| 1. |
- Balducci, C, et al.
(författare)
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Negative impact and positive value in caregiving : Validation of the COPE index in a six-country sample of carers
- 2008
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Ingår i: The Gerontologist. - 0016-9013 .- 1758-5341. ; 48:3, s. 276-286
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The present study attempts to further validate the COPE Index on a large sample of carers drawn from six European countries. Design and Methods: We used a cross-sectional survey, with approximately 1,000 carers recruited in each of six countries by means of a common standard evaluation protocol. Our saturation recruitment of a designated quota of carers occurred by means of several channels, in identified geographical zones within countries. Interviews were carried out with primary informal carers by use of a common assessment tool. We subjected items of the COPE Index to principal component analysis and we assessed emergent components through the use of Cronbach's alpha reliability procedures. We examined factor components as summative scales for confirmatory correlations with caregiving and psychological variables. Results: Three components emerged, which we identified as the negative impact of caregiving, the positive value of caregiving, and the quality of support for caregiving. Internal consistency was good for negative impact and satisfactory for positive value and quality of support. Negative value was most consistently and strongly correlated with caregiving and psychological variables, although we did find diverse associations between these variables and the COPE Index subscales. Implications: The COPE Index is a brief, first-stage assessment of some sophistication that can enable health and social care professionals to develop appropriately targeted interventions to enhance the positive aspects of the caregiving experience and quality of support, as well as reduce the negative impacts of caregiving. Copyright 2008 by The Gerontological Society of America.
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| 2. |
- Mc Kee, K J, et al.
(författare)
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The COPE index - A first stage assessment of negative impact, positive value and quality of support of caregiving in informal carers of older people
- 2003
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Ingår i: Aging & Mental Health. - : Informa UK Limited. - 1360-7863 .- 1364-6915. ; 7:1, s. 39-52
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Tidskriftsartikel (refereegranskat)abstract
- Data was collected in five countries from informal carers of older people (n=577) via a common protocol. Carers completed: (1) a 17-item version of the Carers of Older People in Europe (COPE) Index, an assessment of carers' perceptions of their role, (2) a questionnaire on demographic and caregiving circumstances, and (3) three instruments included for the criterion validation of the COPE Index (the General Health Questionnaire, the Hospital Anxiety and Depression Scale, and the World Health Organization Quality of Life-BREF). Principal Component Analysis of the COPE Index was followed by internal consistency analysis of emergent components. Scales derived by summing items loading on the components were analyzed for their association with the criterion measures. Two components, negative impact and positive value, emerged consistently across countries. A third component, quality of support was less consistent across countries. Scales derived from the negative impact and positive value components were internally consistent and significantly associated with the criterion validity measures. These two scales and four items drawn from the quality of support component were retained in the final COPE Index. While further testing is required, the COPE Index has current utility in increasing understanding of the role perceptions of carers of older people.
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| 3. |
- McKee, Kevin, et al.
(författare)
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The willingness of informal carers of older people to continue caring : results of the EUROFAMCARE study
- 2010
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Ingår i: Psychology and Health. - : Informa UK Limited. - 0887-0446 .- 1476-8321. ; 25:Suppl. 1, s. 59-59
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: The willingness to continue in the caregiving role has been shown to be one of the most significant factors in the breakdown of family care of an older person. Willingness to care was considered in the EUROFAMCARE study, which examined the characteristics of caregiving in six European countries. Methods: Nearly 6000 informal carers of older people (n = 1000 in Germany, Italy, Sweden, Greece, Poland and the UK) were recruited using a shared sampling protocol and interviewed using a standardized questionnaire. Logistic regression procedures determined the best model of willingness to care in each country. Results: Between 29% and 14% of the variance in willingness to care was explained by the models. No single variable was significant in the models across all countries, but the negative impact of care was associated with low willingness in five countries, while being a son/daughter carer was associated with high willingness in four. The category of variables that explained the most variance in willingness to care was ‘caregiving circumstances and relationships’. Conclusions: If a carer's motivation for caregiving is to be maintained, support for carers must adequately address any negative impact of their role, and use a relationship-centred approach.
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