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Development of the Family Caregiver Burden Inventory(FCBI)
Sadanori Higashino,Takako Tsutui,Masafumi Kirino,Yuki Yajima,Yong Taek Kim,Kazuo Nakajima 한국노인복지학회 2003 International Journal of Welfare for the Aged Vol.9 No.-
The purpose of this study was to develop the Family Caregiver Burden Inventory(FCBI) for measuring the family caregiver burden caring for a family member with dementia at home in Japan and Korea. In our statistical analysis, we used data for 181 family members caring for a family member with dementia living in Otsu city, Shiga prefecture, Japan, and 256 family members caring for a family member with dementia living in Seoul and Pusan city in Korea. In developing the FCBI, the authors assumed three dimensions, "negative feelings to the care recipient", "limitation in the social activities" and "financial constraints" and drew 12 items from existing caregiver burden measures. In order to establish internal construct validity of the FCBI, we used a confirm atory factor analysis(CFA) and simultaneous factor analysis in two cross-national samples. In the analysis, we formulated and tested a second-order factor model of family caregiver burden consisting of three factors, "negative feelings to the care recipient", "limitation in the social activities" and "financial constraints". Furthermore, external construct validity of the FCBI was assessed using structural equation modeling. In the analysis, we hypothesized and tested MIMIC(multiple indicator and multiple cause) model for caregiver`s variables(nationality, gender, age, and duration of care) to caregiver burden. To evaluate the reliability of the FCBI, its internal consistency was also tested using Cronbach`s alpha coefficient. CFA and simultaneous factor analysis results supported the hypothesized second-order factor structure of the FCBI and indicated the FCBI fit both the Korean and Japanese data. Furthermore, MIMIC modeling results showed cargiver`s nationality, gender, and duration of care were significantly related to care burden. The reliability of the FCBI was good. Cronbach`s alpha coefficient of the FCBI was 0.88 for the Korean sample and 0.85 for the Japanese sample. We could develop the FCBI for measuring the family caregiver burden caring for a family member with dementia at home in Japan and Korea.
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