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Psycholog Relig Spiritual. 2017 Nov;9(4):337-347. doi: 10.1037/rel0000071. Epub 2016 May 12.

Validation of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-Expanded (FACIT-Sp-Ex) Across English and Spanish-Speaking Hispanics/Latinos: Results From the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study.

Author information

1
Department of Psychology, University of Miami.
2
Department of Psychology, California State University, Dominguez Hills.
3
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine.
4
Institute for Minority Health Research, University of Illinois at Chicago.
5
Scripps Health.
6
Department of Psychology, San Diego State University.
7
Graduate School of Public Health, San Diego State University.
8
Department of Public Administration, University of Illinois at Chicago.
9
School of Public Health, University of Illinois at Chicago.
10
Department of Biostatistics, University of North Carolina at Chapel Hill.

Abstract

The validity of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) has been examined in primarily non-Hispanics/Latinos with chronic illness. This study assessed the psychometric properties of the non-illness, expanded FACIT-Sp (FACIT-Sp-Ex) in 5,163 U.S. Hispanic/Latino adults. Measures were interviewer-administered in English or Spanish. Confirmatory factor analyses indicated four factors: Meaning, Peace, Faith, and Relational. The scale demonstrated measurement invariance across English and Spanish. Subscales displayed adequate internal and test-retest reliability. Scores were positively associated with Duke Religion Index (DUREL) subscales. When all subscales were entered in a single model, Meaning and Peace were inversely associated with depressive symptoms and positively associated with HRQOL. Faith was positively associated with depressive symptoms and inversely associated with HRQOL. Relational was not associated with any outcome. FACIT-Sp-Ex subscales were generally more strongly associated than DUREL subscales with well-being. The FACIT-Sp-Ex appears to be a valid measure of spiritual well-being in U.S. Hispanics/Latinos.

KEYWORDS:

Expanded (FACIT-Sp-Ex); Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being; Hispanics/Latinos; factorial invariance; psychometrics; spirituality

PMID:
29170710
PMCID:
PMC5695889
[Available on 2018-11-01]
DOI:
10.1037/rel0000071

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