title: Measuring caregiver activation for health care: Validation of PBH-LCI:D.
abstract: Improving the quality of health care for individuals living with dementia is a central goal of the National Alzheimer's Plan, and requires the participation of informed family caregivers as active members of the patient's health care team. "Caregiver activation" is an emerging concept for which dementia-specific measures are lacking. We developed and validated a new self-report index of caregiver activation, Partnering for Better Health - Living with Chronic Illness: Dementia (
  D).
  D has high content validity and good internal consistency and test-retest reliability, with 32 items and a strong six-factor structure reflecting all major health care domains of dementia caregiving. Comparisons with measures of related constructs and potential caregiver and patient predictors of activation indicate that
  D measures a unique construct and therefore should be useful as a marker of caregiver needs for education and behavioral change coaching, and as the foundation for developing interventions to enhance caregiver activation and successful partnership with clinicians.
authors.affiliation: University of Washington School of Nursing, Department of Psychosocial and Community Health, 1959 NE Pacific St. T509B, Box 357263, Seattle, WA 98195-7263, USA. Electronic address: sadakt@uw.edu.
authors.forename: Tatiana
authors.initials: T
authors.lastname: Sadak
authors.affiliation: University of Washington School of Public Health, Department of Biostatistics, USA.
authors.forename: Anna
authors.initials: A
authors.lastname: Korpak
authors.affiliation: University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
authors.forename: Soo
authors.initials: S
authors.lastname: Borson
mesh_terms: D000368:Aged; D010054:Brief Psychiatric Rating Scale / Q000706:statistics & numerical data; D017028:Caregivers / Q000523:psychology*; D003704:Dementia / Q000451:nursing; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D057566:Self Report; D011795:Surveys and Questionnaires
keywords: Caregiver activation; Dementia caregiving; Partnership in health care; Self-management