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Psychometric evaluation and cultural adaptation of the Spanish version of the “Scale for End-of Life Caregiving Appraisal”

Published online by Cambridge University Press:  03 August 2018

José Manuel Hernández-Padilla*
Affiliation:
Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, The Burroughs, London, United Kingdom Nursing, Physiotherapy and Medicine Department, Faculty of Health Sciences, University of Almeria, Spain
Matías Correa-Casado
Affiliation:
Internal Medicine Ward at Poniente Hospital, El Ejido, Almería, Spain
José Granero-Molina
Affiliation:
Nursing, Physiotherapy and Medicine Department, Faculty of Health Sciences, University of Almeria, Spain Internal Medicine Ward at Poniente Hospital, El Ejido, Almería, Spain Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile
Alda Elena Cortés-Rodríguez
Affiliation:
Nursing, Physiotherapy and Medicine Department, Faculty of Health Sciences, University of Almeria, Spain
Tamara María Matarín-Jiménez
Affiliation:
Internal Medicine Ward, Motril Hospital, Motril, Granada, Spain
Cayetano Fernández-Sola
Affiliation:
Nursing, Physiotherapy and Medicine Department, Faculty of Health Sciences, University of Almeria, Spain Internal Medicine Ward at Poniente Hospital, El Ejido, Almería, Spain Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile
*
Author for correspondence: José Manuel Hernández-Padilla, Universidad de Almería, Edificio de Ciencias de la Salud, Carretera de Sacramento s/n. Almería 04120, Spain. E-mail: J.Hernandez-Padilla@ual.es

Abstract

Objective

To translate, culturally adapt, and psychometrically evaluate the Spanish version of the “Scale for End-of Life Caregiving Appraisal” (SEOLCAS).

Method

Observational cross-sectional study. Convenience sample of 201 informal end-of-life caregivers recruited in a southern Spanish hospital. The reliability of the questionnaire was assessed through its internal consistency (Cronbach's α) and temporal stability (Pearson's correlation coefficient [r] between test-retest). The content validity index of the items and the scale was calculated. Criterion validity was explored through performing a linear regression analysis to evaluate the SEOLCAS’ predictive validity. Exploratory factor analysis was used to examine its construct validity.

Results

The SEOLCAS’ reliability was very high (Cronbach's α = 0.92). Its content validity was excellent (all items’ content validity index = 0.8–1; scale's validity index = 0.88). Evidence of the SEOLCAS’ criterion validity showed that the participants’ scores on the SEOLCAS explained approximately 79.3% of the between-subject variation of their results on the Zarit Burden Interview. Exploratory factor analysis provided evidence of the SEOLCAS’ construct validity. This analysis revealed that two factors (“internal contingencies” and “external contingencies”) explained 53.77% of the total variance found and reflected the stoic Hispanic attitude toward adversity.

Significance of results

The Spanish version of the SEOLCAS has shown to be an easily applicable, valid, reliable, and culturally appropriate tool to measure the impact of end-of-life care provision on Hispanic informal caregivers. This tool offers healthcare professionals the opportunity to easily explore Hispanic informal end-of-life caregivers’ experiences and discover the type of support they may need (instrumental or emotional) even when there are communicational and organizational constraints.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2018 

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