Psykologisk Institut

A confirmative clinimetric analysis of the 36-item Family Assessment Device

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • Nina Timmerby, Københavns Universitet, Danmark
  • Fiammetta Cosci, University of Florence, Italien
  • Maggie Watson, The Royal Marsden Hospital, Sutton, Storbritannien
  • Claudio Csillag, Københavns Universitet, Danmark
  • Florence Schmitt, Child Psychiatry Clinic, Turku University Hospital, Finland, Finland
  • Barbara Steck, University of Basel, Schweiz
  • Per Bech, University of Copenhagen, Danmark
  • Mikael Thastum

BACKGROUND: The Family Assessment Device (FAD) is a 60-item questionnaire widely used to evaluate self-reported family functioning. However, the factor structure as well as the number of items has been questioned. A shorter and more user-friendly version of the original FAD-scale, the 36-item FAD, has therefore previously been proposed, based on findings in a nonclinical population of adults.

AIMS: We aimed in this study to evaluate the brief 36-item version of the FAD in a clinical population.

METHODS: Data from a European multinational study, examining factors associated with levels of family functioning in adult cancer patients' families, were used. Both healthy and ill parents completed the 60-item version FAD. The psychometric analyses conducted were Principal Component Analysis and Mokken-analysis.

RESULTS: A total of 564 participants were included. Based on the psychometric analysis we confirmed that the 36-item version of the FAD has robust psychometric properties and can be used in clinical populations.

CONCLUSIONS: The present analysis confirmed that the 36-item version of the FAD (18 items assessing 'well-being' and 18 items assessing 'dysfunctional' family function) is a brief scale where the summed total score is a valid measure of the dimensions of family functioning. This shorter version of the FAD is, in accordance with the concept of 'measurement-based care', an easy to use scale that could be considered when the aim is to evaluate self-reported family functioning.

TidsskriftNordic Journal of Psychiatry
Sider (fra-til)268-272
Antal sider5
StatusUdgivet - 2018

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