Mcsi Description 1

Section of Supportive Hospice and Palliative Medicine Department of Family and Community Medicine University of the Philippines – Philippine General Hospital Manila

SHPM PROGRAM DOCUMENT (CFAT 012011-10)

COMPENDIUM OF FILIPINO ASSESSMENT TOOLS FOR CLINICAL PRACTICE & RESEARCH

MODIFIED CAREGIVER STRAIN INDEX (MCSI)

AUTHOR/S: EI Yu-Maglonzo, MD and MT Bautista, MD FILIPINO VERSION: The MCSI was developed in Filipino. PURPOSE: To assess adult caregiver strain. DESCRIPTION: The Modified Caregiver Strain Index (MCSI), which is in Filipino is used to screen burden or strain among Filipino caregivers of debilitated patients. It was patterned after the Caregiver Strain Index (Robinson, 1983). SCORING: The MCSI is an eleven-statement questionnaire using a three-point Likert scale. The scores are summed; and the total score ranges from 11 to 33. The higher the score, the higher the level of caregiver strain. There are eleven areas noted were caregiver strain may occur and these are: sleep disruption, physical strain, family adjustments, competing demands, changes in personal plans, added responsibilities, emotional adjustments, adjustment to patient’s personality changes and upsetting behavior, feeling of being overwhelmed and financial strain. Suggested classification system for ease of interpretation is as follows: 23 or less = Normal, 24 to 28 = Predisposition to Strain, and 29 and above = Severe Caregiver Strain. RELIABILITY: The original CSI was reported to have a high internal consistency reliability (Cronbach’s alpha = .86) and construct validity was supported by correlations with the physical and emotional health of the caregiver and with subjective views of the caregiving situation. The instrument’s authors reported good reliability and validity for the MCSI. VALIDITY: The MCSI has been shown to correlate with other measures of well being, depressive mood, and quality of life. However, further internal consistency and reliability studies are recommended for Filipino medical populations. A study of adult family caregivers of children with cancer in the Philippines showed that the MCSI also correlated well with psychosocial reaction to illness, and caregiver strain (Medina, Martin et al, 2010). PRIMARY REFERENCES: 1) Bautista MT, Yu-Maglonzo EI, and Pilares-Cruz MV. (1997). Modified Caregiver Strain Index. Presented at the Department of Family Medicine, University of Santo Tomas Residents’ Annual Research Forum, November 1997. Manila, UST. 2) YuMaglonzo EI. (2008). Geriatric medicine: Principles and practice (pp. 349-356). Manila: University of Santo Tomas. OTHER REFERENCES: 1) Robinson, B. (1983). Validation of a Caregiver Strain Index. Journal of Gerontology. 38:344-348. 2) M. Medina, A Martin, A Panganiban-Corales, L Nicodemus, and A Bausa. Impact of Illness Using the Biopsychosocial Perspective: Development and Evaluation of the Children’s Biopsychosocial Survey and the Psychosocial Reaction to Illness Scale. SHPM Research Document (CHILD 102010-2). Section of Supportive Hospice and Palliative Medicine (SHPM), DFCM, UP-PGH. 2010. In addition to the primary reference, this document can be cited as follows: M. Medina and the Section of Supportive Hospice and Palliative Medicine (SHPM). Modified Caregiver Strain Index (MCSI). SHPM Program Document. Compendium of Filipino Assessment Tools for Clinical Practice & Research (CFAT 012011-10). SHPM, DFCM, UP-PGH. 2011. AVAILABILITY: The authors prefer to be informed if the MCSI will be used in clinical and research programs. Dr. EI Yu-Maglonzo can be contacted through the Family Medicine Departments of the University of the Philippines – Philippine General Hospital, and the University of Santo Tomas.

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MODIFIED CAREGIVER STRAIN INDEX (MCSI)

LAGYAN NG TSEK (9) ANG KAHON NG IYONG NAPILING SAGOT Madalas (3) 1. Naaabala ang aking pagtulog dahil sa pag-aasikaso sa pasyente. 2. Ang pag-aalaga sa aking pasyente ay nakakapagod dahil sa pagkarga, pag-alalay at pag-asikaso. 3. Ang pag-aalaga sa aking pasyente ay nagdulot ng mga pagbabago sa buhay ng aking pamilya dahil sa nagulong pang-araw-araw na gawain. 4. Nauubos ang aking pansariling oras sa pag-aalaga ng aking pasyente. 5. Ang pag-aalaga sa aking pasyente ay nagdulot ng mga pagbabago sa aking mga plano sa buhay tulad ng pagpalit o pagtigil sa trabaho o pagaaral, paglabas-labas, pagbabakasyon, at iba pa. 6. Bukod sa pag-aalaga sa aking pasyente, mayroon pang dumagdag na responsibilidad na nangangailangan din ng aking oras. 7. Ang pag-aalaga sa aking pasyente ay nangangailangan ng tibay ng loob dahil sa hindi naiiwasang mga alitan at hindi pagkakaunawaan. 8. Ako ay nalulungkot dahil malaki na ang ipinagbago ng aking pasyente mula ng siya ay magkasakit. 9. May mga pagkakataon na nauubos ang aking pasensiya at ako ay naiinis dahil sa ikinikilos ng aking pasyente. 10. Lubos akong nag-aalala kung paano ko makakayanan ang sitwasyong ito. 11. Malaki na ang aking gastusin dahil sa pag-aalaga sa pasyente.

Yu-Maglonzo EI, Bautista MT. Modified Caregiver Strain Index (MCSI). University of Santo Tomas. Manila.

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