Validating the caregiver self-efficacy in contribution to self-care scale Thai version for stroke: A psychometric evaluation.
Jom Suwanno, Nuntaporn Klinjun, Kannika Srisomthrong and 3 others
PMID 37641546WHAT IT FOUND
Family caregivers of Thai stroke survivors rated confidence in monitoring, following treatment, spotting changes, and relieving symptoms.
The authors found the 10-item scale usable for assessment.
Key findings
01The Thai caregiver-confidence scale was tested in 434 caregivers of people with stroke, most of whom were female children or grandchildren living with the patient.
02The authors described six caregiver-confidence areas: keeping the patient stable, following treatment, monitoring the condition, recognizing changes, persisting with remedies, and evaluating symptom relief.
03The authors reported an overall score of 0.87 for how consistently the items worked together and judged the scale suitable for use.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a questionnaire validation, not a treatment study. It does not show that measuring caregiver confidence improves stroke care or patient outcomes. The sample was limited to caregivers who could read Thai, communicated in Thai, and were selected from primary care or hospital registries, so it may not apply to all stroke caregivers. The authors changed the factor structure after the three-factor model fit poorly, then used content matching to create a six-factor model. This makes the final structure less confirmatory. The authors noted the scale examines only one part of caring for stroke patients and did not study actual patient outcomes.
Declared interests
Funded by Walailak University, Thailand, through an individual scholarship (grant number WU-IRG-65-028). The authors declare no conflict of interest, and the funder had no role in design, data collection, analysis, writing, or publication decision.
The easy way to misread this
Do not read this as proof that measuring caregiver confidence improves stroke outcomes. The study only tested a Thai questionnaire in 434 caregivers. It did not give an intervention, did not measure patient health outcomes, and did not show that using the scale in nursing care improves outcomes.