A new tool to assess family caregivers burden during endoflife care. Objective this study aimed to evaluate the factor structure of the chinese version of the 22item zarit burden interview zbi among family caregivers of patients with schizophrenia in china. The 22item version of the zarit burden interview zbi. Zarit burden interview definition of zarit burden interview. Factors emerging from the zarit burden interview and. Subjective burden is a central variable describing the situation encountered by family caregivers. The zarit burden interview zbi is the most widely used instrument for assessing family carer burden and the purpose of the present study was to evaluate the psychometric properties of the italian version of the zbi izbi. Nearly always please circle the response the best describes how you feel. The zarit burden interview, a popular caregiver selfreport measure used by many aging agencies, originated as a 29item questionnaire zarit. Data was analyzed using descriptive and inferential statistics. Depression scale correlated with interpersonal support evaluation short form, and model for endstage liver disease score correlated with zbi and pcb total and in most domains. The zarit burden interview bi has emerged as the most widely utilized burden measure. The purpose of the present study was to determine a statistically valid cutoff score for the zarit burden interview zbi in order to identify family caregivers at risk for depression and anxiety to guide for further assessment and future intervention. Unidimensional 12item zarit caregiver burden interview.
The zarit burden interview zbi, a wellknown measure of caregiving burden in. The optimal short version of the zarit burden interview. The 10item short version of the burden scale for family caregivers bsfcshortbsfcs was developed to provide an economical measure of this variable. A new short version and screening version michel bedard, phd, 1,2 d. Approaches to assessing burden in caregivers of patients. They responded to questions on daily time spent on caregiving, the short version of zarit burden interview zbi, a sub scale of a caregiver meaning scale, social support rating scale ssrs, and. Scoring total score ranges from 16 low burden to 64 high burden training required none reliability excellent internal consistency validity convergent validity with zarit burden interview reference dumont, s. The zbi zarit burden interview is a widely used unitary measure of caregiver burden. In 23 works, 24 different scales were identified, and the most cited were. The czbi consists of 22 items that require a response on a 5point likerttype scale, ranging from 0 never to 4 nearly always, for a total score ranging from 0 to 88, with higher scores indicating increased caregiver burden.
The study aimed to examine the psychometric properties of the thai version of both the full length zbi22 and short versions zbi12 using rasch analysis and confirmatory factor analysis among a sample of alzheimers disease caregivers. Answer the questions on the zarit scale to find out your stress level. Zarit burden interview psychometric indicators applied in older people caregivers of other elderly. Caregivers are asked to respond to a series of 22 questions about the impact of the patients disabilities on their life. Zbi zarit burden interview official distribution mapi. The zbi is a 22item selfreport measure of perceived caregiver burden. Lever, msca, 4 and martin odonnell, mrcpi 3 purpose. The zbi was originally developed to assess burden among caregivers of communitydwelling persons with dementia. Zarit, orr, and zarit 1985 is the instrument most consistently used in dementia caregiving research bedard, pedlar, martin, malott, and stones 2000. Pdf validity and reliability of the zarit burden interview in. Score values and interpretation are guidelines only, as discussed in.
Methods using onestage clustersampling design, 324 primary caregivers of patients with schizophrenia in ningxiang county, hunan province, china, completed the zarit burden interview facetoface. A comparison of tools used to screen for caregiver burden. Bedard m, molloy dw, squire l, dubois s, lever ja, odonnell m. The purpose of the study was to develop a short and a screening version of the zarit burden interview. Cutoff of the zarit burden interview in predicting. Tang jy, ho ah, luo h, wong gh, lau bh, lum ty, et al.
Conceptualization and psychometric properties of the caregiver burden scale in taiwan. Brief version of zarit burden interview zbi for burden. Factorial structure scale zarit burden interview in. Zarit burden interview archives mapi research trust. Zbi zarit burden interview official distribution mapi research. William molloy, mb, 3 larry squire, ma, 1 sacha dubois, ba, 3 judith a. Subsequent adaptation of the scale made it particularly attractive. Factor analyses of the chinese zarit burden interview. Pdf validity and reliability of the zarit burden interview. Caregivers burden,depression and support as predictors of poststroke depression.
Validity and reliability of the zarit burden interview in. A secondary aim was to identify variables that predicted burden dimensions. The zbi, the patient health questionnaire phq, and the generalized anxiety disorder scale gad were administered to a representative. The burden interview has been specially designed to reflect the stresses experienced by caregivers of dementia patients. The zarit burden interview about dementia pathways. Each question is scored on a 5 point likert scale ranging from never to nearly always present. The zarit burden interview zbi is officially distributed by mapi research trust on. This highly regarded caregiver burden inventory questionnaire screens for 22 items. Assessing family caregivers mental health using a statistically derived cutoff score for the zarit burden interview. The following is a list of statements, which reflect how people sometimes feel when taking care of another person.
The correlation between the zarit burden interview and the general health questionnaire was 0. Scales for evaluation of the overload escals caregivers of patients with stroke. Zarit screen measure of caregiver burden to be completed by. Previous studies have supported the psychometric properties of the 22item zarit burden interview zbi22 scale among family caregivers of people with various disorders, including parkinsons disease pd. Since its inception, this 22item scale has been translated into many languages and used in many countries across a diverse range of caregivers and patient populations. To develop a specific scale used in measuring caregiver burden in china, and to evaluate its reliability and validity. Unidimensional 12item zarit caregiver burden interview for.
Each item on the interview is a statement which the caregiver is asked to endorse using a 5point scale. Although stress and burden are not diagnostic labels in and of themselves, they are key components of the profile of psychological distress experienced by many caregivers. Validating a cantonese short version of the zarit burden interview czbishort for. This is a methodological study was conducted with 6 informal caregivers of patients with stroke sequelae, in the period apriljune 20 in the city of joao pessoapb. Data were derived from a national epidemiological study of dementia incidence and patterns of care n 1,095. Validierungs studien berichteten durchgangig gute psychometrische giitekriterien verschie dener versionen des zbi in unterschied. The purpose of this study was to explore the factor structure of the zbi within a sample of uk caregivers. Assessment of burden among family caregivers of people. Caregivers feelings of stress and burden can be assessed with standardized questionnaires and interviews. Chinese version of the zarit caregiver burden interview. For each item, caregivers are to indicate how often they felt that way never, rarely, sometimes, quite frequently, or nearly always. The current study examines the psychometric properties of responses to an abridged, 12item version of this scale. Reliability validity and reference values of the zarit burden interview for assessing informal caregivers of communitydwelling older persons with.
The scale has also been referred to as the burden scale zarit, the burden interview, and the. Psychometrics of the zarit burden interview in caregivers of patients. Investigating psychometric properties of the thai version of. After each statement, indicate how often you feel that way. Zarit scale of caregiver burden or the zarit burden interview is the most widely used instrument. Investigating psychometric properties of the thai version. The z a r i t b u r d e n i n t e r v i e w scalelibrary. Never rarely sometimes quite frequently nearly always 1 do you feel that because of the time you spend with your relative. Talk to your healthcare team about ways to reduce stress.
Originally designed and tested in 1980 containing 29 items, it was reduced to 22 questions. These manuscripts contain updated topics with a major clinical or conceptual relevance in modern medicine. Caregiving experiences in dementia may have adverse effects on the caregivers own physical and mental health. Assessment of burden among family caregivers of people with. It can be completed by caregivers themselves or as part of an interview. The memory and behavior problems checklist and the burden interview. One tool the american psychological association recommends is called the zarit burden scale. However, recent research has found caregiver burden to be multidimensional.
The zarit burden interview zbi has been widely used to assess caregiver burden. General health questionnaire ghq28, dementia management. The present study examined the reliability and validity of the bsfcs. Participants from the first and second affiliated hospital of china medical university and the hospital of tiefa coal industry group completed the chinese version of the zarit caregiver burden interview. While professional psychologists and therapists use this tool to assess clients who are providing care for loved.
After each question, circle how often you feel that way. Psychometrics of the zarit burden interview in caregivers. Comprehensive data from the ida project were the basis of the. A score of 8 or above shows a high level of stress. Psychometric properties of an abridged version of the zarit. Zarit has conducted pioneering research on caregiver burden and stress, and most recently has examined the role of adult day care in lowering stress and improving health for caregivers of people with dementia. Short form zarit burden interview zbi 12 never 0 rarely 1 sometimes 2 quite frequently 3 nearly always 4 do you feel. The results in this study demonstrated that the zarit burden interview is a valid and reliable instrument for measuring the burden of caregivers of pwd in singapore. The following questionnaire, known as the zarit burden interview, was first developed in the 1980s to help caregivers and mental health professionals evaluate caregiver stress and burnout. Dec 15, 2000 a practical guide to caring for caregivers. Stressed between caring for your relative and trying to meet other. They range from depression to the familys understanding of the older adults disease.
That because of the time you spend with your relative that you dont have enough time for yourself. Few research papers have investigated the thai version of the zbi. Zarit screen measure of caregiver burden to be completed. Caregivers were asked to rate their degree of burden on a likert scale, with higher scores indicating higher levels of burden. Originally, the zarit caregiver burden interview zbi was developed in 1980 as a 29item selfreport scale aimed to assess the subjective burden experienced by an informal not paid caregiver, usually a relative. A new tool to assess family caregivers burden during endof. A selfreport depression scale for research in the general population. The result revealed that burden of care and social support were significant joint. A practical guide to caring for caregivers american family. Please circle the response the best describes how you feel.
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