Related Experiment Video
Updated: Apr 18, 2026

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
Development of an Experience-Based Caregiver Burden Scale in Advanced Cancer
Kwo-Chen Lee1, Jia-Jean Yiin, Yann-Fen Chao
1Author Affiliations: School of Nursing and Department of Nursing, China Medical University Hospital (Dr Lee); and Department of Neurosurgery, Neurological Institute, Taichung Veteran General Hospital (Dr Yiin), Taichung; and Department of Nursing, Mackay Medical College, New Taipei City (Dr Chao), Taiwan.
Background:
Family caregivers complete caregiving tasks but may not explore their own feelings about their caregiving experience.
Objectives:
The objectives of this study were to develop an experience-based caregiving burden scale for caregivers of patients with advanced cancer and to estimate its predictive value for depression.
Methods:
The instrument was first systematically constructed on the basis of data obtained from detailed interviews of 12 caregivers. Then, 134 caregivers completed the questionnaire as a field test to estimate the psychometric properties of the developed tool.
Results:
We achieved a 13-item Caregiver Burden Scale (CBS) with 3 dimensions: health impact, role competence, and resource and growth. The construct validity, criterion-related validity, and internal consistency reliability of the CBS were satisfactory. A CBS score higher than 25.5, or health impact subscale score higher than 10.5, or role performance score higher than 7.5 indicated significant depression and the need for assistance from healthcare providers.
Conclusion:
The CBS has adequate reliability and validity to assess the burden experienced by caregivers of patients with advanced cancer. It was also predictive for significant depression.
Implication For Practice:
Nurses may use the CBS to provide timely assistance to family caregivers during their caregiving for a patient with advanced-stage cancer.
Related Concept Videos
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
Bonanno's Theory of Grieving
Resilience
Kubler Ross's Stages of Dying
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
Lazarus's Cognitive Appraisal Theory
Primary Appraisal:...
Continuing Care
Coping Strategies: Emotion Focused