Please use this identifier to cite or link to this item: https://doi.org/10.3389/fmed.2018.00079
Title: Worry about caregiving performance: A confirmatory factor analysis
Authors: Li, R
Chong, M.S
Mark Chan, P.C
Laura Tay, B.G
Ali, N.B
Lim, W.S 
Issue Date: 2018
Citation: Li, R, Chong, M.S, Mark Chan, P.C, Laura Tay, B.G, Ali, N.B, Lim, W.S (2018). Worry about caregiving performance: A confirmatory factor analysis. Frontiers in Medicine 5 (MAR) : 79. ScholarBank@NUS Repository. https://doi.org/10.3389/fmed.2018.00079
Rights: Attribution 4.0 International
Abstract: Recent studies on the Zarit Burden Interview (ZBI) support the existence of a unique factor, worry about caregiving performance (WaP), beyond role and personal strain. Our current study aims to confirm the existence of WaP within the multidimensionality of ZBI and to determine if predictors of WaP differ from the role and personal strain. We performed confirmatory factor analysis (CFA) on 466 caregiver-patient dyads to compare between one-factor (total score), two-factor (role/personal strain), three-factor (role/personal strain and WaP), and four-factor models (role strain split into two factors). We conducted linear regression analyses to explore the relationships between different ZBI factors with socio-demographic and disease characteristics, and investigated the stage-dependent differences between WaP with role and personal strain by dyadic relationship. The four-factor structure that incorporated WaP and split role strain into two factors yielded the best fit. Linear regression analyses reveal that different variables significantly predict WaP (adult child caregiver and Neuropsychiatric Inventory Questionnaire (NPI-Q) severity) from role/personal strain (adult child caregiver, instrumental activities of daily living, and NPI-Q distress). Unlike other factors, WaP was significantly endorsed in early cognitive impairment. Among spouses, WaP remained low across Clinical Dementia Rating (CDR) stages until a sharp rise in CDR 3; adult child and sibling caregivers experience a gradual rise throughout the stages. Our results affirm the existence of WaP as a unique factor. Future research should explore the potential of WaP as a possible intervention target to improve self-efficacy in the milder stages of burden. © 2018 Li, Chong, Chan, Tay, Ali and Lim.
Source Title: Frontiers in Medicine
URI: https://scholarbank.nus.edu.sg/handle/10635/182091
ISSN: 2296858X
DOI: 10.3389/fmed.2018.00079
Rights: Attribution 4.0 International
Appears in Collections:Elements
Staff Publications

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
10_3389_fmed_2018_00079.pdf165.1 kBAdobe PDF

OPEN

NoneView/Download

SCOPUSTM   
Citations

5
checked on Apr 12, 2021

Page view(s)

41
checked on Apr 15, 2021

Google ScholarTM

Check

Altmetric


This item is licensed under a Creative Commons License Creative Commons