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Journal of Family Nursing, Vol. 12, No. 3, 251-275 (2006)
DOI: 10.1177/1074840706291554
© 2006 SAGE Publications

How Frail Elders Evaluate Their Caregiver's Role Enactment

A Scale to Measure Affection, Skill, and Attentiveness

Karen B. Tetz, RN, PhD

Walla Walla College

Patricia G. Archbold, DNSC, RN, FAAN

Barbara J. Stewart, PhD

Deborah Messecar, PhD, MPH, RN, CNS

Oregon Health & Science University

Mark C. Hornbrook, PhD

Kaiser Permanente Northwest

Stephanie A. Lucas, RN, MS, MPA

Senior and Disabled Services Division, State of Oregon

In this validity study, using factor analysis, the authors identified three dimensions (affection, skill, and attentiveness) of the Care Receiver View of Caregiver Role Enactment Scale, a self-report measure designed to elicit an elderly care receiver's evaluation of how well their family member carried out the role of caregiver. The scale is a revision of the Satisfaction With Caregiving Scale. This study was a secondary analysis of data from PREP: Family-based Care for Frail Older Persons. Care receiver mutuality was the variable most highly correlated with caregiver role enactment. Other variables related to good quality care were higher care receiver positive affect, better caregiver physical health, and lower caregiver role strain; husband caregivers were rated as giving poorer quality care.

Key Words: family caregiving • frail elders • quality of caregiver role enactment • care receiver view of family care • instrument development


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