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Cited by 10Nursing care and researchPsychometric Methodologies and TestingIntergenerational Family Dynamics and Caregiving

Zarit burden interview among caregivers of community‐dwelling older adults in a caribbean setting (Jamaica): Reliability and factor structure

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James, Kenneth, Chin‐Bailey, Cameal, Holder‐Nevins, Desmalee, Thompson, Camelia, Donaldson‐Davis, Kayon, Eldemire‐Shearer, Denise·2021·Health & Social Care in the Community
DOI 10.1111/hsc.13244
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Abstract

The Zarit Burden Interview has been the most popularly used tool for measuring caregiver burden and with the 60 years and over population in Jamaica and developing countries expected to increase, caregiver burden and its assessment assume increased importance. Establishing the reliability and underlying factor structure of instruments such as the ZBI is critical. This study sought to determine the reliability of the Zarit Burden Interview and to assess its underlying factor structure. The ZBI was administered to 180 caregivers of community dwelling older persons in Jamaica in a nationally representative sample across four geographic health regions in 2016. The factor structure was identified using exploratory factor analysis (EFA) with Varimax rotation. Cronbach's alpha was used to assess internal consistency/reliability of the instrument. The internal consistency/reliability of the ZBI instrument was high (Cronbach's α = 0.859) and the corrected item-total correlations ranged from 0.134 to 0.730. The ZBI mean score was found to be 16.92 ± 12.04. EFA produced a six-factor model comprised of 19 items which explained 48.97% of total variance, and was subsequently reduced to four (37.27% of total variance) via the use of parallel analysis and scrutiny of confidence intervals. The four factors identified were 'personal strain', 'social relations disruption', 'resource strain/imbalance' and 'role intensity'. The ZBI-22 tool is a reliable instrument for evaluating caregiver burden among community dwelling older persons in Jamaica. A four factor model has emerged providing greater insights on the underlying constructs of the ZBI, the most widely used caregiver burden assessment tool.

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  • The CQOLC scale has been validated in other countries, including Korea, Turkey, France, Taiwan, and Germany.

    “Actualmente, la escala presenta validación en otros países, como Corea (31), Turquía (32), Francia (33), Taiwán (34) y Alemania (35).”

    From Factores relacionados con sobrecarga del cuidador informal de pacientes con cáncer avanzado (2024) · cites this paper as [32]

    The citing sentence attaches this citation to Germany. The Discussion reports reliability results for the Zarit Burden Interview in Jamaica and mentions comparisons with Brazil, England, China, and Turkey; it does not address validation of the CQOLC in Germany. Searches for CQOLC, Germany, and German validation found no supporting passage in our copy. (LLM, conf=0.76)

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Cited by

Sorted by citations

Authors
James, K., Chin‐Bailey, C., Holder‐Nevins, D., Thompson, C., Donaldson‐Davis, K., & Eldemire‐Shearer, D.
Affiliations
  • University of the West Indies (JM)
  • University of the West Indies (TT)
Corresponding author
Thompson, Camelia
ORCID
Venue
Health & Social Care in the Community
Publisher
Wiley
Published
2020-11-30
Volume
29
Issue
5
Pages
e79-e88
ISSN
  • 0966-0410 (ISSN-L)
  • 1365-2524
DOI
10.1111/hsc.13244
OpenAlex
W3107857376
Cited by
10
References
5
Citations by year
2025: 1 · 2024: 3 · 2023: 3 · 2022: 3
FWCI
2.32
Type
journal article
Language
en
Open access
Licence
Locations
  • Health & Social Care in the Community (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
  • Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
Keywords
Zarit Burden Interview, caregiver burden, community-dwelling older adults, factor structure, reliability statistics, internal consistency, personal strain, resource strain, Jamaica
MeSH terms
Aged, Aged, 80 and over, Humans, Jamaica, Psychometrics, Surveys and Questionnaires, Reproducibility of Results, Caregivers, Cost of Illness, Independent Living

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