Carolyn A Mendez-Luck1, G John Geldhof2, Katherine P Anthony2, W Neil Steers3, Carol M Mangione4, Ron D Hays4. 1. College of Public Health and Human Sciences, Oregon State University, Corvallis. Carolyn.mendez-luck@oregonstate.edu. 2. College of Public Health and Human Sciences, Oregon State University, Corvallis. 3. David Geffen School of Medicine, General Internal Medicine/Health Services Research and. 4. David Geffen School of Medicine and Fielding School of Public Health, University of California, Los Angeles.
Abstract
PURPOSE OF THE STUDY: To develop the Caregiver Orientation Scale for Mexican-Origin Women and evaluate its psychometric properties. DESIGN AND METHODS: We developed a questionnaire to measure domains of cultural orientation to the caregiver role based on formative research and on the Cultural Justifications for Caregiving Scale. We conducted a series of exploratory factor analyses (EFAs) on data collected from 163 caregivers. We estimated internal consistency reliability (Cronbach's coefficient alpha) and assessed construct validity by estimating correlations between all latent factors and self-rated health, interview language, and weekly hours of care. RESULTS: EFAs suggested four factors representing familism, obligation, burden, and caregiving intensity that displayed good fit (χ2 (df = 63) = 70.52, p = .24; RMSEA = .03 [90% CI: 0.00, 0.06]; comparative fit index = .99). Multi-item scales representing the four domains had coefficient alphas ranging from .68 to .86. Obligation was positively associated with burden (.46, p < .001) and intensity (.34, p < .01), which were themselves positively correlated (.63, p < .001). Familism was positively associated with obligation (.25, p < .05) yet negatively associated with burden (-.35, p < .01) and intensity (-.22, p < .05). Weekly hours of care were positively associated with burden (.26, p < .01) and intensity (.18, p < .05), whereas self-rated health and burden (-.21, p < .05) and Spanish language and intensity (-.31, p < .001) were negatively correlated. IMPLICATIONS: The study shows that Mexican-origin caregiver orientation is multidimensional and that caregivers may have conflicting motivations for caregiving.
PURPOSE OF THE STUDY: To develop the Caregiver Orientation Scale for Mexican-Origin Women and evaluate its psychometric properties. DESIGN AND METHODS: We developed a questionnaire to measure domains of cultural orientation to the caregiver role based on formative research and on the Cultural Justifications for Caregiving Scale. We conducted a series of exploratory factor analyses (EFAs) on data collected from 163 caregivers. We estimated internal consistency reliability (Cronbach's coefficient alpha) and assessed construct validity by estimating correlations between all latent factors and self-rated health, interview language, and weekly hours of care. RESULTS:EFAs suggested four factors representing familism, obligation, burden, and caregiving intensity that displayed good fit (χ2 (df = 63) = 70.52, p = .24; RMSEA = .03 [90% CI: 0.00, 0.06]; comparative fit index = .99). Multi-item scales representing the four domains had coefficient alphas ranging from .68 to .86. Obligation was positively associated with burden (.46, p < .001) and intensity (.34, p < .01), which were themselves positively correlated (.63, p < .001). Familism was positively associated with obligation (.25, p < .05) yet negatively associated with burden (-.35, p < .01) and intensity (-.22, p < .05). Weekly hours of care were positively associated with burden (.26, p < .01) and intensity (.18, p < .05), whereas self-rated health and burden (-.21, p < .05) and Spanish language and intensity (-.31, p < .001) were negatively correlated. IMPLICATIONS: The study shows that Mexican-origin caregiver orientation is multidimensional and that caregivers may have conflicting motivations for caregiving.
Authors: Andres Losada; Maria Marquez-Gonzalez; Bob G Knight; Javier Yanguas; Philip Sayegh; Rosa Romero-Moreno Journal: Aging Ment Health Date: 2010-03 Impact factor: 3.658
Authors: Brent T Mausbach; David W Coon; Colin Depp; Yaron G Rabinowitz; Esther Wilson-Arias; Helena C Kraemer; Larry W Thompson; Geoffrey Lane; Dolores Gallagher-Thompson Journal: J Am Geriatr Soc Date: 2004-07 Impact factor: 5.562