FAMILY CAREGIVING SKILL--MEASUREMENT AND EVALUATION

本修订申请的目的是通过两项心理测量研究来评估家庭照顾技能概况（FCSP）的性质。FCSP是一项衡量家庭照护技能的新工具，涵盖九个照护过程。为了实施FCSP，对护理人员进行半结构化访谈；然后，专家评分员根据62项护理技能指标的存在(1)或缺失(0)对访谈内容进行编码。分数是通过对积极回答的总和来计算的。研究1将评估FCSP的信度、效度和可行性，使用50名癌症患者的护理人员作为样本。将计算内部一致性和互连可靠性。效度将通过检验FCSP总分与概念相关变量（照护者准备、能力和知识）、照护情境特征（与照护者的相互关系、照护困难）、照护者和患者结果（照护者压力和情绪困扰、患者症状困扰和健康服务利用）之间的零阶相关性来评估。可行性将通过计算研究人员和参与者管理所需的时间和FCSP评分来评估。FCSP将根据研究1的结果进行修订。研究2将在250名癌症患者护理人员的样本中记录修订后的FCSP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的FCSP。概括性理论将用于评估测量误差的两个来源：项目和评分者。将计算每个可归因于的误差比例，以及总体概括性系数。建构效度将使用验证性因子分析（CFA）来评估。FCSP的九个分量表和假设的项目负荷将构成CFA的测量模型。将编制一份与FCSP一起使用的培训手册。随着家庭护理人员在家庭急慢性疾病管理中发挥越来越重要的作用，FCSP将提供护理所需的诊断和评估工具。

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.