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Urdu Translation and Validation of the COST-FACIT Tool for Assessing Financial Toxicity Among Patients Diagnosed with Cancer in Pakistan Cover

Urdu Translation and Validation of the COST-FACIT Tool for Assessing Financial Toxicity Among Patients Diagnosed with Cancer in Pakistan

Open Access
|May 2025

Figures & Tables

Figure 1.

Distribution of Participants Across Grades of Financial Toxicity.

Inter-Item Correlations Matrix for FACIT COST Tool

FT1FT2FT3FT4FT5FT6FT7FT8FT9FT10FT11total_~e
FT11
FT20.4471
FT30.4030.7721
FT4−0.696−0.2830.1281
FT50.2550.5470.9040.3811
FT60.5140.3280.7560.0450.6821
FT70.2970.5300.8550.2200.7090.8361
FT80.1640.1960.5480.3430.5930.5270.4671
FT90.1690.2020.3740.0920.2020.5700.6430.6031
FT100.2550.3650.6570.2580.790.5990.5650.5360.3231
FT110.5700.6230.711−0.2180.4850.6390.6210.7310.6630.3101
Total score0.4290.6230.9310.1770.8620.840.8800.7430.6260.7500.7921

Descriptive and Internal Consistency for FACIT COST Tool Items

COST itemMeanSTDCronbach’s alpha if item deleted
FT111.330.902
FT211.490.892
FT31.11.450.869
FT41.81.320.914
FT51.71.640.874
FT61.81.140.879
FT71.21.690.872
FT82.11.520.883
FT91.81.480.891
FT1021.630.883
FT110.81.320.880

Content Validity Indices for FACIT COST Tool Items

COST itemContent Validity Index (CVI) for relevance – expert responsesContent Validity Index (CVI) for clarity – expert responsesContent Validity Index (CVI) for relevance – patient responsesContent Validity Index (CVI) for clarity – patient responses
FT10.821.001.001.00
FT20.910.901.001.00
FT30.911.001.001.00
FT40.730.701.001.00
FT50.640.901.001.00
FT60.821.01.000.90
FT70.821.01.001.00
FT80.910.91.001.00
FT90.730.81.001.00
FT100.820.81.001.00
FT110.820.81.001.00

Patient characteristics

CharacteristicsN (%)
Institution
  Aga Khan University Hospital3 (30%)
  Cancer Foundation Hospital2 (20%)
  Jinnah Postgraduate Medical Center3 (30%)
  Patel Hospital2 (20%)
Sex
  Male4 (40%)
  Female6 (60%)
Age
  Less than 40 years3 (30%)
  40–60 years4 (40%)
  Above 60 years3 (30%)
Education
  Not educated3 (30%)
  Primary1 (10%)
  Secondary3 (30%)
  Graduate and above3 (30%)
Marital status
  Married9 (90%)
  Unmarried1 (10%)
Occupation
  Employed (excluding self employed)1 (10%)
  Unemployed1 (10%)
  Labour work1 (10%)
  Home maker5 (50%)
  Self employed1 (10%)
  Retired1 (10%)
Monthly household income (in Pak Rupees)
  <50,0004 (40%)
  50,000–100,0004 (40%)
  >100,0003 (30%)
Site of cancer
  Colon3 (30%)
  Esophagus4 (40%)
  Pancreas2 (20%)
  Rectum1 (10%)
Language: English
Page range: 17 - 23
Published on: May 29, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Muhammad Tayyab ul Hasan Siddiqui, Sehar Salim Virani, Fatima Shaukat, Asfia Arham Khursheed, Lubna Saleem, Abid Jamal, Muhammad Rizwan Khan, Syed Nabeel Zafar, published by Shakuat Khanum Memorial Cancer Hospital and Research Centre
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.