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首页> 外文期刊>Journal of the American Geriatrics Society >A Composite Measure of Caregiver Burden in Dementia: The Dementia Burden Scale—Caregiver
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A Composite Measure of Caregiver Burden in Dementia: The Dementia Burden Scale—Caregiver

机译：痴呆症的护理人员负担的综合措施：痴呆症负担量表 - 照顾者

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Objectives To better capture the scope of caregiver burden by creating a composite of 3 existing measures that assess different health domains. Design Prospective follow‐up study. Setting University‐based dementia care management program. Participants Caregivers of persons with dementia (PWD) (N=1,091). Measurements The composite measure (the Dementia Burden Scale—Caregiver (DBS‐CG)) was based on the Modified Caregiver Strain Index, Neuropsychiatric Inventory Questionnaire Distress Scale, and Patient Health Questionnaire (PHQ‐9). Alternative factor structures were evaluated using 2 confirmatory factor analysis (CFA) models: a bifactor model and a 3 correlated factors model. Good model fit was defined as a root mean square error of approximation (RMSEA) of less than 0.06 and comparative fit index (CFI) value greater than 0.95. Coefficient omega was used to estimate 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. Results The bifactor CFA model fit best (RMSEA = 0.04, CFI = 0.95). Based on this model, a DBS‐CG scale was created wherein all items were transformed to a possible range of 0 to 100 and then averaged. Higher scores indicate higher burden. Mean DBS‐CG score was 27.3. The reliability was excellent (coefficient omega=0.93). MID estimates ranged from 4 to 5 points (effect sizes: 0.20–0.49). Conclusion 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.
机译：目标通过创建3种评估不同健康域的现有措施的综合来更好地捕捉照顾者负担的范围。设计前瞻性后续研究。培养基于大学的痴呆护理管理计划。与会者的痴呆症（PWD）的人的照顾者（n = 1,091）。测量复合措施（痴呆症尺度 - 护理人员（DBS-CG））是基于修饰的护理人员应变指数，神经精神存量问卷调查问卷抑制，患者健康问卷（PHQ-9）。使用2个验证因子分析（CFA）模型评估替代因子结构：双层模型和3个相关因子模型。良好的模型配合定义为近似的均方均方误差小于0.06，比较拟合指数（CFI）值大于0.95。系数Omega用于估计规模可靠性。通过锚定DBS-CG变化的大小来估计最重要的差异（中间），以改变护理人员自我效能和PWD的功能能力。结果双移位器CFA型号最佳（RMSEA = 0.04，CFI = 0.95）。基于该模型，创建了DBS-CG刻度，其中所有物品的变换为0到100的可能范围，然后平均。得分更高表示更高的负担。平均dbs-cg得分为27.3。可靠性优异（系数Omega = 0.93）。中期估计范围为4至5分（效果大小：0.20-0.49）。结论本研究为DBS-CG的可靠性和有效性提供了支持。它可以用作评估干预措施减少痴呆症护理人员负担的结果措施。

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