Coping with late-life challenges: Development and validation of the care-receiver efficacy scale

Coping with late-life challenges: Development and validation of the care-receiver efficacy scale
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DOI:
10.1093/geront/46.5.640
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发表时间:
2006-10-01
期刊:
影响因子:
5.7
通讯作者:
Quillen, Alicia Alyla
Quillen, Alicia Alyla
中科院分区:
医学1区
文献类型:
--
作者:
Cox, Enid O.;Green, Kathy E.;Quillen, Alicia Alyla

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目的:缺乏措施来解决人们认为自己在老年护理接受者角色中面临的挑战。然而,精神上有能力的被护理者在这一角色中形成效能感对于护理者和被护理者之间成功的伙伴关系至关重要。本文的目的是报告被护理者效能量表(CRES)的开发和心理测量分析。设计和方法:通过 177 名参与者的试点研究、专家评审和现场管理来评估内容效度、内部一致性信度、因子结构和收敛效度。结果:结果表明,CRES 包含五个分量表,其中三个分量表具有很强的可靠性,但其余两个分量表的可靠性较低。专家评审对内容有效性提供了强有力的支持,而项目位置的经验判断与专家判断之间的关系则提供了中等支持。与老年抑郁量表简表和费城老年中心士气量表的相关性也支持了有效性。意义:CRES 可能有助于作为心理社会行为干预措施的结果衡量标准,旨在提高被护理者指导和改善自身护理的能力。未来的措施修订和验证对于优化其效用非常重要。
Purpose: Measures are lacking that address the challenges that people think they face in their roles as elderly care receivers. However, the development of a sense of efficacy in this role by mentally competent care receivers is critical to successful partnerships between caregivers and care receivers. The purpose of this article is to report the development and psychometric analysis of the Care-Receiver Efficacy Scale (CRES). Design and Methods: Content validity, internal consistency reliability, factor structure, and convergent validity were assessed through a pilot study, expert review, and field administration with 177 participants. Results: Results suggest that the CRES comprises five subscales, with strong reliability evidenced for three subscales but marginal reliability for the remaining two. Strong support was found for content validity from expert review and moderate support from the relationship between empirical and expert judgment of item location. Support for validity also was found from correlation with the Geriatric Depression Scale-Short Form and the Philadelphia Geriatric Center Morale Scale. Implications: The CRES may be useful as an outcome measure for psycho-socio-behavioral interventions aimed at increasing the capacity of care receivers to direct and improve their own care. Future measure revision and validation are important to optimize its utility.