Lin Linen Nymphas, Wu Shwu-Chong
Institute of Health Policy and Management, National Taiwan University, Taipei, Taiwan; Department of Psychiatry, En Chu Kong Hospital, New Taipei, Taiwan.
Geriatr Gerontol Int. 2014 Jan;14(1):176-84. doi: 10.1111/ggi.12076. Epub 2013 May 6.
There is no appropriate understanding of community family caregiver burden. The object of the present study was to evaluate the measurement structure of a caregiver burden scale from a nationally representative Taiwanese community sample.
Data from nationally representative subjects completing face-to-face interviews on caregiver burden were analyzed. A total of 9020 primary adult family caregivers were enrolled. All of the valid respondents were equally divided into three subsamples. The first sample was used to explore the factor structure of burden scale. The second sample was used to validate the factor structure. The third sample was used to verify the adequacy and stability of the factor structures developed in the former steps.
A total of 8826 valid data were included for analysis. Exploratory and confirmatory factor analysis identified the four-factor, 15-item Caregiver Burden Scale (CBS-15) in the present study. The extracted four factors were predominantly accounted for by the items measuring "burden of time," "relational burden," "financial burden" and "emotional burden". All the goodness-of-fit indices reported for this model were acceptable.
The present study supports the usefulness of the CBS-15 as a tool to understand the measurement structure of burden in a nationally representative Taiwanese community family caregivers sample. The CBS-15 can be used to identify community caregiver needs.
目前对社区家庭照顾者负担尚无恰当的认识。本研究旨在从具有全国代表性的台湾社区样本中评估照顾者负担量表的测量结构。
对完成关于照顾者负担的面对面访谈的具有全国代表性的受试者数据进行分析。共纳入9020名主要成年家庭照顾者。所有有效受访者被平均分为三个子样本。第一个样本用于探索负担量表的因子结构。第二个样本用于验证因子结构。第三个样本用于检验在前述步骤中所构建的因子结构的充分性和稳定性。
共纳入8826份有效数据进行分析。探索性和验证性因子分析确定了本研究中的四因子、15项照顾者负担量表(CBS - 15)。提取的四个因子主要由测量“时间负担”“关系负担”“经济负担”和“情感负担”的项目构成。该模型报告的所有拟合优度指标均可接受。
本研究支持CBS - 15作为一种工具在具有全国代表性的台湾社区家庭照顾者样本中理解负担测量结构的有用性。CBS - 15可用于识别社区照顾者的需求。