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Development and validation of the University of Washington caregiver stress and benefit scales for caregivers of children with or without serious health conditions
Purpose To develop item response theory (IRT)-based item banks and short forms to measure stress and benefit related to caregiving for children, including children with epilepsy or other serious health conditions. Methods Items developed with feedback from neurologists and caregivers of children wit...
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Published in: | Quality of life research 2020-05, Vol.29 (5), p.1361-1371 |
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Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Purpose
To develop item response theory (IRT)-based item banks and short forms to measure stress and benefit related to caregiving for children, including children with epilepsy or other serious health conditions.
Methods
Items developed with feedback from neurologists and caregivers of children with epilepsy were tested in cognitive interviews and administered to caregivers of children with severe epilepsy (
N
= 128), down syndrome (
N
= 143) and muscular dystrophy (
N
= 129), as well as a community sample of US caregivers (
N
= 322). IRT was used to analyze the data. Test–retest reliability was assessed using a two-way random effects (2,1) intraclass correlation coefficient (ICC). Validity was assessed by a pattern of correlations with relevant constructs (stress, depression, anxiety, and resilience) and by the pattern of scores by known groups.
Results
Caregivers of children with serious health conditions reported more stress and less benefit than the general sample. The final caregiver stress item bank (
k
= 19) and the caregiver benefit item bank (
k
= 13) were calibrated using IRT and centered on a sample of community caregivers representative of the US general caregiver population. Short form scores are highly correlated with full bank scores (
r
≥ 0.98) and IRT reliability exceed 90% for most levels. Test–retest reliability was high (ICC > 0.92) for banks and short forms.
Conclusions
Results provide strong support for reliability and validity of the caregiver stress and benefit scores. Instruments are publicly available, flexible, brief, and provide reliable and valid scores of caregiver stress and benefit of caregivers of children with and without serious health conditions. |
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ISSN: | 0962-9343 1573-2649 |
DOI: | 10.1007/s11136-019-02409-0 |