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Développement d’une version canadienne-française du Montgomery Borgatta Caregiver Burden Scale*

  • Nathalie Farley (a1), Louise Demers (a1) (a2) and Bonnie R. Swaine (a1) (a3)

Abstract

Assessing the burden linked to caring for the frail elderly is becoming an important issue in rehabilitation. The purpose of this study was to translate/validate the Montgomery Borgatta Caregiver Burden Scale into French for use in Canada. This easy-to-use questionnaire evaluates aspects of burden such as objective, subjective stress and subjective demand burden. The instrument underwent: 1) parallel translation/back-translation; 2) expert's committee review leading to an experimental version; 3) pre-test to ensure wording clarity; and 4) study of psychometric properties with bilingual subjects (n = 27) and French-speaking subjects (n = 18). Results suggest that convergence between the original and the French versions is satisfactory for two of the three sub-scales of the MBCBS (ICC 0.83 et 0.96). The test-retest stability coefficients are also very good (ICC of 0.92 et 0.91), as is internal consistency (0.90, 0.66). The objective burden sub-scale correlates moderately with a measure of functional autonomy (SMAF). Results for the subjective burden scale linked to demand are, however, inadequate. All in all, two of the three sub-scales of the French-Canadian version of the Montgomery Borgatta Caregiver Burden Scale demonstrate adequate psychometric properties, thereby favouring its use in geriatric rehabilitation.

Évaluer le fardeau des proches-aidants est primordial en réadaptation gériatrique afin d’établir un plan d’intervention tenant compte de la dyade aîné-aidant. Le but de cette recherche est de développer une version canadienne-française du Montgomery Borgatta Caregiver Burden Scale, en suivant les étapes suivantes: 1) traductions/traductions renversées parallèles; 2) production d’une version expérimentale en comité d’experts; 3) pré-test; 4) étude des valeurs psychométriques auprès de sujets bilingues (n = 27) et francophones (n = 18). Les résultats suggèrent une convergence élevée de la version canadienne-française avec la version originale (CCI 0,83 et0,96) pour les sous-échelles fardeau objectif et fardeau subjectif relié au stress. Pour celles-ci, les coefficients de fidélité test-retest de la nouvelle version sont très bons (CCI de0,92 et de0,91) de même que la cohérence interne (0,90, et0,66). La sous-échelle fardeau objectif est modérément corrélée avec une mesure d’indépendance fonctionnelle (SMAF). Les résultats pour la sous-échelle du fardeau objectif relié à la demande sont insatisfaisants. Deux des trois sous-échelles de la version canadienne-française du Montgomery Borgatta Caregiver Burden Scale présentent des qualités psychométriques favorisant leur utilisation en réadaptation gériatrique.

Copyright

Corresponding author

Requests for offprints should be sent to:/Les demandes de tirés-à-part doivent être adressées à: Louise Demers, O.T., Ph.D., Centre de recherche de L'Institut universitaire de gériatrie de Montréal, 4565, chemin de la Reine Marie, Montréal, Québec, Canada, H3W 1W5, (Louise.Demers@UMontreal.ca)

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L'article a été rédigé dans le cadre de la formation à la maîtrise du premier auteur, avec L'appui du Groupe de recherche Université de Montréal-Université McGill sur les services intégrés pour les personnes âgées (SOLIDAGE). Merci à Francine Giroux pour L'aide reliée aux analyses statistiques, à Diane Patenaude, Claudette Cloutier, Marie Chevalier et Marie Dufresne, pour le recrutement des participants. Un merci particulier aux proches-aidants et proches-aidantes qui ont bien voulu se prêter à L'exercice de cette recherche.

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References

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