To develop and validate a brief screening measure for use in research, healthcare, and community settings to systematically assess well-being and identify needed areas of support for caregivers of patients with dementia.
This study used data from Resources for Enhancing Alzheimer's Caregiver Health (REACH II), a multisite randomized clinical trial of a behavioral intervention designed to improve the quality of life of caregivers in multiple domains.
REACH II.
Two hundred twelve Hispanic, 211 black, and 219 white family caregivers providing in-home care to patients with dementia.
Based on conceptual and psychometric analyses, a 16-item measure was developed that assesses six domains linked to caregiver risk and amenable to intervention: depression, burden, self-care and health behaviors, social support, safety, and patient problem behaviors. The reliability and validity of the instrument was evaluated with 642 dementia caregiver dyads from the REACH II program.
The measure was found to have acceptable internal consistency for a multidimensional scale and similar measurement properties for each of the racial and ethnic groups. Concurrent validity was also demonstrated for the measure.
The REACH Risk Appraisal Measure developed in this study shows promise as an assessment tool that can be used in research, clinical, and community settings to guide, prioritize, and target needed areas of support for caregivers of patients with dementia.
Development of the Risk Appraisal Measure: A Brief Screen to Identify Risk Areas and Guide Interventions for Dementia Caregivers
Creators
Sara J. Czaja - University of Miami
Laura N. Gitlin - Thomas Jefferson University
Richard Schulz - Center for Social Sciences
Song Zhang - University of Pittsburgh
Louis D. Burgio - University of Michigan
Alan B. Stevens - Scott & White Memorial Hospital
Linda O. Nichols - University of Tennessee Health Science Center
Dolores Gallagher-Thompson - Stanford University
Publication Details
Journal of the American Geriatrics Society (JAGS), v 57(6), pp 1064-1072
Publisher
Wiley
Number of pages
9
Grant note
U01NR004261 / NATIONAL INSTITUTE OF NURSING RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR)
UO1-AG13305; AG13289; AG13313; AG20277; AG13265; NR004261 / National Institute on Aging and the National Institute of Nursing Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA); NIH National Institute of Nursing Research (NINR)
U01AG013289 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
Resource Type
Journal article
Language
English
Academic Unit
College of Nursing and Health Professions; Drexel University
Web of Science ID
WOS:000266490500017
Scopus ID
2-s2.0-66549123596
Other Identifier
991020100049904721
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