OBJECTIVE: to adapt and validate the Caregiver Burden Inventory for use with caregivers of older adults in Brazil. METHOD: methodological study involving initial translation, synthesis of translations, back translation, expert committee review, pre-testing, submission of the final version to the original authors, and assessment of the inventory's psychometric properties. The inventory assesses five dimensions of caregiver burden: time-dependence, developmental, physical, social and emotional dimensions. RESULTS: a total of 120 family caregivers took part in the study. All care-receivers were older adults dependent on assistance to perform activities of daily living, and lived in the central region of the city of Porto Alegre, RS, Brasil. Cronbach's alpha value for the inventory was 0.936, and the Pearson correlation coefficient for the relationship between the scores obtained on the Caregiver Burden Inventory and the Burden Interview was 0.814. The intraclass correlation coefficient was 0.941, and the value of Student's T-test comparing test and retest scores was 0.792. CONCLUSION: the instrument presented adequate reliability and the suitability of its items and factors was confirmed in this study.

Introduction: Different terms have been used to describe the aging process while avoiding the negative consequences of advanced age. In this context healthy aging assumes a more extensive meaning than the absence of disease, and includes a process of adapting to the changes that occur throughout life, related to the maintenance of a healthy old age. Objective: To describe the meaning of healthy aging for older adults who participated in health education groups in the Basic Health Care Service of Porto Alegre in the state of Rio Grande do Sul. Method: A qualitative and descriptive study of older adults who participated in health education groups was performed. The 30 participants answered the question "What is healthy aging for you?" Answers were analyzed using thematic analysis. Results: Twelve categories emerged during analysis, the most frequent of which were: adopt healthy behavior, have a social and support network, keep active, be healthy, be independent and autonomous, and have positive feelings. Conclusion: Wider meanings of healthy aging were identified, which embrace issues relevant to elderly health, although more individual aspects have been described in relation to aging.

The Portuguese version presented good semantic equivalence and the results showed that the concepts and items are applicable to the Brazilian context.

Objective: To analyze how elderly people linked to health education groups of a primary care unit seek, understand and share information, aiming to maintain and promote health throughout life. Methods: Qualitative descriptive study, conducted with 30 elderlies linked to three groups of health education during the second semester of 2009. The data collection was performed through interviews and thematic analysis with the assistance of the NVivo software. Results: Five categories of analysis were elaborated -Interest/concern in health, search, understanding, sharing and impact of information on the elderly. Conclusions: The health literacy in the groups developed in an individual perspective, focused on the prevention and treatment of injuries, respecting the history and knowledge of the subjects and appreciating the possibilities of exchange among them. The results support the planning, implementation and improvement of actions in health education with older people in primary care. Keywords: Health education; Health literacy; Health of the elderly RESUMO Objetivo: Analisar como pessoas idosas vinculadas a grupos de educação em saúde de uma unidade básica de saúde buscam, compreendem e partilham informações a fim de manter e promover a saúde ao longo da vida. Métodos: Pesquisa descritiva de caráter qualitativo, realizada com 30 idosos ligados a três grupos de educação em saúde, no segundo semestre de 2009, cuja coleta de informações deu-se por meio de entrevistas e análise temática, com o apoio do software NVivo. Resultados: Foram elaboradas cinco categorias de análise -interesse/preocupação em saúde; busca, compreensão partilha e repercussão das informações para o idoso. Conclusões: A alfabetização em saúde nos grupos desenvolveu-se em uma perspectiva individual, voltada à prevenção e tratamento de danos, respeitando a trajetória e conhecimento dos sujeitos e valorizando possibilidades de trocas entre os mesmos. Os resultados apoiarão o planejamento, implementação e aprimoramento de ações de educação em saúde com idosos na atenção básica à saúde. Descritores: Educação em saúde; Alfabetização em saúde; Saúde do idoso RESUMEN Objetivo: Analizar cómo las personas ancianas vinculadas a grupos de educación en salud de una unidad básica de salud buscan, comprenden y comparten informaciones a fin de mantener y promover la salud a lo largo de la vida. Métodos: Se trata de una investigación descriptiva de carácter cualitativo, realizada con 30 ancianos ligados a tres grupos de educación en salud, en el segundo semestre del 2009, cuya recolección de informaciones se llevó a cabo por medio de entrevistas y análisis temático, con el apoyo del software NVivo. Resultados: se elaboraron cinco categorías de análisis -interés/preocupación en salud; búsqueda, comprensión, compartir y repercusión de las informaciones para el anciano. Conclusiones: La alfabetización en salud en los grupos se desarrolló en una perspectiva individual, volcada a la prevención y tratamiento de los daños, respetando la trayectoria y conocimiento ...

Study conducted with secondary data from cross-sectional population-based studies developed in three regions of the state of Rio Grande do Sul (RS), which aimed to compare the level of dependency for activities of daily living (ADL) of 155 older persons aged 80 years and over. Demographic data and the ADL scale from the 3 studies were used and a multinomial multivariate logistic regression analysis was carried out. The older persons from the urban region of Porto Alegre/RS and from the Northern region of this state presented significantly higher severe dependency than people from the countryside. The results illustrate the heterogeneity of the aging process. Health policies and actions should be planned for the elder elderly in this state.Descriptors: Aged, 80 and over; Activities of Daily Living; Cross-Sectional Studies. Capacidad funcional de ancianos com edad avanzada: estudio comparativo en tres regiones de Rio Grande del SurSe trata de un estudio realizado con datos secundarios de investigaciones poblacionales transversales, desarrolladas en tres regiones de Rio Grande del Sur, que tuvo por objetivo comparar el grado de dependencia para las actividades de la vida diaria (AVD) de 155 ancianos con 80 años o más. Fueron utilizadas preguntas demográficas y la escala de AVD de los tres estudios y realizado un análisis multivariado de regresión logística multinomial. Los ancianos de la región urbana de la ciudad de Porto Alegre y del norte del Estado presentaron, de modo estadísticamente significativo, una mayor dependencia grave que aquellos de la región rural. Los resultados demuestran la heterogeneidad del proceso de envejecimiento, lo que nos lleva a recomendarse la planificación de políticas y acciones de salud dirigidas a ese grupo de personas con la misma edad, en el Estado de Rio Grande del Sur, en Brasil. Descriptores: Ancianos de 80 años y más; Actividades Cotidianas; Estudios Transversales.

Objective: To describe the process of adaptation of an instrument that analyzes the health literacy of older people. Methods: The adaptation consisted of steps to determine conceptual equivalence of items, operationally and semantically. Results: The stages of conceptual and item equivalence showed that the items and concepts of this Canadian instrument was suitable for use in Brazil. The steps of initial translation, back translation, expert committee review and pre-test performed during evaluation of semantic equivalence have resulted in alterations to some items and rewording of some questions. Regarding operational equivalence, the interview was appropriate to local realities. Conclusion: The steps of transcultural adaptation, generally adopted for validation of measurement tools, were used and allowed researchers to adequately conduct this research study. Keywords: Validation study; Health education; Health of the elderly RESUMO Objetivo: Descrever o processo de adaptação transcultural de instrumento que analisa a alfabetização em saúde das pessoas idosas. Métodos: A adaptação compreendeu as etapas de equivalência conceitual e de itens, semântica e operacional. Resultados: As etapas de equivalências conceituais e de itens mostraram que os itens e conceitos do instrumento canadense são adequados para uso no Brasil. As etapas de tradução inicial, retrotradução, avaliação por comitê de especialistas e pré-teste realizadas durante avaliação da equivalência semântica resultaram em alterações de alguns itens e reformulação de algumas questões. Na equivalência operacional, a entrevista mostrou-se adequada à realidade local. Conclusão: Apesar das etapas de adaptação transcultural, geralmente, serem adotadas para validação de instrumentos de aferição, elas foram utilizadas e permitiram aos pesquisadores adequá-las ao tipo de estudo. Descritores: Estudos de validação; Educação em saúde; Saúde do idoso RESUMEN Objetivo: Describir el proceso de adaptación transcultural de un instrumento que analiza la alfabetización en salud de las personas ancianas. Métodos: La adaptación comprendió las etapas de equivalencia conceptual y de items, semántico y operacional. Resultados: Las etapas de equivalencias conceptuales y de items mostraron que los items y conceptos del instrumento canadiense son adecuados para el uso en el Brasil. Las etapas de traducción inicial, retrotraducción, evaluación por un comité de especialistas y pre test realizados durante la evaluación de la equivalencia semántica resultaron en alteraciones de algunos items y reformulación de algumas preguntas. En la equivalencia operacional, la entrevista se mostró adecuada a la realidad local. Conclusión: A pesar de que las etapas de adaptación transcultural, generalmente, sean adoptadas para validación de instrumentos de comprobación, ellas fueron utilizadas y permitieron a los investigadores adecuarlas al tipo de estudio. Descriptores: Estudios de validación; Educación en salud; Salud del anciano Corresponding Author: Lisiane Manganelli Girardi Paskulin ...

Objective: To analyze the association between filial responsibility and the overload of the children when caring for their older parents. Method: Cross-sectional study with 100 caregiver children of older adults. Filial liability was assessed by the attitudes of the responsible child (scale of expectation and filial duty) and by care behaviors (assistance in activities of daily living, emotional and financial support, and keeping company). The overload was assessed by the Caregiver Burden Inventory. To assess the associations, the correlation coefficients of Pearson and Spearman, Kruskal-Wallis Test, and Mann-Whitney were employed. Variables that presented p-value<0.20 in the bivariate analysis were inserted in a multivariate linear regression model. Results: The factors associated with overload were: formal employment (p=0.002), feelings regarding family life (p<0.001), financial support (p=0.027), and assistance with Activities of Daily Living (ADLs) (p<0.001). Conclusion: Children who were more involved with the ADLs and provided financial support showed higher levels of overload.

The purpose of this study is to evaluate the effect of home-care nursing intervention on the burden of family caregivers for older adults surviving a stroke. A randomised clinical trial blinded for outcome evaluation. Forty-eight family caregivers of older adults surviving a stroke took part in the study. The intervention group (IG) received three home visits by nurses in 1 month after hospital discharge for guidance on the disease and care activities for the elderly people. The control group (CG) relied on the service network that had access. The Caregiver Burden Scale was applied to assess the burden outcome 1 week, 60 days and 1 year after hospital discharge. The caregivers of the intervention and CGs had no difference regarding baseline data. There was an interaction effect between the CG and the IG in the isolation domain (p = 0.037) and in the emotional involvement domain (p = 0.003) over time. These findings provide support for strengthening a care line for the elderly people after a stroke, with adequate discharge planning, indicating the importance of integrating care network services such as primary care, home care and hospital care with a view to achieving an effective care transition. It is also necessary to construct a specific instrument to evaluate other outcomes, such as the knowledge and learning of caregivers in relation to the care activities taught. This study is registered in the Clinical Trials with name Nursing Home Care Intervention Post Stroke (SHARE) and under number NCT02807012.