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CompletedNCT06031207Updated Aug 11, 2025

Translation and Psychometric Properties of the Fatigue Severity Scale in Patients With Fibromyalgia

An observational study in Fibromyalgia, sponsored by University of Lahore. Completed at 1 site in Pakistan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-11.

Sponsored by University of Lahore · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
90
Ages
18 Years and older
Sex
All
01

Study summary

The study will employ a Cross-Sectional Validation Study design. The study will be conducted at the Department of Physical Therapy, University of Lahore Teaching Hospital, located on Defence Road, Lahore.

The anticipated duration of the study will be 09 months, commencing after the approval of the synopsis.

The sample size will be determined following the Kline Method, resulting in a total of 90 participants.

A Purposive Sampling Technique will be utilized to select the study participants.

Read the detailed description

Study Type: Cross-Sectional Validation Study Location: Department of Physical Therapy, University of Lahore Teaching Hospital, Defence Road, Lahore Duration: 06 months (post-synopsis approval) Sample Size: 90 participants Sampling Technique: Purposive Sampling Consent and Ethics: Participants will provide written informed consent. Ethics approval will be obtained from the University of Lahore Ethics Committee.

Translation of FSS:

The Fatigue Severity Scale (FSS) will be translated into Urdu for data collection.

Two independent bilingual translators will create reports on translation difficulties and rationale.

These reports will inform a consensus meeting to develop a unified Urdu version, with comments documented.

The unified version will be backtranslated into English by native English-speaking translators unaware of the questionnaire's concept.

Expert Committee:

An expert committee comprising physical therapists, linguists, and a methodologist will review both language versions.

The goal is to ensure semantic, idiomatic, experiential, and conceptual equivalence and reach consensus on the final Urdu version of the FSS.

Patient Involvement:

The final Urdu FSS version will be administered to 20 fibromyalgia patients. These patients will also be interviewed to assess their understanding of questionnaire items.

Participants will receive additional information about fibromyalgia to prevent confusion.

Data Collection:

Data will be collected from 100 fibromyalgia patients using the final Urdu FSS version.

A retest will be conducted after 48 hours.

Additional Assessment:

All 90 participants will complete the Multidimensional Fatigue Inventory (MFI).

02

Conditions studied

  • Fibromyalgia

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Keywords

  • Fatigue Severity Scale
  • Translation
  • Psychometric Properties
03

In context

Fibromyalgia

1,336 studies on the registry are indexed under Fibromyalgia; 265 are open to participants now.

This study's enrollment of 90 is close to the median of 100 across 270 observational studies indexed under Fibromyalgia.

Browse Fibromyalgia studies →

Lead sponsor

University of Lahore is the lead sponsor of 223 studies on the registry; 40 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Fibromyalgia is a disease characterized by chronic pain, stiffness, and tenderness of muscles, tendons, and joints, without detectable inflammation. Fibromyalgia does not cause body damage or deformity. Fatigue affects 90 percent of patients and sleep disorders are common. Patients diagnosed with fibromyalgia according to the American College of Rheumatology (ACR) criteria will be included in this study.

Inclusion criteria

  • Both genders with age of 18 years and above
  • Diagnosed and referred patients of fibromyalgia according to the American College of Rheumatology (ACR) criteria.
  • The ability to provide informed consent and wiling to participate in the study.
  • Fluency in the study language (i.e. Urdu in this case).

Exclusion criteria

Exclusion Criteria:

  • Any other chronic pain condition that could affect fatigue and sleep.
  • Diagnosed sleep disorder (such as sleep apnea or insomnia) that could affect the results.
  • History of a psychiatric disorder that could affect the results.
  • History of substance abuse.
  • Participation in any other study that could affect the results at the time of recruitment.
05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
90 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Fatigue Severity Scale

    The Fatigue Severity Scale (FSS) is a self-reported measure of fatigue and sleep disturbance in patients with fibromyalgia. It is a 9-item scale that assesses the severity of fatigue, the impact of fatigue on daily activities, and the degree of sleep disturbance. The FSS is a widely used instrument in research and clinical practice, and has been found to be a valid and reliable measure of fatigue and sleep disturbance in patients with fibromyalgia. The FSS items are rated on a 5-point Likert scale, with responses ranging from "not at all" to "extremely." The total score ranges from 0 to 36, with higher scores indicating greater levels of fatigue and sleep disturbance.

    Time frame: 1 week

  2. Multidimensional Fatigue Inventory

    The Multidimensional Fatigue Inventory (MFI) is a self-report questionnaire designed to assess various dimensions of fatigue experienced by individuals. It is commonly used in research and clinical settings to measure and understand fatigue in different contexts. Respondents answer a series of questions related to each dimension on a Likert-type scale, typically ranging from 1 to 5 or 0 to 4. The scores from each dimension are summed to obtain subscale scores, and a total score is often calculated by summing all subscale scores. Higher scores indicate greater levels of fatigue.

    Time frame: 1 week

07

Study locations

1 site
  • University of Lahore Teaching Hospital
    Lahore, Punjab Province 55150, Pakistan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06031207
Lead sponsor
University of Lahore
Responsible party
Sponsor
First posted
Sep 11, 2023
Start date
Sep 1, 2023
Primary completion
Dec 20, 2023
Completion
Jan 30, 2024
Last update
Aug 11, 2025

Study contacts

Memona Khan, MSPT MSK*
principal investigator · University of Lahore
Hafiza Sana Ashraf, MSPT MSK
study director · University of Lahore

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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