New evidence for the psychometric properties of the spanish version of the gain in Alzheimer care instrument

  1. F. Javier García-Castro 1
  2. F. Pablo Holgado-Tello 2
  3. María J. Blanca 1
  1. 1 Universidad de Málaga
    info

    Universidad de Málaga

    Málaga, España

    ROR https://ror.org/036b2ww28

  2. 2 Universidad Nacional de Educación a Distancia
    info

    Universidad Nacional de Educación a Distancia

    Madrid, España

    ROR https://ror.org/02msb5n36

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2021

Número: 24

Tipo: Artículo

DOI: 10.1017/SJP.2021.32 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Resumen

The aim was to analyze the psychometric properties of the Spanish version of the Gain in Alzheimer Care Instrument (GAIN), providing validity evidence based on its internal structure, reliability, item analysis, and relationships with other variables. A sample of 113 informal caregivers of people with dementia completed the GAIN, along with questionnaires assessing burden, general mental health, stress, anxiety, depression, and life satisfaction. Confirmatory factor analysis showed a single-factor structure with adequate fit indices. Reliability of GAIN scores was satisfactory, with McDonald’s omega equal to .91. Items yielded adequate homogeneity indices. Validity evidence based on relationships with other variables was provided by positive correlations between GAIN scores and life satisfaction, and negative correlations with burden, general mental health problems, stress, anxiety, and depression. All these correlations were statistically significant, and most of them were of moderate magnitude. The Spanish version of theGAINhas a single-factor structure and satisfactory psychometric properties. It is quick and easy to apply and given the association between GAIN scores and other variables, it may be used to provide information about a caregiver’s psychological health status.

Referencias bibliográficas

  • APA (2015). Influencia de las emociones positivas en la salud de los cuidadores de enfermos de Alzheimer [Influence of positive emotionson thehealthofAlzheimer caregivers] [Unpublished doctoral dissertation, Universitat de Vàlencia]. Repositori d’Objectes Digitals per a l’Ensenyament la Recerca i la Cultura.
  • Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. https:// doi.org/10.1037/0033-2909.107.2.238
  • Bentler, P. M. (1992). On the fit of models to covariances and methodology to the Bulletin. Psychological Bulletin, 112(3), 400–404. http://doi.org/10.1037/0033-2909.112.3.400
  • Bentler, P. M. (2006). EQS 6 Structural equations program manual. Multivariate Software, Inc.
  • Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588–606. https://doi.org/ 10.1037/0033-2909.88.3.588
  • Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessingmodel fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Sage.
  • Campo-Arias, A., & Oviedo, H. C. (2008). Propiedades psicométricas de una escala: La consistencia interna [Psychometric properties of a scale: Internal consistency]. Revista de Salud Pública, 10, 831–839. http://doi.org/ 10.1590/S0124-00642008000500015
  • Cohen, C. A., Colantonio, A., & Vernich, L. (2002). Positive aspects of caregiving: Rounding out the caregiver experience. International Journal of Geriatric Psychiatry, 17(2), 184–188. https://doi.org/10.1002/gps.561
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd Ed.). Lawrence Erlbaum Associates.
  • Daza, P., Novy,D.M., Stanley,M.A., &Averill, P. (2002). The Depression Anxiety Stress Scale–21: Spanish translation and validation with a Hispanic sample. Journal of Psychopathology & Behavioral Assessment, 24, 195–205. https://doi.org/ 10.1023/A:1016014818163
  • del-Pino-Casado, R., &Ordóñez-Urbano, C. (2016). Efectos de la satisfacción con el tiempo de ocio en personas cuidadoras de familiares mayores dependientes [Effects of satisfaction with leisure time on family carers of elderly dependents]. Atención Primaria, 48, 295–300. https://doi.org/10.1016/ j.aprim.2015.06.005
  • DeVaus, D. (2002).Analyzing social science data: 50 key problems in data analysis. Sage.
  • Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49(1), 71–75. https://doi.org/10.1207/ s15327752jpa4901_13
  • Fabà, J., & Villar, F. (2013). Ganancias asociadas al cuidado de personas con demencia: Adaptación al español de la escala GAIN [Gains associated with caring for people with dementia: A Spanish adaptation of the GAIN]. Revista Española de Geriatría y Gerontología, 48(3), 109–114. https:// doi.org/10.1016/j.regg.2012.10.007
  • Fabà, J., Villar, F., & Giuliani, M. F. (2017). Development of a measure to evaluate gains among Spanish dementia caregivers: The Gains Associated with Caregiving (GAC) Scale. Archives of Gerontology and Geriatrics, 68, 76–83. https://doi.org/10.1016/j.archger.2016.09.004
  • Fowler, C. (2015). Cuidando del cuidador [Caring for the carer]. Nursing, 32(1), 34–37. https://doi.org/10.1016/ j.nursi.2015.02.009
  • Garson,G.D. (2015).Missing values analysis and data imputation. Statistical Associates Publishers.
  • Goldberg, D. P., & Williams, P. (1988). A user’s guide to the General Health Questionnaire. NFER-NELSON.
  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/ 10.1080/10705519909540118
  • Jöreskog, K., & Sörbom, D. (2003). LISREL 8.54 [Computer software]. Scientific Software, Inc.
  • Kenny, D. A., Kaniskan, B., & McCoach, D. B. (2015). The performance of RMSEA in models with small degrees of
  • freedom. Sociological Methods & Research, 44(3), 486–507. https://doi.org/10.1177%2F0049124114543236
  • Kline, R. B. (2011).Methodology in the Social Sciences. Principles and practice of structural equation modeling (3rd Ed.). Guilford Press.
  • Kramer, B. J. (1997a). Gain in the caregiving experience:Where arewe?What next?TheGerontologist, 37(2), 218–232. https:// doi.org/10.1093/geront/37.2.218
  • Kramer, B. J. (1997b). Differential predictors of strain and gain among husbands caring for wives with dementia. The Gerontologist, 37(2), 239–249. https://doi.org/10.1093/ geront/37.2.239
  • Liew, T.M., Luo, N., Ng,W. Y., Chionh, H. L., Goh, J., & Yap, P. (2010). Predicting gains in dementia caregiving. Dementia and Geriatric Cognitive Disorders, 29(2), 115–122. https:// doi.org/10.1159/000275569
  • Lovibond, P. F., & Lovibond, S. H. (1995a). Manual for the Depression Anxiety Stress Scales. Psychology Foundation of Australia.
  • Lovibond, P. F., & Lovibond, S. H. (1995b). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behavior Research and Therapy, 33, 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
  • MacCallum, R. C., Browne,M.W., & Sugawara, H.M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1(2), 130–149. http://doi.org/10.1037/1082-989X.1.2.130
  • Martín,M., Salvadó, I., Nadal, S.,Miji, L. C., Rico, J.M., Lanz, P., & Taussig, M. I. (1996). Adaptación para nuestro medio de la Escala de Sobrecarga del Cuidador (Caregiver Burden Interview) de Zarit [Spanish adaptation of the Zarit Burden Interview]. Revista de Gerontología, 6, 338–346.
  • McDonald, R. P., & Ho, M.-H. R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7(1), 64–82. https://doi.org/10.1037/ 1082-989X.7.1.64
  • Netto,N. R., Jenny,G. Y.N., &Philip, Y. L.K. (2009). Growing and gaining through caring for a loved one with dementia. Dementia, 8(2), 245–261. https://doi.org/10.1177% 2F1471301209103269
  • Pearlin, L. I.,Mullan, J. T., Semple, S. J., & Skaf,M.M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30, 583–594. https:// doi.org/10.1093/geront/30.5.583
  • Rapp, S. R.,&Chao,D. (2000). Appraisals of strain and of gain: Effects on psychological wellbeing of caregivers of dementia patients.Aging &Mental Health, 4, 142–147. https://doi.org/ 10.1080/13607860050008664
  • Rocha, K. B., Pérez, K., Rodríguez-Sanz, M., Borrell, C., & Obiols, J. E. (2011). Propiedades psicométricas y valores normativos del General Health Questionnaire (GHQ–12) en población general española [Psychometric properties and norms for theGeneralHealthQuestionnaire (GHQ–12) in the Spanish general population]. International Journal of Clinical and Health Psychology, 11(1), 125–139.
  • Roepke, S. K., Allison, M., von Känel, R., Mausbach, B. T., Chattillion, E. A., Harmell, A. L., Patterson, T. L., Dimsdale, J. E., Mills, P. J., Ziegler, M. G., Ancoli-Israel, S., &Grant, I. (2012). Relationship between chronic stress and carotid intima-media thickness (IMT) in elderly Alzheimer’s disease caregivers. Stress, 15(2), 121–129. https://doi.org/10.3109/ 10253890.2011.596866
  • Sanders, S. (2005). Is the glass half empty or half full? Reflections on strain and gain in caregivers of individuals with Alzheimer’s disease. Social Work in Health Care, 40(3), 57–73. https://doi.org/10.1300/J010v40n03_04
  • Settineri, S., Rizzo, A., Liotta, M., & Mento, C. (2014). Caregiver’s burden and quality of life: Caring for physical and mental illness. International Journal of Psychological Research, 7 (1), 30–39. https://doi.org/10.21500/20112084.665
  • Steiger, J. H. (2000). Point estimation, hypothesis testing, and interval estimation using the RMSEA: Some comments and a reply toHaydukandGlaser.Structural EquationModeling, 7(2), 149–162. https://doi.org/10.1207/S15328007SEM0702_1
  • Traub, R. E. (1994). Reliability for the social sciences: Theory and applications. Sage.
  • Vázquez, C., Duque, A., &Hervás, G. (2013). Satisfactionwith Life Scale in a representative sample of Spanish adults: Validation and normative data. The Spanish Journal of Psychology, 16, E82. https://doi.org/10.1017/sjp.2013.82
  • Ventura-León, J. L., & Caycho-Rodríguez, T. (2017). El coeficienteOmega:Unmétodo alternativo para la estimación de la confiabilidad [The omega coefficient: An alternative method for estimating reliability]. Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud, 15(1), 625–627.
  • Viladrich, C., Angulo-Brunet, A., & Doval, E. (2017). Un viaje alrededor de alfa y omega para estimar la fiabilidad de consistencia interna [A journey around alpha and omega to estimate internal consistency reliability].Anales de Psicología/ Annals of Psychology, 33(3), 755–782. https://doi.org/ 10.6018/analesps.33.3.268401
  • Wolf, E. J., Harrington, K. M., Clark, S. L., & Miller, M. W. (2013). Sample size requirements for structural equation models: An evaluation of power, bias, and solution propriety. Educational and Psychological Measurement, 73(6), 913–934. https://doi.org/10.1177% 2F0013164413495237
  • Yap, P., Luo, N., Ng, W. Y., Chionh, H. L., Lim, J., & Goh, J. (2010). Gain in Alzheimer care INstrument A new scale to measure caregiving gains in dementia. The American Journal of Geriatric Psychiatry, 18(1), 68–76. https://doi.org/10.1097/ JGP.0b013e3181bd1dcd
  • Zarit, S. H., Reever, K. E., &Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20, 649–655. https://doi.org/10.1093/geront/ 20.6.649
Fuente de los datos: Dialnet