Validity of the Compassionate Engagement and Action Scales with family carers of older adults: confirmatory factor analyses

Int Psychogeriatr. 2021 Apr;33(4):373-383. doi: 10.1017/S1041610220001738. Epub 2020 Sep 15.

Abstract

Objectives: To confirm the factor validity of the Compassionate Engagement and Action Scales (CEAS), as set out in the original development study, when used with a sample of family carers of older adults.

Design: A series of confirmatory factor analyses were undertaken to test the previously proposed factor solutions of each scale.

Setting: As part of a larger cross-sectional survey, the scales were completed online or via hard copy between July and December 2019.

Participants: An international sample of 171 family carers of adults aged 65 years or older.

Measurements: The CEAS are three measures that individually assess Compassion for Self, Compassion to Others, and Compassion from Others. All scales measure two aspects, "engagement" and "actions" (two-factor solution), and Compassion for Self also measures two further dimensions within engagement: "sensitivity to suffering" and "engagement with suffering" (three-factor solution).

Results: Results were largely consistent with the two-factor solutions proposed for the three orientations of compassion, with acceptable fit and good internal reliability. There was some support for the three-factor solution of Compassion for Self; however, despite model fit comparable to the two-factor solution, internal reliability of the delineated "engagement" dimensions was low, and there was a weak factor loading for item 5 that measured distress tolerance.

Conclusions: Use of the CEAS with family carers of older adults is promising. Further research is recommended with larger samples and to explore distress tolerance as a competency within conceptualization and measurement of compassion.

Keywords: caring; compassion; factor analysis; family caregiver; psychometrics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged, 80 and over
  • Caregivers / psychology*
  • Cross-Sectional Studies
  • Empathy*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires