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Validity and Reliability of the Caregiver Strain Index Scale in Women during the Puerperium in Spain

Author

Listed:
  • David Feligreras-Alcalá

    (Department of Nursing, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

  • María del Pilar Cazalilla-López

    (Department of Nursing, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

  • Rafael del-Pino-Casado

    (Department of Nursing, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

  • Antonio Frías-Osuna

    (Department of Nursing, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

Abstract

Background: The objective of this study is to determine the validity and reliability of the Caregiver Strain Index (CSI) for women during the postpartum period. Methods: This is a validation study of a measurement instrument. This study includes 212 women over the age of 19 who gave birth from March to September 2019 in Maternal and Child Hospital of Jaén (Spain). The items of the CSI were adapted for newborn care. Content validity was measured by five experts, calculating the index of agreement (Aiken’s V). Criterion validity was assessed by correlations with scores of other tools that measure constructs related to burden (Edinburgh Postpartum Depression Scale, State-Trait Anxiety Questionnaire, SOC-13 and Duke-UNC-11). Construct validity was determined by the known-groups method. Internal consistency was measured using Cronbach’s Alpha, and stability was analysed using the intraclass correlation coefficient (ICC). Results: Regarding content validity, an Aiken’s V of 1.00 ( p = 0.032) was obtained. Regarding criterion validity, the correlation analyses showed statistically significant coefficients between the scores of the questionnaire and those of the sense of coherence (r = −0.447, p < 0.001), depressive symptoms (r = 0.429, p < 0.001), social support (rho = −0.379, p < 0.001) and anxiety symptoms (r = 0.532, p < 0.001). The known-groups method showed statistically significant differences in the mean of subjective burden between the groups (depressive symptoms, anxiety symptoms, sense of coherence and social support). The total scale obtained a Cronbach’s alpha value of 0.710. The ICC was 0.979. Conclusions: The adapted CSI is a valid and reliable screening tool for the subjective burden in women during the puerperium. The adapted CSI can play an important role as a guide to detect the subjective burden in women during the puerperium.

Suggested Citation

  • David Feligreras-Alcalá & María del Pilar Cazalilla-López & Rafael del-Pino-Casado & Antonio Frías-Osuna, 2021. "Validity and Reliability of the Caregiver Strain Index Scale in Women during the Puerperium in Spain," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3602-:d:527038
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    References listed on IDEAS

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    1. Megan Thornton & Shirley S. Travis, 2003. "Analysis of the Reliability of the Modified Caregiver Strain Index," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(2), pages 127-132.
    2. S.Ramasamy, Mohan & Ibrahim, Rahimah & Madon, Zainal & Arshat, Zarinah, 2017. "A Validity Study of Malay-translated Version of the Modified Caregivers Strain Index Questionnaire (M-CSI-M)," Journal of Business and Social Review in Emerging Economies, CSRC Publishing, Center for Sustainability Research and Consultancy Pakistan, vol. 3(2), pages 217-226, December.
    3. Man-Man Peng & Tian-Ming Zhang & Ke-Zhi Liu & Ke Gong & Chao-Hua Huang & Guang-Zhi Dai & Shi-Hui Hu & Fu-Rong Lin & Sherry Kit Wa Chan & Siuman Ng & Mao-Sheng Ran, 2019. "Perception of social support and psychotic symptoms among persons with schizophrenia: A strategy to lessen caregiver burden," International Journal of Social Psychiatry, , vol. 65(7-8), pages 548-557, November.
    4. David Feligreras-Alcalá & Antonio Frías-Osuna & Rafael del-Pino-Casado, 2020. "Personal and Family Resources Related to Depressive and Anxiety Symptoms in Women during Puerperium," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
    5. Antonovsky, Aaron, 1993. "The structure and properties of the sense of coherence scale," Social Science & Medicine, Elsevier, vol. 36(6), pages 725-733, March.
    6. Hyejung Lee & Ki-Eun Kim & Mi-Young Kim & Chang Gi Park & Jung Yeol Han & Eun Jeong Choi, 2021. "Trajectories of Depressive Symptoms and Anxiety during Pregnancy and Associations with Pregnancy Stress," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    7. Rafael del-Pino-Casado & Emilia Priego-Cubero & Catalina López-Martínez & Vasiliki Orgeta, 2021. "Subjective caregiver burden and anxiety in informal caregivers: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-20, March.
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