Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out Burden: 12 with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the Burden: 12 document in the editor.
Begin with Part 1, where you will enter your Respondent Identification Data. Fill in the EIA ID Number, Year, and Company Name accurately.
In Part 2, Submission Information, indicate if this is a resubmission by marking the appropriate box. Provide your contact details including name, phone number, and email for any follow-up.
Proceed to Part 3 to select the Type of Operations applicable to your company. Check all that apply from the provided list.
Continue filling out Parts 4 through 6 by entering data regarding Natural and Supplemental Gas Supply and Disposition. Ensure all volumes and costs are reported accurately.
Finally, review your entries in Part 7 for any necessary footnotes or comments before submitting your completed form.
Start using our platform today for free to streamline your form completion process!
The Caregivers Burden Scale (CBS) is a 22-item scale that assess subjectively experienced burden by caregivers to chronically disabled persons. The caregiver is asked to tick one of the four boxes (not at all, seldom, sometimes, often) score 1 to 4 for each question.
What is the burden score for the ZBI?
The ZBI is a 22-item questionnaire on a 5-point Likert scale that ranges from 0 (never) to 4 (nearly always). Higher scores indicate greater burden: 021 little or no burden; 2140 mild to moderate burden; 4160 moderate to severe burden; 6188 severe burden.
What is the scale to measure caregiver burden?
The Zarit Burden Interview (ZBI) is a selfreport scale aimed at assessing the subjective burden experienced by a caregiver [22,23]. It consists of 22 questions relating to problems that arise in different areas: health and well-being, personal and social life and finances.
What is the cut-off score for ZBI?
ZBI cut-off scores which range from 2426 are useful in identifying caregivers at risk of depression and in need of further assessment and intervention [26]; caregivers with a score of 24 are categorically defined as being in a clinically high burden group, as this methodology has accurately predicted determinants
What is the burden assessment scale?
The Burden Assessment Scale (BAS) is a 19-item, self-administered scale to assess the burden on families with a seriously mentally ill family member. Items 1-10 assess objective consequences, including financial problems, limitations on personal activity, and household disruptions.
Related Searches
Global burden of mental health 2023Caregiver burden Scale pdfZarit Burden Interview 12 scoringzbi-12Burden Scale for Family CaregiversBurden Assessment scale PDFZarit Burden Interview scoringCaregiver burden scale scoring
A 21-item, self-administered scale that uses DSM-5 criteria. Each question is rated from 0 to 3 the maximum score is 63. Scores of 1419, 2028, and 2963 can be interpreted as mild, moderate, and severe depression respectively.
What is the cut-off for the Zung self rating depression scale?
The scale produces raw scores between 20 and 80, however Zung [4] recommended converting these to Index Scores (which ranged between 25 and 100) by the simple process of multiplying by 1.25. Zungs recommended cut-off for identifying adults with depressive disorder was index scores of 50 and over.
What is the cut off for the ZBI 12?
Based on caregivers with a higher degree of stress considering the PSS score quartiles, a cut-off score of 13 points on the ZBI-12 is suggested for screening burden in community-dwelling older caregivers, but should not be assumed as normative data.
Zarit Caregiver Burden Assessment (Short, 12-items). Name: Date: The following is a list of statements that reflect how people sometimes feel when taking care
Validation and Reliability of the 12-item Zarit Burden
by OO Ojifinni 2018 Cited by 40 The 12-item ZBI is a valid and reliable tool for assessing burden in informal settings among caregivers of elderly persons.
Cookie consent notice
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.
