臺灣未成年家庭照顧者照顧工作及照顧評價工具之發展與驗證

Development and Validation of the Scales of Care Work Assessment and Caregiving Appraisal for Young Carers in Taiwan

基於未成年家庭照顧者的本土評估工具之發展有其實務意義與重要性，本研究的重點在發展與驗證本土的「未成年家庭照顧者照顧工作評估量表」及「未成年家庭照顧者照顧評價量表」，希望有助於瞭解臺灣未成年家庭照顧者的照顧工作類型、照顧工作量以及對照顧的評價。本研究依焦點團體及預試的結果形成量表初版後，蒐集有效問卷888份，分為分析組及對照組兩組獨立樣本，以探索性因素分析及驗證性因素分析進行量表之發展與驗證。研究結果發現，「臺灣未成年家庭照顧者照顧工作評估量表」由「個人化照顧」、「情緒支持」、「手足照顧」、「家務料理」與「家戶管理」五個因素組成；至於「臺灣未成年家庭照顧者照顧評價量表」由「照顧滿足感」、「照顧負荷」、「照顧對學業的衝擊」、「照顧掌握感」與「照顧對生活的衝擊」五個因素組成。兩份量表具有良好的內部一致性、效標關聯效度與區別效度，有助於後續用以進行較大規模的調查，以及獲取與未成年家庭照顧者有關之資訊。

The development of localized assessment tools for young carers has practical significance and importance. The focus of this study is on developing and validating the localized“Young Carer Care Work Assessment Scale”and“Young Carer Caregiving Appraisal Scale”. The aim is to help our understanding of the types of care work, the amount of care work, and the appraisal of caregiving performed by young carers in Taiwan. This study formed a preliminary version of the scale based on the results of the focus group and pretests. Subsequently, a total of 888 valid questionnaires were collected and divided into two independent samples: an analysis group and a control group. Exploratory factor analysis and confirmatory factor analysis were used for the scales’development and validation of the scales. The research findings reveal that the“Young Carer Care Work Assessment Scale”in Taiwan comprises five factors:“personalized care”,“emotional support”,“sibling care”,“housework”, and“household management”. The“Young Carer Caregiving Appraisal Scale”in Taiwan comprises five factors:“Care Satisfaction”,“Care Burden”,“Impact of Care on Academics”,“Sense of Control in Care”, and“Impact of Care on Life”. Both scales demonstrate good internal consistency, criterion-related validity, and discriminative validity, which will aid in conducting larger-scale surveys and gathering relevant information in the future about young carers.