FAMILY CAREGIVING SKILL--MEASUREMENT AND EVALUATION

本修订版应用程序的目的是通过2项心理测量研究评估家庭护理技能概况（FCSP）的属性。 FCSP是一种新的工具，它通过九个不同的学习过程来衡量家庭的学习技能。 为了管理FCSP，与照顾者进行半结构化访谈;然后专家评分员对访谈内容进行编码，以确定62项照顾技能指标的存在（1）或不存在（0）。 通过对积极响应求和来计算分数。 研究1将评估FCSP的可靠性，有效性和可行性，使用样本的50名照顾者的癌症患者。 将计算内部一致性和评定者间可靠性。 将通过检查FCSP总分与概念相关变量（护理人员准备、能力和知识）、护理情况特征（与护理接受者的相互性、护理困难）以及护理人员和患者结局（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FCSP给药和评分所需的研究者和参与者时间来评估可行性。 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的样本中的心理测量学特性。 较大的样本量将允许更复杂的统计程序来评估修订后的FCSP。 概化理论将用于评估测量误差的两个来源：项目和评分员。 将计算归因于每一个错误的比例，以及整体的概化系数。 将使用验证性因素分析（CFA）评估结构效度。FCSP的九个分量表和假设的项目负荷将构成CFA的测量模型。 将编制供资助儿童方案使用的培训手册。 FCSP将提供护理所需的诊断和评估工具，因为家庭护理人员在家中管理急性和慢性疾病方面发挥着越来越重要的作用。

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.