Ku Te-Lien, Wu Shu-Ying, Chie Wei-Chu, Huang Yen-Ming
Social and Administrative Sciences Division, School of Pharmacy, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Department of Pharmacy, Sijhih Cathay General Hospital, New Taipei City, 221037, Taiwan.
Patient Prefer Adherence. 2025 May 1;19:1211-1230. doi: 10.2147/PPA.S516126. eCollection 2025.
The Family Caregiver Medication Administration Hassle Scale (FCMAHS) assesses the stress experienced by family caregivers in managing daily medication regimens for older adults. However, its suitability for the Taiwanese healthcare context has not yet been established.
To translate, cross-culturally adapt, and evaluate the reliability and validity of a Traditional Chinese version of the FCMAHS (FCMAHS-TC).
A two-phase cross-sectional study was conducted. In Phase I, the FCMAHS was translated into Traditional Chinese. In Phase II, a convergent mixed-methods study was carried out with a convenience sample of 138 family caregivers who completed the FCMAHS-TC. In parallel, 12 of those participants were interviewed to explore their experiences with medication administration tasks and associated stress. Content validity was assessed using the content validity index (CVI), whereas reliability was evaluated through Cronbach's alpha and intraclass correlation coefficients (ICCs). Exploratory factor analysis (EFA) was performed to investigate the FCMAHS-TC's factor structure. Qualitative data from interviews were analyzed using content analysis to provide triangulated evidence of scale adaptability.
The FCMAHS-TC demonstrated strong internal consistency (Cronbach's alpha = 0.94) and test-retest reliability (ICC = 0.78). Expert evaluation indicated strong content validity, with the item- and scale-CVI value reaching 1.0. The EFA identified four key factors: information seeking and sharing, scheduling logistics, medication filling and prescription management, and safety issues, accounting for 59.57% of the total variance. Qualitative findings supported the factor structure identified and further highlighted care coordination among caregivers as an additional challenge.
The FCMAHS-TC is a valid and reliable tool for healthcare professionals in Taiwan to assess the challenges and stress associated with medication administration among family caregivers. Future research should explore social and demographic determinants of medication-related caregiving stress and develop targeted interventions to support caregivers in Taiwan.
家庭照顾者药物管理困扰量表（FCMAHS）用于评估家庭照顾者在为老年人管理日常药物治疗方案时所经历的压力。然而，其在台湾医疗环境中的适用性尚未得到确立。
翻译、跨文化调适并评估中文版家庭照顾者药物管理困扰量表（FCMAHS-TC）的信效度。
进行了一项两阶段的横断面研究。在第一阶段，将FCMAHS翻译成中文。在第二阶段，对138名完成FCMAHS-TC的家庭照顾者进行了一项收敛性混合方法研究，这些照顾者为便利样本。同时，对其中12名参与者进行了访谈，以探讨他们在药物管理任务及相关压力方面的经历。使用内容效度指数（CVI）评估内容效度，通过Cronbach's α系数和组内相关系数（ICC）评估信度。进行探索性因素分析（EFA）以研究FCMAHS-TC的因素结构。对访谈中的定性数据进行内容分析，以提供量表适应性的三角验证证据。
FCMAHS-TC表现出很强的内部一致性（Cronbach's α = 0.94）和重测信度（ICC = 0.78）。专家评估表明内容效度高，项目和量表CVI值达到1.0。EFA确定了四个关键因素：信息寻求与共享、日程安排、药物填充与处方管理以及安全问题，占总方差的59.57%。定性研究结果支持所确定的因素结构，并进一步强调照顾者之间的护理协调是另一个挑战。
FCMAHS-TC是台湾医疗专业人员评估家庭照顾者药物管理相关挑战和压力的有效且可靠的工具。未来的研究应探索与药物相关的照顾压力的社会和人口学决定因素，并制定有针对性的干预措施来支持台湾的照顾者。
