Validation of an instrument to assess the homecare competency of the family caregiver of a person with chronic disease

• Published in: Investigación y educación en enfermería 2015-12, Vol.33 (3), p.449-455
• Main Authors: Carrillo, Gloria Mabel, Sánchez Herrera, Beatriz, Arias Rojas, Edier Mauricio
• Format: Article
• Language: English
• Subjects: análise fatorial; análisis factorial; caregivers; chronic disease; cuidadores; doença crônica; enfermedad crónica; factor analysis statistical; reproducibilidad de resultados; reproducibility of results; reprodutibilidade dos testes
• ISSN: 0120-5307; 2216-0280
• DOI: 10.17533/udea.iee.v33n3a08

This work sought to develop, validate, and determinethe reliability of an instrument on Competency in Homecareof the family caregiver of an individual with chronic disease.Methodology. The test validation study was carried out in thefollowing phases: 1) literature review; 2) analysis of resultsof programs to help family caregivers in Latin America; 3)exploration of the classification of nursing results (NOC) related tothe family caregiver and discharge; 4) proposal of an instrumentof care competence; and 5) psychometric tests: apparent validitywith 25 family caregivers of individuals with chronic disease andsix experts in the area; construct validity and reliability throughinternal consistency with 311 family caregivers of chronicpatients. Results. The instrument on homecare competency of thefamily caregiver of an individual with chronic disease (CUIDAR,for the term in Spanish) has 60 items that inquire on sixcategories: knowledge, uniqueness, instrumentation, enjoymentof life, anticipation and relationships, and social interaction. Theapparent validity evidences clarity, coherence, sufficiency, andrelevance of the scale. With the factor analysis six componentswere obtained through the Varimax rotation in which most ofthe items are associated according to the categories proposed.The reliability (internal consistency) reported a Cronbach’s alphaof 0.96. Conclusion. The Homecare Competency instrumentpermits assessing the capacity of a family caregiver to care for anindividual with chronic disease, proving valid and reliable for theColombian context. Objetivo. Desenvolver, validar e determinar a confiabilidade de um instrumento de competência de Cuidado no lar do cuidador familiar de uma pessoa com doença crônica. Metodologia. Estudo de validação de provas que se realizou nas seguintes fases: 1) Revisão da literatura; 2) Análise de resultados de programas para assistir a cuidadores familiares na América Latina; 3) Exploração da classificação de resultados de enfermagem (NOC) relacionados com o cuidador familiar e egresso; 4) Proposta de instrumento de competência de cuidado; e 5) Provas psicométricas: validez aparente com 25 cuidadores familiares de pessoas com doença crônica e seis experientes na área; validez de constructo e confiabilidade por meio de consistência interna com 311 cuidadores familiares de enfermos crónicos Resultados. O instrumento Competência do Cuidado no lar do cuidador familiar de uma pessoa com doença crônica CUIDAR consta de 60 itens q