Table 1.
Unidimensional and multidimensional questionnaires used to assess fatigue in COVID-19.
Instrument |
Description |
Findings in COVID-19 |
---|---|---|
Unidimensional | ||
Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT) | It has 13 items assessing the perception of fatigue related to the last seven days and the answers are given on a Likert scale from 0 to 4 points (Cella et al. 2002). | The mean total score for fatigue was 16.8 (13.2) points among the 1036 subjects at the seventh month after hospitalization for COVID-19(Evans et al., 2021). |
Brief Fatigue Inventory | It has an item about fatigue of the last week (yes or no). There are three rating items with scores from 0 to 10 for fatigue severity at "now", "usual" and "worst" times. And six items that assess the impact of fatigue over the past 24 h(Y. W. Chen, Coxson, and Reid 2016). | Fatigue present up to 163 days after COVID-19, assessed in 315 (93.2%) of 338 patients hospitalized for COVID-19, of whom 150 (47.6%) had moderate fatigue (4–6 points) (Stallmach et al., 2022). |
Visual Analog Scale – Fatigue | Visual analog scale that assesses the severity of fatigue in a numerical measure from 0 to 10(Tseng, Gajewski, and Kluding 2010). | The mean score for physical fatigue was 8 points and 7 for mental fatigue in 150 subjects hospitalized for COVID-19(Tuzun et al., 2021). |
Fatigue Severity Scale | It assesses the severity of fatigue on nine items referring to perceived fatigue over the past two weeks. Each item is scored from 1 (strongly disagree) to 7 points (strongly agree)(Krupp and Pollina 1996). | Of the 124 subjects evaluated, 71(57%) had relevant fatigue at hospital discharge (≥ 4 points) post-COVID-19(Leite et al., 2022). |
Fatigue Impact Scale | It assesses the impact of fatigue on subjects' functional limitation in the last month. Recently adapted (modified version) to be responsive to daily use with eight items ranging from 0 to 4 points(Fisk and Doble 2002). | NE |
Modified BORG Scale | Assesses the perception of fatigue on a scale of 0–10 points(Borg et al. 2010). | In the walk test, perceived fatigue was on average 1.9 (1.8) points in a sample of 186 subjects who underwent hospitalization for COVID-19(Cortés-Telles et al., 2021). |
Multidimensional | ||
Checklist Individual Strength | It consists of a 20-item instrument with four domains (subjective fatigue, motivation, activity and concentration), referring to the last two weeks (Vercoulen et al. 1994). | 138 (56.1%) of 246 patients who had been in an Intensive Care Unit had abnormal fatigue (27 points or more) up to one year after (Heesakkers et al., 2022). |
Piper Fatigue Scale | It assesses behavioral, affective, sensory, mood-related, and cognitive aspects. The revised version has 22 items with Likert-type responses ranging from 0 to 10(Reeve et al. 2012). | NE |
Multidimensional Fatigue Inventory | A 20-item instrument for assessing general fatigue, physical fatigue, mental fatigue, reduced activity, and reduced motivation. The score is given for each domain and ranges from 4 to 20 points(Smets et al., 1995). | Patients who were hospitalized for COVID-19 had persistent fatigue with high scores in the domain of reduced motivation and mental fatigue(Morin et al., 2021). |
Chalder Fatigue Questionnaire | 11-item instrument that assesses the domains mental fatigue and physical fatigue and each item is scored from 0 to 3 points (Chalder et al., 1993). | Fatigue was present in 120 (80%) of 150 subjects (Tuzun et al., 2021). The post-viral fatigue burden in post-COVID-19 patients was high with a mean total score of 15.1 (5.0) points (out of 33)(Stavem et al., 2021). |
Pulmonary Functional Status and Dyspnea Questionnaire (PFSDQ-M) | Assesses the impact of fatigue on the activities of daily living in a domain ranging from 0 to 100 points(Lareau, Meek, and Roos 1998). | Fatigue had a positive association with functional status ( r = 0.491, p = 0.045) among participants with COVID-19(Carter et al., 2022). |
Legend: NE (NOT EVALUATED).