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中文版照顾者任务清单的心理计量特性评估——中国版照顾者任务清单的修订和心理计量学测试:验证性因素分析。

Evaluation of the psychometric properties of a modified Chinese version of the Caregiver Task Inventory--refinement and psychometric testing of the Chinese Caregiver Task Inventory: a confirmatory factor analysis.

机构信息

School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.

出版信息

J Clin Nurs. 2011 Dec;20(23-24):3452-62. doi: 10.1111/j.1365-2702.2011.03729.x. Epub 2011 Jun 27.

DOI:10.1111/j.1365-2702.2011.03729.x
PMID:21707805
Abstract

AIM

To test the reliability and validity of the modified Chinese version of the Caregiver Task Inventory.

BACKGROUND

The original Caregiver Task Inventory was developed in 1983 by Clark and Rakowski in the USA. It was used to measure Chinese family caregivers' needs in Hong Kong. Its failure to evaluate the psychometric properties of the instrument measuring the needs of family caregivers across cultures limited its scientific rigor.

DESIGN

A quantitative study method was used to test the psychometrics of the modified Chinese version of the Caregiver Task Inventory.

METHODS

A convenience sample of 114 family caregivers completed the Caregiver Task Inventory in 2005 to test different aspects of the validity and reliability and confirm items of the short form of the Chinese Caregiver Task Inventory-25.

RESULTS

The content validity of the 25 items of the Chinese Caregiver Task Inventory was validated by six experts, who assessed the correlation between caregiving tasks and the five refined sub-scales. The construct validity was determined by confirmatory factor analysis (CFA). The χ(2) goodness-of-fit, χ(2): df ratio, goodness-of-fit index (GFI), adjusted GFI and root mean square residual were obtained and used to assess the fit of the model. The internal consistency and stability of the Chinese Caregiver Task Inventory-25 were determined by Cronbach's method (0·93) and the internal reliability (item total correlation) for the five refined sub-scales ranged from 0·67-0·86. CFA and internal consistency analysis showed a strong degree of fit between the conceptualisation and the development of the measurement.

CONCLUSIONS

The Chinese Caregiver Task Inventory-25 is a relevant and culturally appropriate research instrument to measure the needs of Chinese family caregivers.

RELEVANCE TO CLINICAL PRACTICE

This study reveals that stroke nurses should assess the impacts of caregiving tasks on caregivers' physical and psychological stress levels prior to planning relevant interventions.

摘要

目的

测试 caregiver任务清单中文修订版的信度和效度。

背景

原始的 caregiver任务清单由美国的 Clark 和 Rakowski 于 1983 年开发,用于测量香港华人家庭照顾者的需求。由于未能评估跨文化家庭照顾者需求测量工具的心理测量学特性,其科学性受到限制。

设计

采用定量研究方法测试 caregiver任务清单中文修订版的心理测量学特性。

方法

2005 年,采用方便抽样法对 114 名家庭照顾者进行 caregiver任务清单测试,以检验其不同方面的信度和效度,并确认中文 caregiver任务清单-25 短式的项目。

结果

25 项中文 caregiver任务清单的内容效度由 6 位专家进行验证,评估了照顾任务与 5 个精细化亚量表之间的相关性。结构效度通过验证性因子分析(CFA)确定。χ²拟合优度、χ²:df 比值、拟合优度指数(GFI)、调整后的 GFI 和均方根残差用于评估模型的拟合度。采用 Cronbach 法(0.93)确定中文 caregiver任务清单-25 的内部一致性和稳定性,5 个精细化亚量表的内部可靠性(项目总分相关)为 0.67-0.86。CFA 和内部一致性分析表明,概念化和测量开发之间具有很强的拟合度。

结论

中文 caregiver任务清单-25 是一种相关且适合文化背景的研究工具,可用于测量华人家庭照顾者的需求。

临床意义

本研究表明,脑卒中护士在计划相关干预措施之前,应评估照顾任务对照顾者生理和心理压力水平的影响。

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