Evaluating the FACIT-Sp-12: a systematic review of measurement properties of spiritual well-being in cancer patients

Introduction: Assessing cancer patients’ spiritual well-being is crucial. The Functional Assessment of Chronic Illness
Therapy-Spiritual Well-being 12 (FACIT-Sp-12) is a measure of spiritual well-being. However, its psychometric
properties and significance in varied cultural and therapeutic situations must be assessed. This study aims to investigate
whether the FACIT-Sp-12's measurement properties yield the most accurate spiritual data for cancer patients.
Methods: This systematic review examined full-text studies written in English and involving patients with cancer
published between 2000 and 2024, using cross-sectional, randomized controlled trials, case-control, and quasi�experimental designs. This study used the MEDLINE (PubMed and EBSCO), ScienceDirect, Scopus, Taylor and Francis,
and selected ProQuest databases. We assessed the papers methodically using the PRISMA flow before reviewing ten of
them. The Consensus-based Standards for the Selection of Health Measurement Instruments tool has been used for
evaluating the review articles.
Results: We found that various studies on spirituality in cancer patients conducted in different countries have employed
diverse research methods. All these studies used the FACIT-Sp-12, which has been modified and adapted for cultural
contexts. Cronbach's alpha ranges from 0.70 to 0.91, indicating that FACIT-Sp-12 is consistent across studies. COSMIN
has been used to evaluate and critique FACIT-Sp-12; however, its structural validity, Cronbach's alpha for the subscales,
intraclass correlation, and measurement error remain unsatisfactory. Some publications examine hypotheses and
provide satisfactory responses, but there is little discussion on criterion validity or cross-cultural adaptation.
Conclusions: We determined that patients with cancer could use the FACIT-Sp-12. This study suggests using the FACIT�Sp-12 spiritual assessment tool for cancer patients in research and nursing care.