Caregiver Self-Efficacy in Contributing to patient Self-Care (CSE-CSC) scale: Psychometric testing in a population of caregivers of Parkinson's disease in the Republic of Korea.

AIM

This study aimed to evaluate the psychometric properties of the Korean version of the Caregiver Self-Efficacy in Contributing to patient Self-Care (CSE-CSC) scale among caregivers of people with Parkinson's disease (PwP).

BACKGROUND

Caregivers' contributions to patients' self-care can improve PwP health outcomes, and caregiver self-efficacy is associated with caregiver contributions. The CSE-CSC scale was developed to measure caregiver self-efficacy in multiple chronic conditions. The scale was translated into Korean, but its psychometric properties have not been validated.

METHODS

This is a secondary analysis using two existing cross-sectional datasets from caregivers of PwP in Korea. Exploratory and confirmatory factor analyses were conducted to examine the construct validity of the Korean version of the CSE-CSC scale. Reliability was assessed using Cronbach's alpha and the global reliability index for multidimensional scale.

RESULTS

The scale tested in the population of PwP caregivers showed satisfactory validity and reliability with a three-factor model. The factors were labeled as 'self-efficacy in self-care maintenance,' 'self-efficacy in self-care monitoring,' and 'self-efficacy in self-care management'. Fit indices were χ = 111.432 (df = 31, p < .001), CFI = 0.951, TLI = 0.929, SRMR = 0.037, and RMSEA = 0.109. The Cronbach's alpha coefficient of the overall scale was 0.938, and the global reliability index for the multidimensional scale was 0.953.

CONCLUSIONS

The scale was demonstrated to be a valid and reliable instrument for measuring caregiver self-efficacy in caregivers of PwP. Its availability as a culturally appropriate caregiver self-efficacy measure is expected to have an impact on both research and clinical settings by facilitating the development of tailored interventions and evidence-based policy-making.