Integrating the primary care perspective in the implementation of a diabetes prevention program for patients with recent gestational diabetes: a qualitative descriptive study.

Endometrial cancer is the most common gynecologic malignancy in developed countries and an increasing public health concern in Thailand. According to GLOBOCAN 2022, Thailand reported approximately 4,248 new cases and 1,301 deaths annually, making it the eighth most common cancer and tenth leading cause of cancer-related mortality among Thai women []. Early detection and treatment advances improve survival, but long-term physical, emotional, and social impacts highlight the need for integrating quality of life (QoL) assessment into routine care. Patient-reported outcome measures (PROMs) are essential for evaluating treatment effectiveness beyond traditional clinical endpoints and for guiding patient-centered care. PROMs also provide critical evidence for health policy development, resource allocation, and decision-making within healthcare systems, ensuring that patient perspectives are incorporated into broader health system priorities. Disease-specific QoL instruments provide more precise insights than generic measures by addressing symptoms and concerns unique to the patient population. The Functional Assessment of Cancer Therapy-Endometrial (FACT-En) consists of the 27-item FACT-G, which assesses four core quality-of-life domains—Physical Well-being, Social/Family Well-being, Emotional Well-being, and Functional Well-being—along with a 16-item Endometrial Cancer Subscale (EnCS) addressing disease-specific symptoms, such as fatigue, abdominal swelling, urinary frequency, and post-surgical sexual dysfunction [–]. Although the FACIT system lists the FACT-En as available in multiple languages including Chinese, French, German, Italian, Japanese, Korean, Russian, Spanish, and Turkish no peer-reviewed publication has reported cross-cultural adaptation or psychometric validation of the instrument in any language to date.