BioPsychoSocial Assessment Tools for the Elderly - Assessment Summary Sheet Test: Cost of Care Index (CCI) Year: 1986 Domain: Social Assessment Tool Category: Caregiving, Dementia/Alzheimer's Variations/Translations: N/A Setting: Any setting Method of Delivery: Questionnaire Description: This is a 20-item questionnaire originally developed to identify high risk informal caregivers of Alzheimer’s patients. Has been used for screening caregivers in different settings. It has 5 domains: Personal and Social, Physical and Emotional, Value, Care recipient as provocateur, and Economic. Although it was developed from a sample of caregivers of Alzheimer’s patients, it can be used for caregivers supporting any sick or elderly person. Scoring/Interpretation: The items are rated using a 4-point Likert scale ranging from “Strongly Agree” to “Strongly Disagree”. All the items are summed to obtain a final global score. A “Low Cost” score is 20 points whereas a “High Cost” score is 100. Subscores can be used to identify specific problems in each domain. Time to Administer: Approximately 20-30 min Availability: Available in source article (Kosberg & Cairl, 1986) Software: SPSS Website: N/A Quantitative/Qualitative: Quantitative Validity (Quantitative): Validation via “identifies high risk placements on the care receiver and high burden placements on family. Has been used for screening caregivers in different settings. Associated with gender, living arrangements, caregiver functioning, and patient functioning” (no statistics reported) (Kosberg et al., 1990). Reliability (Quantitative): Internal reliability alpha = 0.91. References: Kosberg, J.I., & Cairl, R.E. (1986). The Cost of Care Index: A Case Management Tool for Screening Informal Caregivers. Gerontologist, 26, 273-278. Kosberg, J.I., Cairl, R.E., & Keller, D.M. (1990). Components of burden – interventive implications. Gerontologist, 30(2), 236-242. Comments: No validity reported other than the above