A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers

Objectives: To evaluate the psychometric characteristics of the Thai version of Caregiver Contribution to Self-Care (CC-SC) of Chronic Illness Inventory version 2 (CC-SC-CII-v2) in stroke caregivers. Methods: We conducted a multicenter, cross-sectional study following the COSMIN guidelines, evaluati...

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Main Authors: Nuntaporn Klinjun, Jom Suwanno, Kannika Srisomthrong, Juk Suwanno, Matthew Kelly
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:International Journal of Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352013223001138
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author Nuntaporn Klinjun
Jom Suwanno
Kannika Srisomthrong
Juk Suwanno
Matthew Kelly
author_facet Nuntaporn Klinjun
Jom Suwanno
Kannika Srisomthrong
Juk Suwanno
Matthew Kelly
author_sort Nuntaporn Klinjun
collection DOAJ
description Objectives: To evaluate the psychometric characteristics of the Thai version of Caregiver Contribution to Self-Care (CC-SC) of Chronic Illness Inventory version 2 (CC-SC-CII-v2) in stroke caregivers. Methods: We conducted a multicenter, cross-sectional study following the COSMIN guidelines, evaluating validity and reliability of three separate scales, CC-SC Maintenance, CC-SC Monitoring, and CC-SC Management, as well as overall CC-SC-CII-v2. From September to December 2022, we enrolled 422 stroke caregivers from primary care centers in southern Thailand. Structural validity was assessed through confirmatory factor analysis (CFA), while concurrent validity was evaluated using Pearson’s correlation r coefficients between CC-SC-CII-v2 and the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). Internal coherence reliability was assessed using Cronbach’s α coefficient, the composite reliability index, and the McDonald’s ω coefficient. Additionally, test-retest reliability was assessed with intraclass correlation coefficients (ICCs). Results: The study included mostly middle-aged women who cared for their parent. CFA supported the two-factor structure of the CC-SC Maintenance and Management scales and the one-factor structure of the CC-SC Monitoring scale. A simultaneous CFA on the combined set of items supported the more general model. The concurrent validity of CC-SC-CII-v2 with CSE-CSC was established (r ranging 0.47–0.65, all P < 0.001). Reliability estimates supported adequate Cronbach’s α coefficient (ranging 0.83–0.89), composite reliability (ranging 0.84–0.85), McDonald’s ω coefficients (ranging 0.83–0.85), and ICCs (ranging 0.86–0.90) across the three scales. Conclusions: The Thai CC-SC-CII-v2 demonstrated strong psychometric properties among stroke caregivers. It can be a valuable instrument to investigate the role of caregivers in contributing to stroke patients’ self-care in diverse cultural contexts like Thailand.
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spelling doaj.art-e62246ed9e4a41f7bd5cadd74cff0e9a2023-11-08T04:08:53ZengElsevierInternational Journal of Nursing Sciences2352-01322023-10-01104456467A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregiversNuntaporn Klinjun0Jom Suwanno1Kannika Srisomthrong2Juk Suwanno3Matthew Kelly4Faculty of Nursing, Prince of Songkla University, Songkhla, ThailandSchool of Nursing, Walailak University, Nakhon Si Thammarat, Thailand; The Excellent Center of Community Health Promotion, Walailak University, Thailand; Corresponding author. School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand.School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand; The Excellent Center of Community Health Promotion, Walailak University, ThailandStroke Care Center, Hat Yai Hospital, Songkhla, ThailandNational Centre for Epidemiology and Population Health, Australian National University, Canberra, AustraliaObjectives: To evaluate the psychometric characteristics of the Thai version of Caregiver Contribution to Self-Care (CC-SC) of Chronic Illness Inventory version 2 (CC-SC-CII-v2) in stroke caregivers. Methods: We conducted a multicenter, cross-sectional study following the COSMIN guidelines, evaluating validity and reliability of three separate scales, CC-SC Maintenance, CC-SC Monitoring, and CC-SC Management, as well as overall CC-SC-CII-v2. From September to December 2022, we enrolled 422 stroke caregivers from primary care centers in southern Thailand. Structural validity was assessed through confirmatory factor analysis (CFA), while concurrent validity was evaluated using Pearson’s correlation r coefficients between CC-SC-CII-v2 and the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). Internal coherence reliability was assessed using Cronbach’s α coefficient, the composite reliability index, and the McDonald’s ω coefficient. Additionally, test-retest reliability was assessed with intraclass correlation coefficients (ICCs). Results: The study included mostly middle-aged women who cared for their parent. CFA supported the two-factor structure of the CC-SC Maintenance and Management scales and the one-factor structure of the CC-SC Monitoring scale. A simultaneous CFA on the combined set of items supported the more general model. The concurrent validity of CC-SC-CII-v2 with CSE-CSC was established (r ranging 0.47–0.65, all P < 0.001). Reliability estimates supported adequate Cronbach’s α coefficient (ranging 0.83–0.89), composite reliability (ranging 0.84–0.85), McDonald’s ω coefficients (ranging 0.83–0.85), and ICCs (ranging 0.86–0.90) across the three scales. Conclusions: The Thai CC-SC-CII-v2 demonstrated strong psychometric properties among stroke caregivers. It can be a valuable instrument to investigate the role of caregivers in contributing to stroke patients’ self-care in diverse cultural contexts like Thailand.http://www.sciencedirect.com/science/article/pii/S2352013223001138CaregiversChronic diseaseCaregiver contributionFamily supportPsychometricsSelf-care
spellingShingle Nuntaporn Klinjun
Jom Suwanno
Kannika Srisomthrong
Juk Suwanno
Matthew Kelly
A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers
International Journal of Nursing Sciences
Caregivers
Chronic disease
Caregiver contribution
Family support
Psychometrics
Self-care
title A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers
title_full A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers
title_fullStr A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers
title_full_unstemmed A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers
title_short A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers
title_sort psychometrics evaluation of the thai version of caregiver contribution to self care of chronic illness inventory version 2 in stroke caregivers
topic Caregivers
Chronic disease
Caregiver contribution
Family support
Psychometrics
Self-care
url http://www.sciencedirect.com/science/article/pii/S2352013223001138
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