A validity and reliability study of the care challenge scale (CCS) among turkish caregivers of patients with Alzheimer's disease


Erten Z. K., Ödek Ö., Savaş M., Aslaner H., Kiliç S., ZİNCİR H., ...Daha Fazla

Geriatric Nursing, cilt.68, 2026 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 68
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.gerinurse.2026.103809
  • Dergi Adı: Geriatric Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, AgeLine, CINAHL, MEDLINE
  • Anahtar Kelimeler: Alzheimer’s disease, Care challenge scale (CCS), Caregivers, Reliability, Validity
  • Erciyes Üniversitesi Adresli: Evet

Özet

This study adapted the Care Challenge Scale (CCS) into Turkish and evaluated its validity and reliability for Turkish caregivers of Alzheimer’s patients. The CCS was translated and validated through exploratory and confirmatory factor analyses with a sample of 100 caregivers. The Cronbach alpha coefficient was 0.915 overall, and 0.835 and 0.905 for the subscales. Test-retest reliability was r=0.700. The content validity index (CVI) was 0.80. Exploratory factor analysis explained 68.446% of variance across two subscales (lack of social-financial support, effective roleplay challenge). Confirmatory factor analysis supported the two-dimensional structure (χ²/df = 1.676, RMSEA=0.083). The CCS was found to be a valid and reliable instrument for assessing care challenge levels among caregivers of Alzheimer’s patients.