Misawa Tomoyo, Miyashita Mitsunori, Kawa Masako, Abe Koji, Abe Mayumi, Nakayama Yasuko, Given Charles W
Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Am J Hosp Palliat Care. 2009 Oct-Nov;26(5):334-40. doi: 10.1177/1049909109338480. Epub 2009 Jul 31.
The aim of this study was to validate the Caregiver Reaction Assessment (CRA) among caregivers of community-dwelling advanced cancer patients in Japan.
A cross-sectional questionnaire was administered to advanced cancer patients and their caregivers who were cared for at day hospices and home palliative care services. We translated the CRA into Japanese, and then verified factor validity, reliability, construct validity, concurrent validity, and known groups' validity. To address construct and concurrent validity, we calculated Pearson's correlation coefficient between the Japanese version of the CRA and the Burden Index of Caregivers (BIC). To address known groups' validity, we used the t test or analysis of variance (ANOVA).
A total of 57 caregivers participated in the study. Five factors were extracted (''impact on schedule,'' ''caregiver's self-esteem,'' ''lack of family support,'' ''impact on health,'' and ''impact on finances'') and reliability was good. Construct and concurrent validity among the subscales of the BIC were good. Regarding known groups validity, the subscale score of ''impact on schedule'' for the groups that cared 6 hours or more per day was higher than the other group (P = .04).
The CRA-J is valid and reliable. This scale is useful for caregivers of cancer patients in Japan.
本研究旨在验证日本社区晚期癌症患者照料者的照料者反应评估量表（CRA）。
对日间临终关怀机构和居家姑息治疗服务机构照料的晚期癌症患者及其照料者进行横断面问卷调查。我们将CRA翻译成日语，然后验证其因子效度、信度、结构效度、同时效度和已知群体效度。为了验证结构效度和同时效度，我们计算了日语版CRA与照料者负担指数（BIC）之间的皮尔逊相关系数。为了验证已知群体效度，我们使用了t检验或方差分析（ANOVA）。
共有57名照料者参与了本研究。提取了五个因子（“对日程安排的影响”、“照料者的自尊”、“缺乏家庭支持”、“对健康的影响”和“对财务的影响”），且信度良好。BIC各子量表的结构效度和同时效度良好。关于已知群体效度，每天照料6小时或更长时间的组在“对日程安排的影响”子量表得分高于另一组（P = 0.04）。
日语版CRA有效且可靠。该量表对日本癌症患者的照料者有用。
