Caregiver Contribution to Self-Care of Chronic Illness Inventory: Evaluation of Measurement Properties in a Middle-Income Country

<b>Background/Objectives:</b> Caregivers engage in essential tasks that support patients’ well-being and survival, including administering medications, promoting healthy lifestyle choices, and monitoring and managing symptoms. To date, no valid and reliable instrument is available to ass...

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Main Authors: Sajmira Adëraj, Alta Arapi, Rocco Mazzotta, Alessandro Stievano, Dasilva Taci, Dhurata Ivziku, Vicente Bernalte-Martí, Ercole Vellone, Gennaro Rocco, Maddalena De Maria
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Nursing Reports
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Online Access:https://www.mdpi.com/2039-4403/15/2/42
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author Sajmira Adëraj
Alta Arapi
Rocco Mazzotta
Alessandro Stievano
Dasilva Taci
Dhurata Ivziku
Vicente Bernalte-Martí
Ercole Vellone
Gennaro Rocco
Maddalena De Maria
author_facet Sajmira Adëraj
Alta Arapi
Rocco Mazzotta
Alessandro Stievano
Dasilva Taci
Dhurata Ivziku
Vicente Bernalte-Martí
Ercole Vellone
Gennaro Rocco
Maddalena De Maria
author_sort Sajmira Adëraj
collection DOAJ
description <b>Background/Objectives:</b> Caregivers engage in essential tasks that support patients’ well-being and survival, including administering medications, promoting healthy lifestyle choices, and monitoring and managing symptoms. To date, no valid and reliable instrument is available to assess Caregiver Contribution (CC) to self-care in chronic conditions in middle-income countries such as Albania. <b>Aim:</b> To evaluate the measurement properties (structural and construct validity, internal consistency reliability, stability, and measurement error) of the instrument CC to Self-Care of the Chronic Illness Inventory (CC-SC-CII) in Albanian caregivers caring for elderly people affected by multiple chronic conditions. <b>Methods:</b> A cross-sectional study. We enrolled caregivers of patients with multiple chronic conditions, from August 2020 to April 2021, if they were (a) 18 years of age or older and (b) were identified by the patient as the main unpaid caregiver. <b>Results</b>: Confirmatory factor analysis confirmed the two-factor structure of the CC to Self-Care Maintenance and Management scales and the one-factor structure of the CC to Self-Care Monitoring scale. Reliability estimates were adequate for all (coefficients ranging between 0.827 and 0.961). The construct’s validity was supported. The measurement error was adequate. <b>Conclusions:</b> The Albanian version of the CC to Self-Care of the Chronic Illness Inventory features sound measurement properties and is a valid and reliable instrument for assessing caregiver contribution to patient self-care behaviors in the Albanian population.
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spelling doaj-art-395865c66acf49d0b73a8caa14c7f5ce2025-08-20T03:12:01ZengMDPI AGNursing Reports2039-439X2039-44032025-01-011524210.3390/nursrep15020042Caregiver Contribution to Self-Care of Chronic Illness Inventory: Evaluation of Measurement Properties in a Middle-Income CountrySajmira Adëraj0Alta Arapi1Rocco Mazzotta2Alessandro Stievano3Dasilva Taci4Dhurata Ivziku5Vicente Bernalte-Martí6Ercole Vellone7Gennaro Rocco8Maddalena De Maria9Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Clinical and Experimental Medicine, University of Messina, 98122 Messina, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Health Professions, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, ItalyDepartment of Nursing, Faculty of Health Sciences, University of Jaume I, 12071 Castellón, SpainDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyCenter of Excellence for Nursing Culture and Research, Order of Nursing Professions of Rome, 00136 Rome, ItalyDepartment of Life Science, Health, and Health Professions, Link Campus University, 00165 Rome, Italy<b>Background/Objectives:</b> Caregivers engage in essential tasks that support patients’ well-being and survival, including administering medications, promoting healthy lifestyle choices, and monitoring and managing symptoms. To date, no valid and reliable instrument is available to assess Caregiver Contribution (CC) to self-care in chronic conditions in middle-income countries such as Albania. <b>Aim:</b> To evaluate the measurement properties (structural and construct validity, internal consistency reliability, stability, and measurement error) of the instrument CC to Self-Care of the Chronic Illness Inventory (CC-SC-CII) in Albanian caregivers caring for elderly people affected by multiple chronic conditions. <b>Methods:</b> A cross-sectional study. We enrolled caregivers of patients with multiple chronic conditions, from August 2020 to April 2021, if they were (a) 18 years of age or older and (b) were identified by the patient as the main unpaid caregiver. <b>Results</b>: Confirmatory factor analysis confirmed the two-factor structure of the CC to Self-Care Maintenance and Management scales and the one-factor structure of the CC to Self-Care Monitoring scale. Reliability estimates were adequate for all (coefficients ranging between 0.827 and 0.961). The construct’s validity was supported. The measurement error was adequate. <b>Conclusions:</b> The Albanian version of the CC to Self-Care of the Chronic Illness Inventory features sound measurement properties and is a valid and reliable instrument for assessing caregiver contribution to patient self-care behaviors in the Albanian population.https://www.mdpi.com/2039-4403/15/2/42caregiversself-carechronic illnessolder adultsinstrumentmeasurement properties testing
spellingShingle Sajmira Adëraj
Alta Arapi
Rocco Mazzotta
Alessandro Stievano
Dasilva Taci
Dhurata Ivziku
Vicente Bernalte-Martí
Ercole Vellone
Gennaro Rocco
Maddalena De Maria
Caregiver Contribution to Self-Care of Chronic Illness Inventory: Evaluation of Measurement Properties in a Middle-Income Country
Nursing Reports
caregivers
self-care
chronic illness
older adults
instrument
measurement properties testing
title Caregiver Contribution to Self-Care of Chronic Illness Inventory: Evaluation of Measurement Properties in a Middle-Income Country
title_full Caregiver Contribution to Self-Care of Chronic Illness Inventory: Evaluation of Measurement Properties in a Middle-Income Country
title_fullStr Caregiver Contribution to Self-Care of Chronic Illness Inventory: Evaluation of Measurement Properties in a Middle-Income Country
title_full_unstemmed Caregiver Contribution to Self-Care of Chronic Illness Inventory: Evaluation of Measurement Properties in a Middle-Income Country
title_short Caregiver Contribution to Self-Care of Chronic Illness Inventory: Evaluation of Measurement Properties in a Middle-Income Country
title_sort caregiver contribution to self care of chronic illness inventory evaluation of measurement properties in a middle income country
topic caregivers
self-care
chronic illness
older adults
instrument
measurement properties testing
url https://www.mdpi.com/2039-4403/15/2/42
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