Kian Arash, Sharif-Nia Hamid, Hejazi Sima
Student Research Committee, Department of Nursing, Bojnurd School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
BMC Geriatr. 2024 Jun 12;24(1):512. doi: 10.1186/s12877-024-05103-0.
Enhancing preparedness of family caregivers and support for caregiving is essential for the mutual benefit of both caregivers and the well-being of those under their care. This study aimed to translate and evaluate psychometric properties of the Caregiver Preparedness Scale among family caregivers of older adults undergoing hemodialysis.
In this methodological study, 400 family caregivers of older adult patients undergoing hemodialysis enrolled to the study via convenience sampling method. The study was conducted in two stages: translation and psychometric evaluation. At first, the translation of the scale was done using Beaton et al. method. In the psychometric evaluation stage, quantitative face validity, content validity, item analysis and construct validity of the scale were evaluated. The internal consistency of the scale was assessed through the calculation of Cronbach's alpha, McDonald's omega, and average inter-item correlation coefficients.
All items had an impact score greater than 1.5. The content validity ratio and the kappa coefficient for all items were above 0.75. In the item analysis, item 2, which had a correlation with the total score of less than 0.3, was removed. Following exploratory factor analysis, only one factor composed of all items (7 items) was extracted, explaining 75.7% of the total variance. This model had acceptable fit indices in confirmatory factor analysis. Cronbach's alpha and omega of 0.95 and an average inter-item correlation of 0.75 were obtained.
The study results demonstrated that the Caregiver Preparedness Scale exhibits appropriate psychometric properties. Geriatric nurses can utilize this Scale for assessment of caregivers. This assessment can aid in decision-making regarding educational programs aimed at enhancing family caregiver preparedness.
提高家庭照顾者的准备程度并为照顾提供支持，对于照顾者与被照顾者的福祉互利至关重要。本研究旨在翻译并评估接受血液透析的老年人家庭照顾者的照顾者准备程度量表的心理测量特性。
在这项方法学研究中，400名接受血液透析的老年患者的家庭照顾者通过便利抽样法纳入研究。该研究分两个阶段进行：翻译和心理测量评估。首先，使用比顿等人的方法对量表进行翻译。在心理测量评估阶段，评估了量表的定量表面效度、内容效度、项目分析和结构效度。通过计算克朗巴赫α系数、麦克唐纳ω系数和平均项目间相关系数来评估量表的内部一致性。
所有项目的影响得分均大于1.5。所有项目的内容效度比和kappa系数均高于0.75。在项目分析中，与总分相关性小于0.3的项目2被删除。经过探索性因素分析，仅提取了一个由所有项目（7个项目）组成的因素，解释了总方差的75.7%。该模型在验证性因素分析中具有可接受的拟合指数。获得了克朗巴赫α系数和ω系数为0.95，平均项目间相关性为0.75。
研究结果表明，照顾者准备程度量表具有适当的心理测量特性。老年护士可利用该量表评估照顾者。这种评估有助于就旨在提高家庭照顾者准备程度的教育项目做出决策。
