Adaptation, linguistic and clinimetric validation of the Bangla version of Zarit Burden Interview

Abstract

The aim of this study was to develop a culturally adapted and validated Bangla version of Zarit Burden Interview (ZBI-B) questionnaire for use in Bangla speaking caregiver of patient with dementia. This study was conducted on 100 caregivers related to consecutively attending outpatients with a previously established primary diagnosis of dementia, according to DSM-IV criteria. Validity and reliability were evaluated by comparing with the caregiver burden inventory (CBI). An exploratory factor analysis with the principle component with varimax rotation was used to detect the factorial structure in observed measurements. To attain the best-fitting structure and the correct number of factors, the following criteria were used: Eigen values >1.0, factor loadings >0.30. The Cronbach's alpha value was 0.847 for test and 0.839 retest. The intra-class correlation for the test-retest reliability was 0.89. The ZBI score was highly correlated with the CBI score (Pearson's correlation coefficient, r = 0.909, p = 0.001). From the exploratory factor analysis six factors comprising 20 items were extracted with Eigen values higher than 1.00 accounting for 69% of the total item variance. In conclusion, ZBI-B is valid, reliable and useful for use in clinical contexts and in future studies that could lead to a better understanding of caregiver burden in dementia.

Cross-Cultural Adaptation and Psychometric Validation of the Moroccan Dialect Version of the Zarit Scale of Dementia Caregivers’ Burden

“…The Zarit-MOR factor analysis extracted seven principal components with an eigenvalue ≥1, which explain 77.838% of the total variance. These results are close to the Bengali version of Zarit scale indicating that six components with an eigenvalue ≥1 represent 69% of the total variance [11].…”

“…The alpha coefficient of this study was low because the investigation was conducted in a single medical center in a single geographical area and with caregivers of patients with a different disease. Similarly, in [11], a Bengali version realized with 100 caregivers of patients with dementia. This study found an alpha and ICC coefficient of 0.8 respectively.…”

Zarit burden interview among caregivers of community‐dwelling older adults in a caribbean setting (Jamaica): Reliability and factor structure

“…Other named factors include: 'embarrassment/anger', 'patient's dependency', 'captivity', 'loss of control' and 'guilt'/'self-criticism'/'inadequacy' (Cheng et al, 2014;Flynn Longmire & Knight, 2011;Rabin et al, 2016;Torres et al, 2012). Comparatively, in the aforementioned studies, the numbers of factors reported in studies from developing country settings appear to be greater than those from developed countries.…”

Combined Effects of the Mobile Health (mHealth) Psychoeducation and Benson Relaxation Technique in Reducing the Caregiving Burden of Cancer Patients in Bangladesh: A Protocol for a Randomized Controlled Trial

“…Initially, a baseline study was conducted to assess the caregiving burden among female informal caregivers of cancer patients. Subsequently, in this study, individual caregivers are enrolled based on their experiences with mild-to-moderate, moderate-to-severe, and severe burdens, as determined using the Bangla version of the Zarit Burden Interview (ZBI)-22 [ 22 ]. The inclusion criteria were as follows: females aged 18 years or older and those who have been providing care to a cancer-diagnosed patient for at least six months.…”

“…Data on caregivers' sociodemographic characteristics includes age, marital status, education level, employment status, monthly family income, presence of chronic diseases, relationship with the patient, duration of caregiving (months), and daily caregiving time (hours). Moreover, the ZBI-22 [ 22 ], Hospital Anxiety Depression Scale (HADS) [ 24 ], and World Health Organization Quality of Life Instrument (WHOQOL-BREF) [ 25 ] will be used to assess the level of burden, anxiety, depression, and QOL, respectively, all of which were validated and adopted in the local language, Bengali.…”