Measurement and the Criterion-Related Validity of Care-Related Needs of Family Members Caring for Demented Elderly Patients at Home

概要

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"To develop a scale for measuring the needs of family caregivers of the elderly with dementia, and to determine its reliability and validity, a questionnaire was mailed to 465 family caregivers out of which 237 respondents replied. A secondary structural model consisting of six factors (Information Needs, Other Person Understanding Needs, Family Needs, Health Care Needs, External Activity Needs and Economic Needs) with 23 items was also given. The results were found to be statistically significant and internal consistency of the 23 items showed high reliability (Cronbach's α=0.885). A model was constructed for hypothesizing the arrangement of cognition, physical function and problematic behavior along with their effects on six factors of homecare-related needs. As a result, the degree of fit was χ^2(df) = 446.0 (290), GFI was 0.923, CFI was 0.923 and RMSEA was 0.050. The path coefficient from cognition, physical function, and problematic behavior to needs was -0.26, 0.14 and 0.26 respectively, while the degree of explanation with respect to these three variables was 17.7%. As a result, the aforementioned factor-related model agreed with the data, and statistically significant levels were found for the relationships between cognitive function and homecare-related needs and between problematic behavior and homecare-related needs."
川崎医療福祉大学の論文