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Exemplary Care among Chinese Dementia Familial Caregivers

Department of Counselling and Psychology, Hong Kong Shue Yan University, Hong Kong, China
Sau Po Centre on Ageing, University of Hong Kong, Hong Kong, China
Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China
Mindlink Research Centre, Hong Kong, China
Authors to whom correspondence should be addressed.
Healthcare 2018, 6(4), 141;
Received: 25 October 2018 / Revised: 30 November 2018 / Accepted: 3 December 2018 / Published: 5 December 2018
(This article belongs to the Special Issue Care of People Living with Dementia)
PDF [255 KB, uploaded 20 December 2018]


Objective: This study investigates the feasibility of using the Exemplary Care Scale (ECS) among Chinese dementia familial caregivers, and reports its psychometric properties. Method: Back translation was used to develop the Chinese version of ECS (C-ECS). Three hundred and ninety-seven dyads of caregivers and their relatives with dementia responded to an assessment battery which included questions on care recipients’ cognition, behavioral and psychological symptoms, daily activities assistance, social support, and caregiver well-being. Results: Results of an exploratory principal component analysis revealed two subscales in the 11-item C-ECS: considerate caregiving and preserving esteem. C-ECS and its subscales demonstrated sufficient reliability, as well as criteria-related validity through its association with care recipient’s cognition and health, and caregivers’ well-being and social support. Discussion: Our findings provide preliminary support to C-ECS as a reliable and valid measure of exemplary caregiving among Hong Kong Chinese familial dementia caregivers. In the light of the increasing importance of familial care in dementia care planning, we recommend the use of this brief scale in regular caregiver assessment in research and service delivery. View Full-Text
Keywords: quality of care; family; informal care; dementia; Alzheimer’s disease; Chinese quality of care; family; informal care; dementia; Alzheimer’s disease; Chinese
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Lau, B.H.P.; Lou, V.W.; Cheung, K.S.L. Exemplary Care among Chinese Dementia Familial Caregivers. Healthcare 2018, 6, 141.

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