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对 Zarit 负担访谈简短版在黑人和白人痴呆症照顾者中的验证性因子分析。

Confirmatory factor analysis of a brief version of the Zarit Burden Interview in Black and White dementia caregivers.

机构信息

Department of Neurosciences, Medical University of South Carolina, Charleston, SC 29406, USA.

出版信息

Gerontologist. 2011 Aug;51(4):453-62. doi: 10.1093/geront/gnr011. Epub 2011 Mar 14.

DOI:10.1093/geront/gnr011
PMID:21402646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3146806/
Abstract

PURPOSE OF THE STUDY

Although the Zarit Burden Interview (ZBI) is one of the most extensively used measures in research for caregiver burden, few researchers have examined its factor structure. Furthermore, though the ZBI has also been used in cross-group comparisons of burden, there have not been studies of whether or not it measures burden equally across various groups. Therefore, this study considers the psychometric properties of a brief version of the ZBI with particular attention to its factor structure and metric equivalence across two racial groups.

DESIGN AND METHODS

Distribution, reliability, and confirmatory factor analyses were performed with a 14-item three-factor ZBI factor model in a sample of 175 Black and 225 White caregivers of family members with dementia.

RESULTS

The 14 ZBI items were reliable and fairly normally distributed for both groups. The three-factor model fits the data and was invariant across the Black and White caregivers for number of factors, factor loadings, and factor covariances.

IMPLICATIONS

These findings contribute to the literature on the factor structure of the ZBI and provide new data on the invariance of the ZBI across two racial/ethnic groups of caregivers. This study provides support for the validity of findings that compare the burden scores of Black and White caregivers in studies utilizing the ZBI. The 14-item version also offers a more parsimonious way to measure burden in clinical settings, potentially increasing screening opportunities when caregiver contact time is limited.

摘要

研究目的

尽管 Zarit 负担访谈(ZBI)是研究中用于评估照顾者负担最广泛的方法之一,但很少有研究人员检查其因素结构。此外,尽管 ZBI 也用于不同群体之间的负担比较,但还没有研究它是否在各种群体中都能平等地衡量负担。因此,本研究考虑了 ZBI 简短版本的心理测量特性,特别关注其因素结构和在两个种族群体之间的度量等效性。

设计和方法

在一个由 175 名黑人和 225 名照顾痴呆家庭成员的白人组成的样本中,采用 14 项三因素 ZBI 因子模型进行分布、可靠性和验证性因子分析。

结果

这两个群体的 14 项 ZBI 条目都具有可靠性且分布相当正态。三因素模型适用于数据,并且在黑人与白人照顾者之间在因子数量、因子负荷和因子协方差方面都是不变的。

结论

这些发现为 ZBI 的因素结构文献做出了贡献,并为 ZBI 在两个种族/族裔群体的照顾者之间的不变性提供了新的数据。本研究支持利用 ZBI 比较黑人和白人照顾者负担得分的研究结果的有效性。14 项版本还提供了一种更简洁的方法来衡量临床环境中的负担,当照顾者接触时间有限时,可能会增加筛查机会。

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Caregiver burden in Alzheimer disease: cross-sectional and longitudinal patient correlates.阿尔茨海默病患者照料者负担:横断面和纵向患者相关性研究。
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The association between caregiver burden and caregiver health-related quality of life in Alzheimer disease.阿尔茨海默病中照顾者负担与照顾者健康相关生活质量之间的关联。
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