Reliability and Validity of the COPE Index among Caregivers of Hemodialysis Patients in Pakistan

Abstract

Objective: To assess the reliability and validity of the COPE (Carers of Older People in Europe) index tool among
the caregivers of dialysis-dependent patients in Pakistan.
Study Design: Cross-sectional study.
Place and Duration of Study: The study was conducted at the Dialysis Unit of Pakistan Kidney Patients
Association Rawalpindi, Bahria International Hospital Rawalpindi and Fauji Foundation Hospital Rawalpindi,
Pakistan, from December 2018 to January 2019.
Methods: A 15-item COPE index questionnaire was administered, and data were collected from 124 caregivers
of patients undergoing regular hemodialysis. A Principal Component Analysis (PCA) was performed on all items
of the COPE index to retain the underlying components. Further, Cronbach's alpha was used to assess the
internal consistency of the retained component structure and loadings obtained from the PCA and the entire
instrument separately.
Results: The PCA analysis revealed that, with the context of this study, the COPE index had good internal
consistency for the negative aspects of caregiving and social support (Cronbach's alpha scores were 0.864 and
0.781, respectively). For the positive impact items, a Cronbach's alpha score of 0.655 indicated modest internal
consistency. Cronbach's alpha of 0.714 for the entire 15 items indicated that the COPE index had good overall
internal consistency in our study population.
Conclusion: The COPE index was found to be a valid tool for use in Pakistan to assess the caregiver experience,
including both positive and negative aspects of caregiving.

How to cite this: Nasim S, Lowe NM, Moran VH, Dillon S, Zaheer S, Philp I. Reliability and Validity of the COPE Index among Caregivers of Hemodialysis Patients in Pakistan. Life and Science. 2023; 4(4): 393-400. doi: http://doi.org/10.37185/LnS.1.1.351