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Validity and reliability of the Caregiver Reaction Assessment scale among primary informal caregivers for older persons in Singapore

机译：新加坡老年人的非正式非正式照料者中照料者反应评估量表的有效性和可靠性

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Previous studies evaluating the validity and reliability of the Caregiver Reaction Assessment (CRA) scale (24 items; five subscales: schedule, health, finances, family support, and esteem) in different countries are not fully congruent. This article assesses the validity and reliability of the CRA among informal caregivers of older persons in Singapore. Data from a national survey of 1190 primary informal caregivers of Singaporeans aged 75 years with 1 activity of daily living limitation was analyzed. Fit of the five-factor model was tested in half of the sample using confirmatory factor analysis (CFA) and the other half subjected to exploratory factor analysis (EFA). The CRA was modified accordingly and again subjected to CFA. The CRA's measurement equivalence/invariance (ME/I) across language of administration (Chinese/English/Malay) was assessed. CFA showed a poor fit for the five-factor model. EFA suggested the presence of four factors, three items to have neither sufficient nor unique factor loadings and items on two of the subscales to load on a single factor. CFA of the modified CRA (21 items; four subscales: schedule and health, finances, family support, and esteem) suggested a better fit for the four-factor model than for the five-factor model. ME/I analysis supported partial invariance of the CRA across language of administration. The CRA scale should be assessed for relevance in Asian settings. With the suggested modifications, it is suitable for assessing negative and positive effects of caregiving among informal caregivers of older persons with activity limitations in Singapore.
机译：以前评估不同国家的看护者反应评估（CRA）量表（24个项目;五个子量表：日程，健康，财务，家庭支持和自尊）的有效性和可靠性研究并不完全一致。本文评估了新加坡老年人非正式照料者中CRA的有效性和可靠性。分析了一项对1190名75岁，日常活动受限的新加坡人的1190名主要非正式护理人员进行的全国性调查的数据。使用确认性因子分析（CFA）在一半的样本中测试五因子模型的拟合度，而另一半则进行探索性因子分析（EFA）。对CRA进行了相应的修改，然后再次进行CFA。评估了行政语言（中文/英文/马来文）中CRA的度量当量/不变性（ME / I）。 CFA显示不适合五因素模型。全民教育建议存在四个因素，三个因素既不具有充分的因素负荷也不具有独特的因素负荷，而两个子量表中的项目则可以单个因素负荷。修改后的CRA（21个项目;四个子量表：进度和健康，财务，家庭支持和自尊）的CFA建议比四因素模型更适合四因素模型。 ME / I分析支持跨管理语言的CRA部分不变。应该评估CRA量表在亚洲环境中的相关性。通过建议的修改，它适用于评估在新加坡活动受限的老年人的非正式护理人员中护理的正面和负面影响。

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