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Title: Using the affiliate stigma scale with caregivers of people with dementia : psychometric evaluation
Authors: Chang, CC
Su, JA
Lin, CY 
Issue Date: 2016
Source: Alzheimer's research & therapy, 2016, v. 8, 45, p. 1-8
Abstract: Background: In this study, we examined the psychometric properties of the Affiliate Stigma Scale to measure affiliate stigma for caregivers of family members with dementia, a topic scantily covered in the literature.
Methods: Two hundred seventy-one caregivers were recruited. Each completed the Affiliate Stigma Scale, Caregiver Burden Inventory, Taiwanese Depression Questionnaire, Beck Anxiety Inventory, and 28-item World Health Organization Quality of Life questionnaire. The data were evaluated for internal consistency and concurrent validity, and they were analyzed using Rasch statistics and confirmatory factor analysis (CFA).
Results: CFA and Rasch analysis suggested that the Affiliate Stigma Scale contains three underlying unidimensional concepts (cognition, affect, and behavior). The three concepts had satisfactory internal consistency (α = 0.822-0.855) and concurrent validity (r = 0.290-0.628 with caregiver burden, 0.391-0.612 with depression, 0.367-0.467 with anxiety, and −0.590 to −0.365 with quality of life).
Conclusions: The Affiliate Stigma Scale is a promising instrument with sound psychometric properties for measuring affiliate stigma. Healthcare providers might want to use it to understand the caregivers’ perspectives and to design appropriate interventions to decrease their affiliate stigma.
Keywords: Affiliate stigma
Caregiver
Confirmatory factor analysis
Dementia
Rasch
Publisher: BioMed Central
Journal: Alzheimer's research & therapy 
EISSN: 1758-9193
DOI: 10.1186/s13195-016-0213-y
Rights: © The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The following publication Chang, C. C., Su, J. A., & Lin, C. Y. (2016). Using the affiliate stigma scale with caregivers of people with dementia : psychometric evaluation. Alzheimer'S Research & Therapy, 8, 45, 1-8 is available at https://dx.doi.org/10.1186/s13195-016-0213-y
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