Validation of a Measure of Role Overload and Gains for End-of-Life Dementia Caregivers.
Validation of a Measure of Role Overload and Gains for End-of-Life Dementia Caregivers.
复制标题
临终痴呆症护理人员的角色超载和收益衡量指标的验证。
DOI：
10.1093/geronb/gbac145
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Hu,Mengyao
中科院分区：
文献类型：
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作者：
Turner,ShelbieG;Epps,Fayron;Li,Minghui;Leggett,AmandaN;Hu,Mengyao
ObjectivesCaregiving stress process models suggest that heterogeneous contexts differentially contribute to caregivers’ experiences of role overload and gains. End-of-life (EOL) caregivers, especially EOL dementia caregivers, facing unique challenges and care tasks, may experience role overload and gains in different ways than other caregivers. This study evaluates measurement invariance of role overload and gains between EOL caregivers and non-EOL caregivers and between EOL dementia and EOL non-dementia caregivers.MethodsWe utilized role gains and overload data from 1,859 family caregivers who participated in Round 7 of the National Study of Caregiving. We ran confirmatory factor analyses to investigate the factorial structure across all caregivers and then examined the structure’s configural, metric, and scalar invariance between (a) EOL caregivers and non-EOL caregivers and (b) EOL dementia and EOL non-dementia caregivers.ResultsAcross the entire sample, the two-factor overload and gains model had good fit (χ2(19) = 121.37,p< .0001; RMSEA = .053, 90% CI = [.044, .062]; CFI = .954; TLI = .932). Tests of invariance comparing EOL caregivers to non-EOL caregivers and EOL dementia caregivers to EOL non-dementia caregivers maintained configural, metric, and partial scalar invariance. Latent mean comparisons revealed that EOL caregivers had higher role overload (p= .0002), but no different role gains (p= .45), than non-EOL caregivers. Likewise, EOL dementia caregivers had higher role overload (p= .05), but no different role gains (p= .42), than EOL non-dementia caregivers.DiscussionResults offer both a deeper theoretical understanding of end-of-life dementia caregivers’ experiences of role overload and gains, and a practical tool to measure those experiences.
