The Malay version of the caregiver assessment of function and upset instrument (Malay-CAFU): a translation and validation study among informal stroke caregivers

被引:0
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作者
Hamzah, Nurfaten [1 ,2 ]
Musa, Kamarul Imran [3 ]
Romli, Muhammad Hibatullah [4 ,5 ]
Chen, Xin Wee [6 ]
Rahim, Mohd Zulkifli Abdul [7 ]
Abdullah, Jafri Malin [1 ,2 ,8 ]
Suliman, Mohd Azmi [3 ]
Ibrahim, Mohd Ismail [3 ]
Ismail, Tengku Alina Tengku [3 ]
Nadal, Iliatha Papachristou [9 ]
Kamalakannan, Suresh Kumar [10 ]
机构
[1] Univ Sains Malaysia, Sch Med Sci, Dept Neurosci, Hlth Campus, Kubang Kerian, Kelantan, Malaysia
[2] Univ Sains Malaysia, Sch Med Sci, Brain & Behav Cluster, Hlth Campus, Kubang Kerian, Kelantan, Malaysia
[3] Univ Sains Malaysia, Sch Med Sci, Dept Community Med, Hlth Campus, Kubang Kerian, Kelantan, Malaysia
[4] Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Nursing & Rehabil, Serdang, Selangor, Malaysia
[5] Univ Putra Malaysia, Malaysian Res Inst Ageing MyAgeingTM, Serdang, Selangor, Malaysia
[6] Univ Teknol MARA, Fac Med, Dept Publ Hlth Med, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia
[7] Univ Sains Malaysia, Sch Hlth Sci, Interdisciplinary Hlth Sci Unit, Hlth Campus, Kubang Kerian, Kelantan, Malaysia
[8] Univ Sains Malaysia, Hosp Univ Sains Malaysia, Dept Neurosci & Brain Behav Cluster, Hlth Campus, Kubang Kerian, Kelantan, Malaysia
[9] London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, Dept Noncommunicable Dis & Epidemiol, Keppel St, London, England
[10] London Sch Hyg & Trop Med, Fac Infect & Trop Dis, Dept Clin Res, Keppel St, London, England
关键词
Stroke survivors; Informal caregivers; Translation; Validation; Reliability; Explanatory factor analysis; Caregiver assessment of function and upset; FAMILY CAREGIVERS;
D O I
10.1186/s12889-023-15076-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundPost-stroke complications affect the informal caregivers equally as the stroke survivors, especially those who have a moderate to worst prognosis in functional capacity recovery. Caregiver Assessment of Function and Upset (CAFU) is one of the common tools used in both research and clinical practice to measure the patient's dependency level and the stroke caregivers' upset level. ObjectiveThis study aimed to translate and validate the CAFU instrument into the Malay language and test the validity and reliability of the CAFU among informal stroke caregivers in Malaysia.MethodsA standard forward-backward translation method was employed to translate CAFU. Subsequently, 10 expert panels were included in the validation process, and thereafter reliability testing was conducted among 51 stroke caregivers. The validation of the instrument was determined by computing the content validity indices (CVIs), and we used the Cronbach's alpha method to explore the internal consistency of the overall score and subscales scores of the Malay-CAFU. Finally, the explanatory factor analysis used principal component extraction and a varimax rotation to examine construct validity.ResultsAll items of the Malay-CAFU had satisfactory item-level CVI (I-CVI), with values greater than 0.80, and the scale-level CVI (S-CVI) was 0.95. These results indicate that the Malay-CAFU had good relevancy. The internal consistency for the reliability test showed a Cronbach's alpha value of 0.95 for the overall score. The eigenvalues and scree plot supported a two-factor structural model of the instrument. From the explanatory factor analysis, the factor loadings ranged from 0.82 to 0.90 and 0.56 to 0.83, respectively.ConclusionThe Malay-CAFU questionnaire is a valid and reliable instrument to assess the dependence level of stroke survivors and the upset level of informal stroke caregivers in Malaysia.
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页数:9
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