |
| DEVELOPER CONTACT INFORMATION | |
| Correspondence to | Barbara Fliegel Piper |
| bpiper@shc.org | |
| Address | College of Nursing, University of Nebraska Medical Center, Omaha, USA. |
| Website | --- |
| Available | --- |
| Links | --- |
| DESCRIPTION OF THE INSTRUMENT | |
| Type Of Measure | Scale |
| Brief Description |
The PFS was developed to assess perceived fatigue in patients with chronic diseases such as cancer. The scale was originally developed in 1989 and was revised in 1998. The PFS-R consists of four dimensions of subjective fatigue. The subscales are behavioral/severity (six items), affective meaning (five items), sensory (five items), and cognitive/mood (six items). The behavioral/severity subscale consists of items related to the impact and distress of fatigue on activities of daily living, the affective meaning subscale consists of items related to the emotional attributes of fatigue, the sensory subscale consists of items related to physical symptoms of fatigue, and the cognitive/mood subscale consists of items related to mental and mood status |
| Number of Items | 22 questions + 5 additional items (qualitative data) |
| Range | 0-10 |
| Responses options/scale |
Yes 1 (strong disagreement) - 10 (strong agreement) |
| Developed for | Both |
| PRACTICAL APPLICATION | |
| Method of administration | Self-administered |
| Recommendations to score |
The total score varies from 0 to 10. Total and subscale mean scores are derived from summing up the individual items and dividing this value by the number of items in the subscale/total scale to maintain the 0 to 10 scaling. In the case of missing item data, if the respondent has answered at least 75% to 80% of the remaining items on that particular subscale, the subscale mean score is calculated based on the number of items answered. The mean value is substituted for the missing item score. |
| Score Interpretation | The higher scores correspond with higher fatigue levels. |
| Cut-off points | The severity codes are as follows: 0 = none, 1 to 3 = mild, 4 to 6 = moderate, and 7 to 10 = severe. |
| Cut-off points applied to | --- |
| Smallest detectable change if described | --- |
| Smallest detectable change applied to | --- |
| Completion time by the patient | - minutes |
| Scoring time by the assessor | - minutes |
| Training to score | Not necessary |
| Strengths | Easy to use |
| Limitations | --- |
| OTHER COMMENTS | |
| Other Comments | --- |