A Rasch Analysis of the Zarit Burden Interview (ZBI) Scale Among Tsunami Survivors’ Caregivers

https://doi.org/10.22146/jpsi.108643

Novita Sari(1*), Very Julianto(2), Kamsi Kamsi(3), Andrian Liem(4), Izzatul Ummah(5)

(1) Department of Psychology Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, Indonesia
(2) Faculty of Psychology, UIN Sunan Kalijaga, Yogyakarta, Indonesia
(3) Faculty of Psychology, UIN Sunan Kalijaga, Yogyakarta, Indonesia
(4) Monash University, Malaysia
(5) Department of Psychology Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, Indonesia
(*) Corresponding Author

Abstract


This study aimed to validate the Zarit Burden Interview (ZBI) among caregivers of elderly tsunami survivors in Aceh,Indonesia. In contexts characterized by disasters or significant social disruption, such as the aftermath of a tsunami, the burden on caregivers becomes increasingly critical. This phenomenon is due to the compounded vulnerabilities experienced by elderly tsunami survivors, which arise from trauma, displacement, and weakened community support systems. Therefore, it is imperative to validate the ZBI (Zarit Burden Interview) in this context. Using the Rasch Model, the study included 513 participants and assessed the construct validity of the ZBI. The findings indicated that the ZBI had a high internal consistency (person separation reliability = 0.81). In dimensionality measurement, an unexplained variance in the 1st contrast of 2.6 was found, slightly above the threshold, suggesting multidimensionality. However, with raw variance explained exceeding 40\% and approaching 60\%, the instrument can be considered sufficiently unidimensional. However, item 21 was identified as a misfit. Thus, it requires revision, considering local cultural values. Overall, the validation of the ZBI using the Rasch model resulted in an instrument that is valid and applicable to post-disaster contexts.

Keywords


burden; caregiver; rasch model; tsunami survivor; validation

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References

Amna, Z., Santy, D. H., Nurhasanah, D., Aristo, N., & Datachi, S. T. (2025). Two decades after traumatic events: Prevalence of mental health in Aceh tsunami survivors. ANIMA Indonesian Psychological Journal, 40(2), E02. https://doi.org/10.24123/aipj.v40i2.6784

Andrich, D. (1978). A rating formulation for ordered response categories. Psychometrika, 43(4), 561–573. https://doi.org/10.1007/BF02293814

Annisa, F. (2016). Burden of family caregiver. Belitung Nursing Journal, 2(1), 10–18. http://belitungraya.org/BRP/index.php/bnj/

Arian, M., Younesi, S. J., & Khanjani, M. S. (2017). Explaining the experiences and consequences of care among family caregivers of patients with cancer in the terminal phase: A qualitative research. International Journal of Cancer Management, 10(10). https://doi.org/10.5812/ijcm.10753

Bakung, D. A., et al. (2022). Tanggung jawab anak terhadap orang tua lanjut usia (lansia) di Desa Kaaruyan Kecamatan Mananggu Kabupaten Boalemo. Nusantara: Jurnal Pengabdian Kepada Masyarakat, 2(3), 142–155. https://doi.org/10.55606/nusantara.v2i3.1442

Bond, T. G., & Fox, C. M. (2015). Applying the Rasch model: Fundamental measurement in the human sciences. Routledge.

Boone, W. J. (2020). Rasch basics for the novice. In M. S. Khine (Ed.), Rasch measurement: Applications in quantitative educational research (pp. 9–30). Springer.

Braun, M., Scholz, U., Hornung, R., & Martin, M. (2010). The burden of spousal caregiving: A preliminary psychometric evaluation of the German version of the Zarit Burden Interview. Aging & Mental Health, 14(2), 159–167. https://doi.org/10.1080/13607860802459781

Choi, J. Y., Lee, S. H., & Yu, S. (2024). Exploring factors influencing caregiver burden: A systematic review of family caregivers of older adults with chronic illness in local communities. Healthcare, 12(10), Article 1002. https://doi.org/10.3390/healthcare12101002

Domínguez-Vergara, J., Santa-Cruz-Espinoza, H., & Chávez-Ventura, G. (2023). Zarit caregiver burden interview: Psychometric properties in family caregivers of people with intellectual disabilities. European Journal of Investigation in Health, Psychology and Education, 13(2), 391–402. https://doi.org/10.3390/ejihpe13020029

Frankenberg, E., Gillespie, T., Preston, S., Sikoki, B., & Thomas, D. (2011). Mortality, the family and the Indian Ocean tsunami. The Economic Journal, 121(554). https://doi.org/10.1111/j.1468-0297.2011.02446.x

Gratão, A. C. M., et al. (2019). Brief version of Zarit Burden Interview (ZBI) for burden assessment in older caregivers. Dementia & Neuropsychologia, 13(1), 122–129. https://doi.org/10.1590/1980-57642018dn13-010015

Hajar, S., Hidayati, S., & Utami, S. (2024). Post-traumatic growth among tsunami survivors: The impact of problem-focused coping on long-term recovery. Al-Ijtimaiyyah, 11(1), 102–112. https://doi.org/10.22373/al-ijtimaiyyah.v11i1

Haroen, H., Juniarti, N., Sari, C. W. M., Prista Sari, S., Arovah, N. I., Pardosi, J. F., & Wibowo, D. A. (2025). Factors associated with caregiver burden in families of patients with palliative and chronic illness: A cross-sectional study. Journal of Multidisciplinary Healthcare, 18, 4497–4510. https://doi.org/10.2147/JMDH.S533067

Harun, S., & Van Nguyen, T. (n.d.). Burden and dimension of social quality of life related to disaster preparedness among family caregivers with chronic kidney disease.

Kako, M., & Mayner, L. (2019). The experience of older people in Japan four years after the tsunami. Collegian, 26(1), 125–131. https://doi.org/10.1016/j.colegn.2018.06.001

Linacre, J. M. (2002). Optimizing rating scale category effectiveness. Journal of Applied Measurement, 3(1).

Liu, Z., Heffernan, C., & Tan, J. (2020). Caregiver burden: A concept analysis. International Journal of Nursing Sciences, 7(4), 438–445. https://doi.org/10.1016/j.ijnss.2020.07.012

Makanjuola, O. J., & Ngcobo, W. B. (2025). Caregiver burden and the related factors among family caregivers of older persons with schizophrenia: A mixed methods study. International Journal of Older People Nursing, 20(5). https://doi.org/10.1111/opn.70047

Manan, A., & Munir, A. (2016). Nilai-nilai pendidikan dalam ritual daur hidup masyarakat Kluer Timur Kabupaten Aceh Selatan. Kementerian Pendidikan dan Kebudayaan.

Maria, A., Larantukan, F., & Yudiarso, A. (2025). Validitas alat ukur Zarit Burden Interview (ZBI) menggunakan model Rasch pada populasi Indonesia. Humanitas, 9(1).

Orlova, O. V., Boiko, D. I., Bodnar, L. A., & Zhyvotovska, L. V. (2024). Cognitive dysfunction and disturbed daily activities of people with dementia impact the psychological stress in family caregivers depending on their anxiety and depression severity. Health Psychology Open, 11. https://doi.org/10.1177/20551029241305549

Özer, N., Yurttaş, A., & Akyıl, R. Ç. (2012). Psychometric evaluation of the Turkish version of the Zarit Burden Interview in family caregivers of inpatients in medical and surgical clinics. Journal of Transcultural Nursing, 23(1), 65–71. https://doi.org/10.1177/1043659611423830

Park, S. Y., Lee, J. B., Lee, T., Jeong, H. Y., Kim, S. Y., & Jeon, S. Y. (2025). Relationship between caregiving burden and alterations in circadian rhythms among spousal caregivers of individuals with cognitive impairment. BMC Geriatrics, 25(1). https://doi.org/10.1186/s12877-025-06316-7

Petkus, A. J., Gum, A. M., King-Kallimanis, B., & Wetherell, J. L. (2009). Trauma history is associated with psychological distress and somatic symptoms in homebound older adults. The American Journal of Geriatric Psychiatry, 17(9), 810–818. https://doi.org/10.1097/JGP.0b013e3181b20658

Rahmani, F., Roshangar, F., Gholizadeh, L., & Asghari, E. (2022). Caregiver burden and the associated factors in the family caregivers of patients with schizophrenia. Nursing Open, 9(4), 1995–2002. https://doi.org/10.1002/nop2.1205

Rayyan, N. (2025). Penerapan nilai edukasi birrul walidain yang terdapat dalam Surah Luqman ayat 15 pada keluarga di Dusun Maja Gampong Mibo Kota Banda Aceh (Thesis, UIN Ar-Raniry).

Reynolds, C. F., Jeste, D. V., Sachdev, P. S., & Blazer, D. G. (2022). Mental health care for older adults: Recent advances and new directions in clinical practice and research. World Psychiatry, 21(3), 336–363. https://doi.org/10.1002/wps.20996

Rezaei, M., Keyvanloo Shahrestanaki, S., Mohammadzadeh, R., Aghili, M. S., Rajabi, M. R., Abbasi, M., Khachian, A., Momen, R., Khavassi, M., & Aghaei, S. (2024). Caregiving consequences in cancer family caregivers: A narrative review of qualitative studies. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1334842

Safarina, N. A., & Suzanna, E. (2020). Gambaran resiliensi masyarakat Aceh setelah mengalami pengalaman traumatis. Jurnal Psikologi, 3(1).

Scott, K. M., et al. (2013). Associations between lifetime traumatic events and subsequent chronic physical conditions: A cross-national, cross-sectional study. PLoS ONE, 8(11). https://doi.org/10.1371/journal.pone.0080573

Soonthornchaiya, R., Tuicomepee, A., & Romano, J. L. (2019). Impacts of tsunami disaster in Thai elderly survivors. Ageing International, 44(2), 154–169. https://doi.org/10.1007/s12126-018-9324-z

Syukriyah, D., & Himaz, R. (2024). Short and medium-run effects of the Indian Ocean tsunami on health costs in Indonesia. World Development, 180, 106648. https://doi.org/10.1016/j.worlddev.2024.106648

Sumintono, B., & Widhiarso, W. (2013). Aplikasi model Rasch untuk penelitian ilmu-ilmu sosial. Trim Komunikata.

Tennant, A., & Conaghan, P. (2007). The Rasch measurement model in rheumatology: What is it and why use it? Arthritis Care & Research, 57(8), 1358–1362. https://doi.org/10.1002/art.23108

Toyono, T., & Noguchi, H. (2025). Natural disaster exposure and informal caregiving burdens: Intensive and extensive margin responses.

Tukino. (2022). Protection of the elderly in disaster situations in Indonesia. IOP Conference Series: Earth and Environmental Science, 989(1). https://doi.org/10.1088/1755-1315/989/1/012020

Umpimai, N., Sangon, S., & Nintachan, P. (2025). Factors influencing psychological distress in caregivers of people with dementia. Healthcare, 13(13). https://doi.org/10.3390/healthcare13131582

Wright, B. D., & Masters, G. N. (1982). Rating scale analysis. MESA Press.

Yulia. (2016). Buku ajar hukum adat. Unimal Press.

Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20, 649–655.



DOI: https://doi.org/10.22146/jpsi.108643

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