Please use this identifier to cite or link to this item: https://doi.org/10.1080/13607863.2012.702728
Title: Validity and reliability of the Caregiver Reaction Assessment scale among primary informal caregivers for older persons in Singapore
Authors: Malhotra, R. 
Chan, A.
Malhotra, C. 
Stbye, T. 
Keywords: Asia
factor analysis
family caregivers
older adult
psychometrics
Singapore
Southeastern
Issue Date: 1-Nov-2012
Citation: Malhotra, R., Chan, A., Malhotra, C., Stbye, T. (2012-11-01). Validity and reliability of the Caregiver Reaction Assessment scale among primary informal caregivers for older persons in Singapore. Aging and Mental Health 16 (8) : 1004-1015. ScholarBank@NUS Repository. https://doi.org/10.1080/13607863.2012.702728
Abstract: Previous studies evaluating the validity and reliability of the Caregiver Reaction Assessment (CRA) scale (24 items; five subscales: schedule, health, finances, family support, and esteem) in different countries are not fully congruent. This article assesses the validity and reliability of the CRA among informal caregivers of older persons in Singapore. Data from a national survey of 1190 primary informal caregivers of Singaporeans aged 75 years with 1 activity of daily living limitation was analyzed. Fit of the five-factor model was tested in half of the sample using confirmatory factor analysis (CFA) and the other half subjected to exploratory factor analysis (EFA). The CRA was modified accordingly and again subjected to CFA. The CRA's measurement equivalence/invariance (ME/I) across language of administration (Chinese/English/Malay) was assessed. CFA showed a poor fit for the five-factor model. EFA suggested the presence of four factors, three items to have neither sufficient nor unique factor loadings and items on two of the subscales to load on a single factor. CFA of the modified CRA (21 items; four subscales: schedule and health, finances, family support, and esteem) suggested a better fit for the four-factor model than for the five-factor model. ME/I analysis supported partial invariance of the CRA across language of administration. The CRA scale should be assessed for relevance in Asian settings. With the suggested modifications, it is suitable for assessing negative and positive effects of caregiving among informal caregivers of older persons with activity limitations in Singapore. © 2012 Copyright Taylor and Francis Group, LLC.
Source Title: Aging and Mental Health
URI: http://scholarbank.nus.edu.sg/handle/10635/110340
ISSN: 13607863
DOI: 10.1080/13607863.2012.702728
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