Validity and reliability of the Brazilian version of the Caregiver Reaction Assessment

Mota, Fernanda Rochelly do Nascimento; Victor, Janaína Fonseca; Silva, Maria Josefina da; Soares, Edson Silva; Oriá, Mônica Oliveira Batista; Marques, Marília Braga; Freitas, Maria Célia de; Alves, Allana Mirella

doi:10.1590/0034-7167-2017-0153

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Revista Brasileira de Enfermagem

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Sumário

RESEARCH • Rev. Bras. Enferm. 71 (suppl 2) • 2018 • https://doi.org/10.1590/0034-7167-2017-0153 copy

Validity and reliability of the Brazilian version of the Caregiver Reaction Assessment

Validez y confiabilidad de la versión brasileña del Caregiver Reaction Assessment

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the validity based on the internal structure and reliability of the Brazilian version of the Caregiver Reaction Assessment (CRA) applied to informal caregivers of dependent elderly.

Method:

A methodological study with 120 informal caregivers of the elderly. Validity based on the internal structure evaluated by exploratory factorial analysis, with extraction of main factorial axes, varimax orthogonal rotation and retention of factors by parallel analysis. Reliability assessed by Cronbach’s alpha.

Results:

The instrument revealed a factorial structure different from the original version: three factors were identified, equivalent to subscales, self-esteem, daily activities and family support, with explained variance of 42%. The values of the Cronbach alpha for the items belonging to each subscale were, respectively: 0.71, 0.81 and 0.83.

Conclusion:

The Brazilian version of CRA presents good evidence of validity based on internal structure and is reliable, and can be used to assess the overload of informal caregivers of dependent elderly.

Descriptors:
Elderly Man; Caregivers; Validation Studies; Geriatrics; Nursing

Subscales/ Items	Factorial loading	Comunality (h²)
Self-esteem
Item 23 - I like caring for _____.	0.81	0.69
Item 9 - I want a lot caring for _____.	0.77	0.59
Item 20 - Caring for _____is important to me.	0.72	0.52
Item 17 - Caring for _____makes me feel good.	0.71	0.52
Item 1 - I feel pleased in caring for_____.	0.59	0.39
Item 7 - I feel upset in caring for _____.	0.52	0.31
Item 12 - Even though caring for _____ I could never recturn what he had done for me.	0.45	0.22
Item 15 - I have sufficient physical strength to care for _____.	0.41	0.29
Daily living activities schedule
Item 18 - It is difficult to find time to rest because of the constant interruptions.	0.72	0.56
Item 5 - Since I began caring for _____I seem to be tired all the time.	0.63	0.51
Item 14 - I have failed to go to appointments since I started taking care of _____.	0.63	0.57
Item 8 - I have to stop in the middle of the activities you are doing for caring.	0.61	0.41
Item 11 - I have been visiting less family and friends since I started caring for _____.	0.60	0.40
Item 19 - I am healthy enough to care for _____.	0.58	0.44
Item 10 - My health has got worse since I started caring for _____.	0.51	0.37
Item 4 - My activities are all about caring for _____.	0.43	0.30
Item 24 - It is difficult to pay for the health care expenses of.	0.39	0.19
Item 21 - Caring for _____ caused financial difficulties in the family.	0.35	0.17
Item 3 - My financial resources are enough to pay for care expenses	0.27	0.15
Family support
Item 2 - The other put the care of _____ in my hands.	0.74	0.60
Item 6 - It is very difficult to get help from my family to take care of _____.	0.69	0.58
Item 22 - My family (siblings, children) left me alone to care for _____.	0.65	0.49
Item 16 - Since I started caring for _____I feel abandoned by my family.	0.65	0.46
Item 13 - My family cooperates in the care of _____.	0.63	0.46

Subscales/ Items	Cronbach Alpha
Self-esteem subscale	0.71
Item 23 - I like caring for _____.	0.63
Item 9 - I want a lot caring for _____.	0.64
Item 20 - Caring for _____is important to me.	0.65
Item 17 - Caring for _____makes me feel good.	0.65
Item 1 - I feel pleased in caring for_____.	0.65
Item 7 - I feel upset in caring for _____.	0.65
Item 12 - Even though caring for _____ I could never return what he had done for me.	0.67
Item 15 - I have sufficient physical strength to care for _____.	0.83
Daily living activities schedule	0.83
Item 18 - It is difficult to find time to rest because of the constant interruptions.	0.81
Item 5 - Since I began caring for _____ I seem to be tired all the time	0.81
Item 14 - I have failed to go to appointments since I started taking care of _____.	0.81
Item 8 - I have to stop in the middle of the activities you are doing for caring.	0.82
Item 11 - I have been visiting less family and friends since I started caring for _____.	0.82
Item 19 - I am healthy enough to care for _____.	0.82
Item 10 - My health has got worse since I started caring for _____.	0.82
Item 4 - My activities are all about caring for _____.	0.83
Item 24 - It is difficult to pay for the health care expenses of.	0.83
Item 21 - Caring for _____ caused financial difficulties in the family.	0.83
Item 3 - My financial resources are enough to pay for care expenses.	0.84
Family support subscale	0.84
Item 2 - The other put the care of _____ in my hands.	0.81
Item 6 - It is very difficult to get help from my family to take care of _____.	0.82
Item 22 - My family (siblings, children) left me alone to care for _____.	0.81
Item 16 - Since I started caring for _____I feel abandoned by my family.	0.80
Item 13 - My family cooperates in the care of _____.	0.81

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[1] CORRESPONDING AUTHOR: Fernanda Rochelly do Nascimento Mota. E-mail: rochellymotta@yahoo.com.br