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Am J Alzheimers Dis Other Demen. 2017 Nov;32(7):373-381. doi: 10.1177/1533317517711247. Epub 2017 May 30.

Development and Testing of a Measure of Caregiver Confidence in Medical Sign/Symptom Management.

American journal of Alzheimer's disease and other dementias

Cleveland A Piggott, Sheryl Zimmerman, David Reed, Philip D Sloane

Affiliations

  1. 1 Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, NC, USA.
  2. 2 Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.
  3. 3 School of Social Work, University of North Carolina at Chapel Hill, NC, USA.
  4. 4 Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  5. 5 Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

PMID: 28558474 PMCID: PMC5529254 DOI: 10.1177/1533317517711247

Abstract

Evaluation of efforts to support family caregivers of people with dementia in their daily medical management responsibilities requires a measure of caregiver self-efficacy (confidence). This article describes the development and psychometric properties of the Caregiver Confidence in Sign/Symptom Management (CCSM) scale, the only available instrument in this area. Measurement development included literature and expert panel review, cognitive testing, and field testing. The CCSM is a 25-item measure (α = .92) composed of confidence in relation to 4 subscales: knowledge of signs/symptoms (α = .83), management of cognitive signs/symptoms (α = .85), management of medical signs/symptoms (α = .87), and general medication management/responsiveness (α = .85), all of which relate to caregiver role strain. The CCSM is a reliable and valid instrument to assess caregiver confidence in sign/symptom management and is useful to determine caregiver needs and outcomes of related interventions. Additionally, it furthers understanding of the role of self-efficacy in caregiver quality of life.

Keywords: Alzheimer’s disease; caregiver; instrument; medical problems; self-efficacy

References

  1. J Eval Clin Pract. 2013 Feb;19(1):39-43 - PubMed
  2. Am J Geriatr Psychiatry. 2004 May-Jun;12(3):240-9 - PubMed
  3. N Engl J Med. 1988 Dec 29;319(26):1701-7 - PubMed
  4. J Aging Health. 2007 Dec;19(6):871-87 - PubMed
  5. J Gerontol B Psychol Sci Soc Sci. 2002 Jan;57(1):P74-86 - PubMed
  6. Health Qual Life Outcomes. 2009 Sep 26;7:86 - PubMed
  7. Aging Ment Health. 2002 May;6(2):153-60 - PubMed
  8. Aging Ment Health. 2014;18(8):954-69 - PubMed
  9. Med Care. 2008 Aug;46(8):839-46 - PubMed
  10. Arch Intern Med. 2006 May 22;166(10):1092-7 - PubMed
  11. Gerontologist. 2001 Oct;41(5):652-7 - PubMed
  12. Hawaii Med J. 2011 Oct;70(10):209-13 - PubMed
  13. J Am Geriatr Soc. 2011 Dec;59(12):2326-31 - PubMed
  14. Aging Ment Health. 2013;17(5):630-7 - PubMed
  15. BMC Fam Pract. 2010 Sep 01;11:63 - PubMed

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