Christine A March, Linda M Siminerio, Traci M Kazmerski, Anastasia Albanese-O'Neill, Elizabeth Miller, Ingrid Libman
School-based diabetes care: A national survey of U.S. pediatric diabetes providers
Pediatric diabetes
care givers palliated patients risk adverse physical psychosocial emotional sequelae varied nature efficient valid assessment tools facilitate early detection take corrective measures modified caregiver strain index mcsi composed domains associated caregiver strain simple brief tool used clinical field settings study aimed adapt validate order cater effective palliative care services sri lanka crosscultural adaptation 200 primary caregivers 3 teaching hospitals recruited internal consistency itemtotal correlations 13item smcsi performed criterion validity assessed pearson correlation total scores smcsi karnofky performance scale barthel index construct validity determined principal component analysis keeping varimax keiser normalization rotation method kaisermeyerolkin test kmo bartletts test sphericity statistics also performed determine adequacy sample correlations items respectively number factors determined scree plot percentage variance explained component number eigen values 01 kaiserguttman rule total mcsi score ranged 0 26 overall cronbachs alpha 13item questionnaire 080 itemtotal corrections ranged 034 062 exception one item 011 inverse correlations demonstrated total scores mcsi karnofky performance scale r 032 p 0001 barthel index r 034 p 0001 kaisermeyerolkin value 079 p 0001 bartletts test indicated adequate sampling nonlinearity factors scree plot showed threefactor structure explaining 57 variation items regarding personal wellbeing caregiver loaded together effects family loaded separately adjustment personal concerns family issues along time alteration grouped third factor study showed sinhala version mcsi adequate psychometric properties reliability used validated tool estimate caregiver burden within short time period health care workers