Screening for stress and burden in caregivers of seniors. The zbi is a widely used tool to describe caregiver burden and has been well validated in various caregiving samples. Cancers free fulltext caregiving and its resulting. The present study aimed to develop and validate a cantonese short version of the zarit burden interview czbi short for hong kong chinese dementia caregivers.
Some years later, shorter versions of 20 and 22 items were released 2, 3, and in 1991, the standard version of 22 items with two factorial subscales personal. The burden scale for family caregivers, which has been developed in germany, is now. The japanese version of the zarit caregiver burden interview. Unidimensional 12item zarit caregiver burden interview for. Data were derived from a national epidemiological study of dementia incidence and patterns of care n 1,095. Icgs filled out the 12item zarit burden interview zbi12 to assess the level of caregiver burden. The purpose of the study was to develop a short and a screening version of the zarit burden interview zbi that would be. Next, mediation analyses were conducted to identify if resilient coping was a mediator in the relationships between carer wellbeing and distress. In this study, a japanese version of the center for epidemiologic studies depression cesd scale 48,49 and a japanese version of the zarit caregiver burden interview jzbi 50 51 52. Validation of the chinese version of the zarit burden. The zarit burden interview zbi 5 is one of the most widely used measures of caregiver burden. Each question are scored in fivepoint likert scale from 0 to 4 never to almost always high score represent higher feel of burden. Lever, msca, 4 and martin odonnell, mrcpi 3 purpose.
The most commonly used version of the zbi contains 22 items assessing burden associated with patients behavioral and functional impairments and covering the impact of caregiving upon caregivers lives in areas such as their health, relationships. William molloy, larry squire, sacha dubois, judith a. Quality of life and subjective burden on family caregiver. Zarit burden interview psychometric indicators applied in. At the point of recruitment, the participants completed on.
Caregiver burden is an important outcome commonly investigated in both observational and interventional literatures associated with caregiving of patients. Reliability, validity and reference values of the zarit burden. The burden interview has been specially designed to reflect the stresses experienced by caregivers of dementia patients. The purpose of this study was to evaluate the psychometric properties of the german zarit burden interview gzbi. The present study examined the reliability and validity of the bsfcs. The efficacy and safety of yokukansankachimpihange for.
Nearly always please circle the response the best describes how you feel. The object of this article is to examine the reliability of the brazilian version of the zarit caregiver burden interview zbi. Brief version of zarit burden interview zbi for burden. Validating a cantonese short version of the zarit burden interview. The purpose of the study was to develop a short and a screening version of the zarit burden interview zbi that would be suitable across diagnostic groups of cognitively impaired older adults, and that could be used for crosssectional, longitudinal, and intervention studies. Mediating effect of spiritual coping strategies on caregiving. The memory and behavior problems checklist and the burden interview. The japanese version of the zbi jzbi is the most widely used in japan for the same purpose. The role of medicalnursing skills training in caregiver. The optimal short version of the zarit burden interview. Pdf initial examination of the psychometric properties.
After translating and cultural adaptation of the questionnaire into persian, 100 caregiver spouses of iran iraq war 198088 veterans with chronic spinal cord injury who live in the city of mashhad, iran, invited to participate in the study. Carer strain was evaluated using caregiver burden score cbs 46, a shorter version of the zarit burden interview. Bedard m, molloy dw, squire l, dubois s, lever ja, odonnell m. The optimal short version of the zarit burden interview for dementia caregivers. The zarit burden interview zbi, by zarit and zarit 1987 is a 22item questionnaire designed to measure the extent to which a caregiver perceives his or her level of burden as a result of caring for a person with a particular diagnosis. It has been demonstrated that these subscales have good reliability. The zarit caregiver burden scale scoring system uses a. The aim of the present study was to confirm their construct validity. The subjective burden of the dementia caregiver was measured by a short version of the zarit burden interview zbi, whose validity and reliability have been confirmed 27. Feb 26, 2019 a crosssectional survey of carers measured resilient coping, depression, anxiety, stress and burden. Although various short forms of zarit burden interview zbi have. Aug 17, 2018 a metaanalysis, using a sample of dementia caregivers, compared the diagnostic utility of the various short versions of the zarit burden interview zbi with the original scale and identified that the 6item, 7 item and both 12item versions of the zbi are equivalent to the original 22item version in terms of diagnostic utility. Zarit burden interview zbishortform 12item version. Contrasting the risk factors of grief and burden in.
Some years later, shorter versions of 20 and 22 items were released 2, 3, and in 1991. The zarit caregiver burden interview short form zbi12 in. The purpose of this study was to explore the structure of the zarit burden interview zbi for informal caregivers of patients suffering from ad or related disorders, and to examine the relations of the dimensions found with functional disabilities and other patient health indicators. Jul 20, 2017 caregivers who had been identified by cancer patients in the cancer care outcomes research and surveillance consortium completed a questionnaire assessing the care provided, the type of medicalnursing skills training received, the burden measured with the modified short. Factor analysis and rasch analysis of the zarit burden interview for.
Dec 15, 2017 the concept of a double burden of care, in this case, refers to the burden of caring for the older generation parents as well as the younger children simultaneously. The zarit caregiver burden interview short form zbi12 in spouses of veterans with chronic spinal cord injury, validity and reliability of the persian version abstract background. Originally published in 1980 as 29item scale, zbi was revised and resulting 22item scale is commonly used today. The zbi has also been adapted and validated for use with several different languages honea et al. Short form zbi12 validated as screening tool in advanced illness including dementia and cancer total zbi12 score. Results and lessons learned from a nurse practitionerguided. Psychometric testing for shortform zarit burden interviews. Research article the zarit caregiver burden interview. The zarit caregiver burden interview short form zbi12. The three most common shortform versions of zbi are the 12item version zbi12 by bedard et al. Objective and subjective dementia caregiving burden.
Zarit care giving burden scale was used for measuring care giving burden. Impact of anticipatory grief on caregiver burden in dementia. William molloy, mb, 3 larry squire, ma, 1 sacha dubois, ba, 3 judith a. Confirmatory factor analysis for short forms of the zarit burden interview, archives of gerontology and geriatrics, 2017, 68, 8crossref. It can be completed by caregivers themselves or as part of an interview. Zarit burden interview the gerontologist oxford academic. An intensive adaptiation to the care situation is necessary. Oct 28, 2018 the recruitment process had a response rate of 87. Burden were assessed with caregiver burden interview.
Zarit burden interview zbi is the oldest and most widely used measure for assessment of caregiver burden. This highly regarded caregiver burden inventory questionnaire screens for 22 items. 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. Subjective burden was assessed with a 12item short version of the zarit burden interview. Research article the zarit caregiver burden interview short. Subjective burden is a central variable describing the situation encountered by family caregivers. A twofactor structure for the 12item zbi, personal strain and role strain, has been shown, but recent data suggest that an additional factor of guilt is embedded in the role strain items. The zarit burden interview zbi, which provides a comprehensive assessment of both objective and subjective burden, is one of the most commonly used burden measures and has been validated in many culturally or ethnically different populations. The purpose of the study was to develop a short and a screening version of the zarit burden interview. A quasiexperimental design was carried out in the primary and preparatory school in benisuef city from november 2015 to january 2016. The zarit caregiver burden interview short form zbi12 in spouses of veterans with chronic spinal cord injury, validity and reliability of the persian version. The 12item zarit burden interview zbi was translated into spoken cantonese and backtranslated by two bilingual research assistants and face validated by a panel of experts. Validation of the malay version of zarit burden interview.
The burden interview the zarit burden interview zbi1 is widely used in dementia research, including family caregiving studies, drug and psychosocial intervention clinical trials. Stressreduction therapy improves depression in patients with. Validating a cantonese short version of the zarit burden. Brazilian version of the burden interview scale for the assessment of burden of care in carers of people with mental illnesses. The zarit burden interview is used extensively in caregiver research. Validity and reliability of the zarit burden interview in. Burden in the caregivers of traumatic spinal cord injured. Rajabimashhadi mt, mashhadinejad h, ebrahimzadeh mh, golhasanikeshtan f, ebrahimi h, zarei z. They range from depression to the familys understanding of the older adults disease. Unidimensional 12item zarit caregiver burden interview for the assessment of dementia caregivers burden obtained by item response theory author links open overlay panel javier ballesteros md, phd 1 2 borja santos bsc maths 2 eduardo gonzalezfraile msc psychol 1 3 paula munozhermoso bsc psychol 3 4 ana i. The caregiver burden can be based on a variety of aspects of the care situation e.
Assessment tools american psychological association. Caregivers are asked to respond to a series of 22 questions about the impact of the patients disabilities on their life. The short version of the japanese version of the zarit. Aging and mental health the optimal short version of the zarit burden. Factor analysis and rasch analysis of the zarit burden interview for acquired brain injury carer research. Jan 15, 2015 zarit caregiver burden interview zbi12. Data were obtained from a total of 86 caregivers, 36 caregivers as interventional group and 50 caregivers as control group were interviewed by using zarit burden interview zbi and qol. Initial examination of the psychometric properties of the short hebrew version of the zarit burden interview. Zarit burden interview screener version 38 description 38 assessment 39 the caregivers aspirations, realities, and expectations care tool 40 description 40 assessment 41 appendix 60 references 61. Factor analysis of the 12item zarit burden interview in. The memory and behavior problems checklist and the burden interview technical report. Caregiver strain caregiver burden is used to measure negative health outcomes among caregivers for people with conditions, such as dementia, stroke, and cancer.
Caregiver burden comes out when the caregiver perceives the home care situation as a negative experience. A practical guide to caring for caregivers american. While professional psychologists and therapists use this tool to assess clients who are providing care for loved. The sort version of the zbi is consisted of 12 items in two domains, personal strain and role strain. The current study examines the psychometric properties of responses to an abridged, 12item version of. The scale examines burden associated with functionalbehavioral impairments of the care recipient.
The scale comprises of 12 questions graded on a scale from 0 to 4, according to the presence or intensity of an affirmative response, and measures the caregivers health. To validate the chinese version of the zarit burden interview as an instrument for assessing the stress experienced by carers of elderly patients with dementia. First, group comparisons between carers with high, medium and low resilient coping were made. The cbs is composed of six questions and describes the degree to which caring affects the caregiver from 0 none of the time to 6 all of the time. The following is a list of statements, which reflect how people sometimes feel when taking care of another person. We also examined apathy using the japanese translation of the apathy scale, the short version of the japanese version of the zarit caregiver burden interview, and the modified crichton rating scale for predicting activities of daily living. The cost of living at home, including time spent caring and use of formal care and support services was assessed by an adhoc economic questionnaire made for this study. A metaanalysis, using a sample of dementia caregivers, compared the diagnostic utility of the various short versions of the zarit burden interview zbi with the original scale and identified that the 6item, 7 item and both 12item versions of the zbi are equivalent to the original 22item version in terms of diagnostic utility. 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 1. Shortform zarit caregiver burden interviews were valid in. The bsfc consists of 28 items in the detailed or 10 items in the short version. Aug 14, 2017 mindfulnessbased stress reduction tactics and supportive group therapy decreased rates of depression and improved sleep quality among patients with cirrhosis and their caregivers, according to a. To examine the psychometric properties of different short versions of the zarit burden interview zbi, and to find an efficient and valid short version. Caregiver burden is the stress which is perceived by caregivers due to the home care situation.
The zarit burden interview bi has emerged as the most widely utilized burden measure. Since the publication of the original version in 1980, various translated and shorter revised versions of the zbi in. The role of resilient coping in dementia carers wellbeing. In this 12item short version of the original 22item zbi, higher scores represent higher burden. Meuser caregiver grief inventory, mmcgi, 17 a caregiver burden scale zarit burden interview, zbi, 19 and information related to the caregiver and pwd. Have you read any books or pamphlets on name of 4point scale. Psychometric properties of an abridged version of the. The purpose of the study was to develop a short and a screening version of the zarit burden interview zbi that would be suitable across diagnostic groups of cognitively impaired older adults. A practical guide to caring for caregivers american family. To test the psychometric properties of the persian version of zarit burden interview zbi12 in the iranian population. Despite the large number of studies dealing with dementia caregivers in europe, a valid german version of the most widely used measurement of caregiver burden, the zarit burden interview, has not been published. Score values and interpretation are guidelines only, as discussed in. While previous studies have focused on the impact of these two types of care separately, this chapter examines the burden of those responsible for both types of care.
One tool the american psychological association recommends is called the zarit burden scale. The 10item short version of the burden scale for family caregivers bsfc short bsfcs was developed to provide an economical measure of this variable. We used data from 4 caregivers of cognitively impaired older adults referred. Quality of life and subjective burden on family caregiver of. The zarit burden interview zbi is commonly used to measure dementia caregiver burden, but its factor structure is unclear. While this questionnaire was not designed for use in practice, it demonstrates the scope of issues to consider when. The instrument is a 22item scale assessing the extent to which caregivers view their responsibilities as having an adverse impact on their social life, health, emotional wellbeing, and finances. The zarit burden interview zbi is the instrument most widely used in north america and europe for assessing the burden experienced by family caregivers who look after the communityresiding impaired elderly. Using a sample of dementia caregivers, we compared the diagnostic utility of the various short versions of the zarit burden interview. Each item on the interview is a statement which the caregiver is asked to endorse using a 5point scale. Given the exponential increase in dementia prevalence anticipated in the coming years, measurement of caregiver burden has become common in gerontological research and clinical practice. Patients with cancer are living longer as the disease has become a more chronic condition. Assessing family caregivers mental health using a statistically derived cutoff score for the zarit burden interview. Comprehensive data from the ida project were the basis of the.
Zbi zarit burden interview official distribution mapi. The dimensions of the subjective burden tool have been determined by zarit 1819, and translated tool in arabic get from. Family and friends assume the role of caregiver as more cancer care shifts to the home. The subjective burden of the dementia caregiver was measured by a short version of the zarit burden interview zbi, whose validity and reliability have been confirmed.
Respondents were 611 people who indicated that they were currently involved in the care of their relative with lbd. Unidimensional 12item zarit caregiver burden interview. A new short version and screening version michel bedard, phd, 1,2 d. Beyond the global score of the zarit burden interview. The zarit burden interview was first translated into chinese and then backtranslated into english for comparison. We used data from 4 caregivers of cognitively impaired older adults referred to a. Unidimensional 12item zarit caregiver burden interview for the. Confirmatory factor analysis of a brief version of the zarit burden interview in black and white dementia caregivers. Pdf brief version of zarit burden interview zbi for. The current study examines the psychometric properties of responses to an abridged, 12item version of this scale. Bpsd was evaluated using the npi at baseline and every 4 weeks during the intervention. Jan 21, 2014 results and lessons learned from a nurse practitionerguided dementia care intervention for primary care patients and their family caregivers. The optimal short version of the zarit burden interview for dementia.