A Composite Measure of Caregiver Burden in Dementia: The Dementia Burden Scale-Caregiver.
A Composite Measure of Caregiver Burden in Dementia: The Dementia Burden Scale-Caregiver.
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DOI：
10.1111/jgs.15502
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发表时间：
2018-09
影响因子：
6.3
通讯作者：
Reuben DB
中科院分区：
文献类型：
--
作者：
Peipert JD;Jennings LA;Hays RD;Wenger NS;Keeler E;Reuben DB
照顾痴呆症患者（PWD）会导致各种心理症状，从紧张到抑郁。为了更好地捕捉照顾者负担的范围，我们从评估不同领域的3个现有指标中创建了一个复合指标。前瞻性随访研究。以大学为基础的痴呆症护理管理计划1091照顾者的PWD。痴呆负担量表-护理者（DBS-CG）复合测量基于改良的护理者压力指数、神经精神量表问卷痛苦量表和患者健康问卷（PHQ-9）。两个验证性因素分析（CFA）模型：1）双因素模型和2）相关的三因素模型的替代测量结构进行了评估。良好的模型拟合被定义为近似均方根误差（RMSEA）值< 0.06并且比较拟合指数（CFI）值>0.95。计算ω作为量表可靠性的估计值。通过将DBS-CG变化的幅度锚定到PWD的照顾者自我效能和功能能力的变化来估计最小重要差异（MID）。双因子CFA模型拟合最好，RMSEA = 0.04，CFI = 0.95。基于该模型，创建DBS-CG量表，其中所有项目被转换为0-100的可能范围，然后取平均值。分数越高表示负担越重。平均DBS-CG评分为27.3。ω信度为0.93，表明具有良好的信度。MID估计值范围为4-5分（效应量：0.20 ≤ d < 0.50）。本研究为DBS-CG的信度和效度提供了支持。它可以作为一个结果的措施，以评估干预措施的效果，以减少痴呆照顾者的负担。
Caregiving for persons with dementia (PWD) results in a variety of psychological symptoms ranging from strain to depression. To better capture the scope of caregiver burden, we created a composite from 3 existing measures that assess different domains. Prospective follow-up study. University-based dementia care management program 1091 caregivers of PWD. The Dementia Burden Scale - Caregiver (DBS-CG) composite measure was based on the Modified Caregiver Strain Index, Neuropsychiatric Inventory Questionnaire Distress Scale, and Patient Health Questionnaire (PHQ-9). Alternative measure structures were evaluated with two confirmatory factor analysis (CFA) models: 1) bifactor model and 2) a correlated 3 factor model. Good model fit was defined as a root mean squared error of approximation (RMSEA) value of < 0.06 and comparative fit index (CFI) value of >0.95. ω was calculated as an estimate of the scale reliability. Minimally important differences (MIDs) were estimated by anchoring the magnitude of DBS-CG change to change in caregiver self-efficacy and functional ability of PWD. The bifactor CFA model fit best, with RMSEA = 0.04 and CFI = 0.95. Based on this model, a DBS-CG scale was created wherein all items were transformed to a 0–100 possible range and then averaged. Higher scores indicate higher burden. The mean DBS-CG score was 27.3. The ω reliability was 0.93, indicating excellent reliability. MID estimates ranged from 4–5 points (effect sizes: 0.20 ≤ d < 0.50). This study provides support for the reliability and validity of the DBS-CG. It can be used as an outcome measure to assess the effect of interventions to reduce dementia caregiver burden.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
5.7
作者：
NOVAK, M;GUEST, C
通讯作者：
GUEST, C
DOI：
10.1093/geronb/58.2.s127
发表时间：
2003-03-01
影响因子：
6.2
作者：
Thornton, M;Travis, SS
通讯作者：
Travis, SS
影响因子：
6.3
作者：
Jennings LA;Reuben DB;Evertson LC;Serrano KS;Ercoli L;Grill J;Chodosh J;Tan Z;Wenger NS
通讯作者：
Wenger NS
影响因子：
7.2
作者：
Gitlin, Laura N.;Winter, Laraine;Hauck, Walter W.
通讯作者：
Hauck, Walter W.