Validation of the caregiver version of the Comprehensive Score for Financial Toxicity instrument in Brazilian Portuguese*

Authors

Keywords:

Financial Stress, Caregivers, Translating, Validation Study, Home Nursing

Abstract

Objective: To translate, adapt, and evaluate the psychometric properties of the caregiver version of the Comprehensive Score for Financial Toxicity for the Brazilian context.

Method: A methodological study conducted between February and November 2025 in a medium-sized municipality in northwestern Paraná, Brazil. The process consisted of two sequential stages: translation and cross-cultural adaptation, following the methodological framework of the Functional Assessment of Chronic Illness Therapy group; and psychometric evaluation of the Brazilian version, administered to informal caregivers.

Results: The scale showed good internal consistency, with a Cronbach’s alpha of 0.868, indicating high homogeneity among the items, and the total omega was 0.790, a value considered adequate for unidimensional instruments.

Conclusion: The version of the Comprehensive Score for Financial Toxicity questionnaire for informal caregivers demonstrated confirmatory factor analysis, revealing an unifactorial structure with 12 items and presenting adequate fit indices, thereby supporting the proposed model.

Author Biographies

Carolina Amadeu Fecchio, State University of Maringá, Maringá, PR, Brazil.

Nurse. Master's degree in Nursing. Doctoral candidate in Nursing. State University of Maringá, Maringá, PR, Brazil.

Luciana de Alcantara Nogueira, Federal University of Paraná, Curitiba, PR, Brazil.

Nurse. PhD in Nursing. Professor at the Federal University of Paraná, Curitiba, PR, Brazil.

Débora Regina de Oliveira Moura, tate University of Maringá, Maringá, PR, Brazil.

  Nurse. PhD in Nursing. Professor at the State University of Maringá, Maringá, PR, Brazil.

Thamires Fernandes Cardoso da Silva Rodrigues, State University of Maringá, Maringá, PR, Brazil.

Nurse. PhD in Nursing. Professor at the State University of Maringá, Maringá, PR, Brazil.

Cremilde Aparecida Trindade Radovanovic, State University of Maringá, Maringá, PR, Brazil.

Nurse. PhD in Nursing. Professor at the State University of Maringá, Maringá, PR, Brazil.

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Published

2026-09-30

How to Cite

Fecchio, C. A., Nogueira, L. de A., Moura, D. R. de O., Rodrigues, T. F. C. da S., & Radovanovic, C. A. T. (2026). Validation of the caregiver version of the Comprehensive Score for Financial Toxicity instrument in Brazilian Portuguese*. Cogitare Enfermagem, 31. Retrieved from https://revistas.ufpr.br/cogitare/article/view/103642

Issue

Vol. 31 (2026)

Section

Original Articles

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Copyright (c) 2026 Carolina Amadeu Fecchio, Luciana de Alcantara Nogueira, Débora Regina de Oliveira Moura, Thamires Fernandes Cardoso da Silva Rodrigues, Cremilde Aparecida Trindade Radovanovic

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