Use of the measurement of medication administration hassles with Mexican American family caregivers.

AIMS AND OBJECTIVES This study builds on earlier work on medication administration hassles, minor daily irritants experienced by family caregivers of older relatives, by investigating the feasibility of using the Family Caregiver Medication Administration Hassles Scale (FCMAHS) for use with Mexican American caregivers. BACKGROUND Appropriate medication administration is a critical factor in the effective management of chronic illness. When medication regimens are managed on behalf of an older care recipient, especially those with numerous medications for a variety of conditions, the caregiving task is even more complex. Relying on family support is common for older Mexican Americans. Despite this, there is little known about how Mexican Americans are handling their caregiving duties at home. DESIGN A non-experimental methodological design was used to assess the psychometric properties of the FCMAHS with Mexican Americans, chosen because they are a rapidly growing population in the US. METHODS A purposive sample of 239 Mexican American adult caregivers, recruited in Dallas and San Diego, completed a brief biographical survey and the version of the FCMAHS created for Mexican Americans, i.e., the FCMAHS-MA. RESULTS Principal axis factoring with orthogonal rotation was used to extract six factors which accounted for 53% of the variance in total scores - initial information seeking, safety issues, advanced information acquisition, scheduling, daily routine and prescription filling. Reliability estimates for the factors (alpha) ranged from 0.70-0.90. Test-retest reliability across a three-week interval was r = 0.64. CONCLUSIONS The FCMAHC-MA shows promise as a guide for future caregiving intervention studies on family medication management for older relatives; however, it would benefit from refinement in future studies. RELEVANCE TO CLINICAL PRACTICE Understanding family caregivers' hassles with medication administration is important because these hassles can accumulate and lead to caregiver strain. Culturally relevant intervention depends on accurate measurement of the hassles experienced by these caregivers.

[1]  M. McHugh,et al.  Psychometric tests of Expectations of Filial Piety Scale in a Mexican-American population. , 2007, Journal of clinical nursing.

[2]  E. Perez-stable,et al.  The role of culture and language in determining best practices , 2001, Journal of General Internal Medicine.

[3]  Socorro Escandón Mexican American Intergenerational Caregiving Model , 2006, Western journal of nursing research.

[4]  J. Crist,et al.  Accommodating the Stranger en Casa: How Mexican American Elders and Caregivers Decide to Use Formal Care , 2006, Research and Theory for Nursing Practice.

[5]  Lea C. Watson,et al.  Factors associated with potentially inappropriate drug utilization in a sample of rural community-dwelling older adults. , 2005, The American journal of geriatric pharmacotherapy.

[6]  Mary T. Roth,et al.  Self-reported medication use in community-residing older adults: A pilot study. , 2005, The American journal of geriatric pharmacotherapy.

[7]  L. Gerdner Promoting Person-Centered Care Through Family Involvement , 2005 .

[8]  D. Mahoney,et al.  Dementia Caregiving: The Experiences of Hispanic/Latino Caregivers , 2005, Journal of transcultural nursing : official journal of the Transcultural Nursing Society.

[9]  A. Fu,et al.  Inappropriate Medication Use and Health Outcomes in the Elderly , 2004, Journal of the American Geriatrics Society.

[10]  L. Clark,et al.  Conceptualizing and Critiquing Culture in Health Research , 2004, Journal of transcultural nursing : official journal of the Transcultural Nursing Society.

[11]  S. Travis,et al.  Development of the family caregiver medication administration hassles scale. , 2003, The Gerontologist.

[12]  Silke Schmidt,et al.  Current issues in cross-cultural quality of life instrument development. , 2003, Archives of physical medicine and rehabilitation.

[13]  S. Travis,et al.  Analysis of the reliability of the modified caregiver strain index. , 2003, The journals of gerontology. Series B, Psychological sciences and social sciences.

[14]  Cheryl Tatano Beck,et al.  Methods to document semantic equivalence of a translated scale. , 2003, Research in nursing & health.

[15]  P. Areán,et al.  Recruitment and retention of latino dementia family caregivers in intervention research: issues to face, lessons to learn. , 2003, The Gerontologist.

[16]  C. Hinkin,et al.  Medication adherence among HIV+ adults , 2002, Neurology.

[17]  Xuming He,et al.  Inappropriate prescriptions for the aging population of the United States: an analysis of the National Ambulatory Medical Care Survey, 1997 , 2002, Pharmacoepidemiology and drug safety.

[18]  Myriam Skrutkowski,et al.  Translating Instruments Into Other Languages: Development and Testing Processes , 2002, Cancer nursing.

[19]  Mark W. Roosa,et al.  Cultural/ethnic issues and the prevention scientist in the 21st century. , 2002 .

[20]  R. Rosenheck,et al.  Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. , 2000, The Journal of nervous and mental disease.

[21]  H. Perry,et al.  Polypharmacy and hospitalization among older home care patients. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[22]  S. Travis,et al.  Medication administration hassles reported by family caregivers of dependent elderly persons. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[23]  S. Reise,et al.  Evaluating the equivalence of health care ratings by whites and Hispanics. , 2000, Medical care.

[24]  M. Beers,et al.  An intervention study to enhance medication compliance in community-dwelling elderly individuals. , 1999, Journal of gerontological nursing.

[25]  D. Carmelli,et al.  Systolic blood pressure tracking over 25 to 30 years and cognitive performance in older adults. , 1998, Stroke.