Cultural Adaptation and Psychometric Properties of the Caregiving Ambivalence Scale for Brazilian Family Caregivers.

OBJECTIVES

Culturally adapt and validate the Caregiving Ambivalence Scale (CAS) for Brazil.

METHODS

Two independent translations and back-translations were conducted. Conceptual, cultural, and idiomatic equivalence were evaluated (Fleiss' Kappa = 1.0). The Brazilian CAS, a sociodemographic questionnaire, the Depression Anxiety and Stress Scale -21 were administered online to 111 family caregivers of people with Alzheimer's across Brazil.

RESULTS

Parallel Analysis and an Exploratory Factor Analysis indicated a single empirical dimension with excellent fit indices (χ2 = 4.921; df = 5, p = .430; CFI = 0.999; TLI = 1.000; RMSEA = 0.000). The CAS was significantly associated with depression (β = 0.589), stress (β = 0.653), and anxiety (β = 0.455) when controlling for sociodemographic variables.

CONCLUSIONS

The Brazilian version of CAS is still in the early stages of validation, but demonstrated good psychometric properties and equivalence to the original instrument.

CLINICAL IMPLICATIONS: The Brazilian version of CAS has the potential to support interventions to promote caregivers' mental health.