FAMILY CAREGIVING SKILL--MEASUREMENT AND EVALUATION

家庭照顾技能——测量和评估

• 批准号: 6393074
• 负责人: KAREN L SCHUMACHER
• 金额: $ 16.6万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6393074
• 关键词: caregivers; clinical research; family structure /dynamics; health care service evaluation; health services research tag; home health care; human subject; interview; neoplasm /cancer chemotherapy; nursing care evaluation; nursing intervention; outcomes research; psychometrics

The purpose of this revised application is to evaluate the properties of the Family Caregiving Skill Profile (FCSP) through 2 psychometric studies. The FCSP is a new instrument that measures family caregiving skill across nine caregiving processes. To administer the FCSP, a semi-structured interview is conducted with caregivers; expert raters then code the interview content for the presence (1) or absence (0) of 62 indicators of caregiving skill. Scores are calculated by summing positive responses. Study 1 will evaluate the reliability, validity, and feasibility of the FCSP using a sample of 50 caregivers of persons with cancer. Internal consistency and interrater reliability will be calculated. Validity will be assessed by examining zero-order correlations between total FCSP scores and conceptually-related variables (caregiver preparedness, competence, and knowledge), characteristics of the caregiving situation (mutuality with care receiver, caregiving difficulty), and caregiver and patient outcomes (caregiver strain and emotional distress; patient symptom distress and health services utilization). Feasibility will be assessed by calculating the researcher and participant time required for administration and scoring of the FCSP. The FCSP will be revised based on the result of Study 1. Study 2 will document the psychometric properties of the revised FCSP in a sample of 250 caregivers of persons with cancer. The larger sample size will allow more sophisticated statistical procedures for evaluation of the revised FCSP. Generalizability theory will be used to evaluate 2 sources of measurement error: items and raters. The proportion of error attributable to each will be calculated as will an overall generalizability coefficient. Construct validity will be evaluated using a confirmatory factor analysis (CFA). The nine subscales of the FCSP and hypothesized item loadings will constitute the measurement model for the CFA. A training manual for use with the FCSP will be developed. The FCSP will provide a diagnostic and evaluative tool needed in nursing as family caregivers play a increasingly important role in management of acute and chronic illnesses at home.

此修订版应用程序的目的是通过 2 项心理测量研究来评估家庭护理技能概况 (FCSP) 的特性。 FCSP 是一种新工具，可衡量九个护理流程中的家庭护理技能。 为了管理 FCSP，将对护理人员进行半结构化访谈；然后，专家评估者根据 62 项护理技能指标的存在 (1) 或不存在 (0) 对访谈内容进行编码。 分数是通过汇总积极反应来计算的。 研究 1 将使用 50 名癌症患者护理人员作为样本，评估 FCSP 的可靠性、有效性和可行性。 将计算内部一致性和评估者间的可靠性。 将通过检查 FCSP 总分与概念相关变量（护理人员准备情况、能力和知识）、护理情况特征（与护理接受者的相互关系、护理困难）以及护理人员和患者结果（护理人员紧张和情绪困扰；患者症状困扰和卫生服务利用）之间的零阶相关性来评估有效性。 将通过计算研究人员和参与者管理 FCSP 和评分所需的时间来评估可行性。 FCSP 将根据研究 1 的结果进行修订。研究 2 将记录修订后的 FCSP 在 250 名癌症患者护理人员样本中的心理测量特性。 更大的样本量将允许更复杂的统计程序来评估修订后的 FCSP。 泛化理论将用于评估测量误差的两个来源：项目和评估者。 将计算可归因于每个错误的比例以及总体概括性系数。 将使用验证性因素分析（CFA）来评估构建有效性。 FCSP 的九个子量表和假设的项目负荷将构成 CFA 的测量模型。 将制定供 FCSP 使用的培训手册。 随着家庭护理人员在家庭急慢性疾病管理中发挥着越来越重要的作用，FCSP 将提供护理所需的诊断和评估工具。