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Evaluation Methods

WKS 9 COPY

April 25, 2026

Evaluation is a critical component of the proposed Caregiver Stress and Family Conflict Support Group as it allows for an evaluation of whether the group members are decreasing the caregiver burden, increasing their coping ability and preparing members for group termination. The group targets carers that occur with a history of feeling stressed, guilty, grieving, experiencing family conflict and lack of coping strategies to deal with the burden of care giving. So, the aim of the group is to measure the change in the feelings of the members through assessment and demonstrate the change in skills.

The group measurement that I would like to use is the Zarit Burden Interview (ZBI). This tool is suitable as it measures the burden of the care giver, such as the emotional burden, role burden and the impact of care giving on the family and personal life (Zarit et al, 1980). I would administer the ZBI at the beginning of the group, middle and at the end of the group. This will give the social worker an idea of the change in the participants' scores, and show a reduction in the caregiver burden. The tool will be completed by the individual members but the facilitator could see the group's scores by using the mean of the scores.

The ZBI would be useful to use as burden for the carers is discussed in the intervention group. The burden can impact the emotional, physical, social and financial aspects of the caregiver's life, so it is important to determine whether the group is helping the participants to better cope with the burden's demands (Liu et al., 2020). The instrument is also appropriate for the group intervention which has psychoeducation, cognitive behavioral therapy (CBT) strategies, support and problem-solving. Studies indicate that CBT and psychosocial interventions can decrease caregiver's stress and coping in the case of caregivers of patients with dementia, severe mental illness and so on (Kwon et al., 2017; Sampogna et al., 2023). So, if the ZBI score is low this will mean there are changes due to the group.

An observational measure that I would use would be a facilitator's observation measure, which will be rated at the end of each group. This will include attendance, participation, emotional regulation, readiness to give and receive support, using coping skills, re-framing negative thoughts, communication, setting boundaries and a self-care/crisis plan. This will assist the group facilitator to assess whether group members are actually practicing their skills as they learn them in the group.

This measure would be helpful in determining readiness for termination as not only symptom reduction is a measure of change in groups. Interaction, support, cohesion and practice are all indicators of growth in social work groups (Toseland and Rivas, 2017). A member can be ready to be terminated when a member can identify their own stressors and coping styles, assertive communication of their needs, boundaries and outside group support. Observation is also an ethical practice as the facilitator can take into account the members' strengths, culture, needs and progress (National Association of Social Workers [NASW], 2021). The ZBI and facilitator observation scale would give a good indication for group members' performance and readiness for termination.

References

Kwon, O.-Y., Ahn, H. S., Kim, H. J., & Park, K.-W. (2017). Effectiveness of cognitive behavioral therapy for caregivers of people with dementia: A systematic review and meta-analysis. Journal of Clinical Neurology, 13(4), 394–404. https://doi.org/10.3988/jcn.2017.13.4.394

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

National Association of Social Workers. (2021). Code of ethics of the National Association of Social Workers. https://www.socialworkers.org/about/ethics/code-of-ethics

Sampogna, G., Brohan, E., Luciano, M., Chowdhary, N., & Fiorillo, A. (2023). Psychosocial interventions for carers of people with severe mental and substance use disorders: A systematic review and meta-analysis. European Psychiatry, 66(1), Article e98. https://doi.org/10.1192/j.eurpsy.2023.2472

Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Pearson.

Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20(6), 649–655. https://doi.org/10.1093/geront/20.6.649