Author Affiliations: IQHealthcare (Mrs Kristanti and Prof Vernooij-Dassen) and Department of Anaesthesiology, Pain and Palliative Medicine (Dr Engels), Radboud UMC, the Netherlands; and School of Nursing (Mrs Kristanti and Dr Effendy and Prof Vernooij-Dassen) and Public Health and Policy Department (Prof Utarini), Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Cancer Nurs. 2021 Jan/Feb;44(1):37-44. doi: 10.1097/NCC.0000000000000733.
The Caregiver Reaction Assessment (CRA) is considered one of the well-developed instruments for measuring the multidimensional burden of family caregivers. To date, there is no available validated instrument to assist healthcare professionals in measuring the caregiver's burden in Indonesia.
To translate the CRA from English into Indonesian and to conduct psychometric testing of this CRA-Indonesian version (CRA-ID) with family caregivers of patients with cancer.
Cross-cultural translation and psychometric testing were conducted. Confirmatory factor analysis and exploratory factor analysis were performed to check, explore, and confirm the best model for the CRA-ID; internal consistency was also measured.
A total of 451 respondents participated, of whom 40 were involved in the feasibility testing. Confirmatory factor analysis with the original factors of the CRA revealed that the fit was not satisfactory, and adaptation was needed. Through exploratory factor analysis, the best model fit was developed, and confirmatory factor analysis was performed again. Five factors from the original instrument were confirmed with an explained variance of 54.89%. Almost all items in the CRA-ID appeared to have a similar structure as the original version. Cronbach's α's ranged between .64 and .81.
The CRA-ID appeared to be feasible, valid, and reliable for measuring the burden of family caregivers of patients with cancer in Indonesia.
Nurses can use the CRA-ID to measure family caregivers' burden. Its availability in the Indonesian language enhances the opportunity to conduct international comparisons of family caregiver burden using the same instrument.
caregiver reaction assessment（CRA）被认为是一种测量家庭照顾者多维负担的成熟工具。迄今为止，印度尼西亚还没有可用的经过验证的工具来帮助医疗保健专业人员测量照顾者的负担。
将 CRA 从英文翻译成印度尼西亚文，并对癌症患者的家庭照顾者进行 CRA-印尼文版本（CRA-ID）的心理测量测试。
进行跨文化翻译和心理测量测试。进行验证性因子分析和探索性因子分析，以检查、探索和确认 CRA-ID 的最佳模型；还测量了内部一致性。
共有 451 名受访者参与，其中 40 名参与了可行性测试。使用 CRA 的原始因子进行验证性因子分析表明，拟合度不理想，需要进行调整。通过探索性因子分析，开发了最佳模型拟合度，并再次进行验证性因子分析。从原始工具中确认了五个因素，解释方差为 54.89%。CRA-ID 中的几乎所有项目似乎都具有与原始版本相似的结构。Cronbach's α 值在.64 到.81 之间。
CRA-ID 似乎在印度尼西亚测量癌症患者家庭照顾者负担方面是可行、有效和可靠的。
护士可以使用 CRA-ID 来衡量家庭照顾者的负担。它的印度尼西亚语可用性增加了使用相同工具进行家庭照顾者负担国际比较的机会。
