Brief version of Zarit Burden Interview (ZBI) for burden assessment in older caregivers

Gratão, Aline Cristina Martins; Brígola, Allan Gustavo; Ottaviani, Ana Carolina; Luchesi, Bruna Moretti; Souza, Érica Nestor; Rossetti, Estefani Serafim; Oliveira, Nathalia Alves de; Terassi, Mariélli; Pavarini, Sofía Cristina Iost

doi:10.1590/1980-57642018dn13-010015

Cited by 78 publications

(53 citation statements)

References 35 publications

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“…However, the most widely used is ZBI-12, introduced by Be´dard et al [15]. ZBI-12 has shown good psychometric properties in various languages and cultures [16][17][18][19][20][21][22][23][24][25]. Regarding its factor structure, the dimensions of ZBI range from 2 to 5 [15,20].…”

Section: Introductionmentioning

confidence: 99%

Investigating psychometric properties of the Thai version of the Zarit Burden Interview using rasch model and confirmatory factor analysis

Pinyopornpanish

Wongpakaran

et al. 2020

BMC Res Notes

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Objective: The Zarit Burden Interview (ZBI) has been widely used to assess caregiver burden. Few research papers have investigated the Thai version of the ZBI. The study aimed to examine the psychometric properties of the Thai version of both the full length (ZBI-22) and short versions (ZBI-12) using Rasch analysis and confirmatory factor analysis among a sample of Alzheimer's disease caregivers. Results: The ZBI-22 fitted the Rasch measurement model regarding unidimensionality but not for ZBI-12. Five items from ZBI-22, and 2 items from ZBI-12 were shown to be misfitting items. Half of ZBI items were shown to be disordered category or threshold, and were locally dependent. CFA revealed three-factor and four-factor fitted the data the best for ZBI-22 and ZBI-12, respectively. Reliability was good for both forms of the ZBI (α = 0.86-0.92). Significant correlations were found with caregiver's perceived stress, anxiety/depression, pain and mobility but not with self-care and usual activity (p > 0.05), indicating convergent and discriminant validity. To conclude, the Thai version ZBI-22, but not ZBI-12, supported the reliability and unidimensional scale among Alzheimer's disease caregivers. Some misfitting items of the ZBI undermined the unidimensionality of the scale, and need revision.

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Section: Introductionmentioning

confidence: 99%

Investigating psychometric properties of the Thai version of the Zarit Burden Interview using rasch model and confirmatory factor analysis

Pinyopornpanish

Wongpakaran

et al. 2020

BMC Res Notes

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“…Previous studies investigating different short versions of the ZBI in caregivers of patients with cancer, dementia, and brain injuries found that the 12‐item version had the greatest validity and consistency and suggested a cut‐off of 12 points for high burden . Another study by Gratão et al suggested that the cut‐off point for the ZBI‐12 for community‐dwelling older caregivers was 13 points . The first study involving the development of the ZBI‐12 included caregivers of older patients, of whom most patients had dementia.…”

Section: Discussionmentioning

confidence: 99%

Effect of lower extremity amputation on caregiving burden in caregivers of patients with diabetic foot: Prospective cohort study

Çamur

Batıbay

Bayram

2020

International Wound Journal

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Lower extremity amputation as a treatment of diabetic foot ulcer is probably a major burden for the patient's family and friends, who typically act as caregivers and support the patient in coping with the physical disabilities and emotional distress. In the present prospective study, we investigated the effects of different lower extremity amputation levels for diabetic foot ulcer treatment on caregivers of patients with diabetes using the Zarit Burden Interview (ZBI‐12) scale. Patients with diabetic foot ulcers who underwent unilateral major amputation (above‐below knee) and minor amputation of foot (heel sparing) and their caregivers were requested to volunteer to participate in this study from June 2016 to December 2018. The ZBI‐12 form was completed immediately preoperatively and 3 and 6 months after postoperatively. In the minor amputation group, the mean age of the 51 patients was 72.1 years. In the major amputation group, the mean age of the 88 patients was 73.7 years. Both groups of caregivers of patients with minor amputation and major amputations showed a significant improvement in ZBI‐12 score when compared preoperatively and at 3‐ and 6‐month follow‐up visits. The mean ZBI‐12 score was significantly higher in the major than in the minor amputation group in preoperative and all postoperative visits. The absence of the ankle joint in the below‐ or above‐knee amputation renders it more difficult for the amputee to quickly learn the use of prosthesis, thereby increasing the burden of the patient and caregivers. We found that lower extremity amputation for the treatment of chronic diabetic foot ulcers has significantly favourable effect on the caregiver burden, and thereby heel sparing was considerably more effective for the caregiver burden.

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“… 11,12 . ZBI 12 score of >13 was taken as a reliable cut off for screening for caregiver burden 13 . But this cut off has not yet been validated in Indian population.…”

Section: Objectivementioning

confidence: 99%

Quality of life, caregiver burden and mental health disorders in primary caregivers of patients with Cirrhosis

Hareendran

Devadas

Sreesh

et al. 2020

Liver International

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Background and Aims Caregivers are needed for cirrhotic patients as there is progressive decline in cognition and self‐care. We intend to study the quality of life (QOL), psychosocial burden and prevalence of mental health disorders among caregivers. Methods Cross‐sectional study where caregivers, defined as person who takes responsibility of providing care to patient, of cirrhotic patients were included. Short form 36 health survey (SF‐36) to assess QOL, Zarit Burdern Index12 (ZBI) for caregiver burden (CB). Patient Health Questionnaire (PHQ) identified depression and Generalized Anxiety Disorder (GAD‐7) questionnaires, anxiety. Results Of 132 caregivers, mean age of caregiver was 41.2 ± 10.3 years, with female preponderance. Mean MELD was 21.4 ± 7, majority belonged to CHILD C. Comparing the SF36 score of caregivers to normal population showed lower level of QOL for caregivers. Mean ZBI score – 14 ± 5.8. Mean GAD score – 8.1 ± 5.1, 54 (41%) had anxiety. Mean PHQ score – 7.8 ± 5.2, 45 (34%) had depression. Regression analysis Alcoholic cirrhosis, history of hepatic encephalopathy (HE), Anxiety, Depression and recidivism predicted CB. Treatment costs (ODDS‐1.15), alcoholic cirrhosis (ODDS –8.9), history of HE (ODDS‐7.5) and caregiver duration (ODDS‐0.25) predicted anxiety. Treatment costs (ODDS‐1.5), caregiver age (ODDS‐0.87), spouse as caregiver (ODDS‐10.9) and higher education (ODDS‐0.79) predicted depression. Conclusions Caregivers of cirrhotic patients have high prevalence of CB with low QOL and high incidence of anxiety and depression, compared with the general population. Alcoholism in patients precipitates while higher education helps cope up with these disorders.

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Brief version of Zarit Burden Interview (ZBI) for burden assessment in older caregivers

Cited by 78 publications

References 35 publications

Investigating psychometric properties of the Thai version of the Zarit Burden Interview using rasch model and confirmatory factor analysis

Investigating psychometric properties of the Thai version of the Zarit Burden Interview using rasch model and confirmatory factor analysis

Effect of lower extremity amputation on caregiving burden in caregivers of patients with diabetic foot: Prospective cohort study

Quality of life, caregiver burden and mental health disorders in primary caregivers of patients with Cirrhosis

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