Hurdle

Caregiver Strain Index

screening

Digital administration of Caregiver Strain Index to collect structured patient inputs for validated score calculation and clinical follow-up.

Caregiver Strain Index

Clinical intent

The CSI is a 13-item objective questionnaire designed to assess level of stress experienced by the informal caregivers[1].

References

[1] Sullivan, M. T. (2003). "Caregiver Strain Index (CSI)." Home Health Nurse 21(3): 197-198.

Pathway

Mini Map

Form preview

Interactive preview of the questionnaire. Not for clinical use. Responses are not stored.

Caregiver Strain Index Questionnaire
Please complete this questionnaire. Your responses help your clinical team assess your symptoms and monitor progress over time.
My sleep is disturbed (e.g., because the person I care for is in and out of bed or wanders around at night) 
Caregiving is inconvenient (e.g., helping takes so much time or it’s a long drive over to help) 
It is a physical strain (e.g., because of lifting in and out of a chair; effort or concentration is required) 
Caregiving is confining (e.g., helping restricts free time or cannot go visiting) 
There have been family adjustments (e.g., because helping has disrupted routine; there has been no privacy) 
There have been changes in personal plans (e.g., had to turn down a job; could not go on vacation) 
There have been other demands on my time (e.g., other family members need me) 
There have been emotional adjustments (e.g., because of severe arguments) 
Some behavior is upsetting (e.g., because of incontinence; the person I care for has trouble remembering things; or the person I care for accuses people of taking things) 
It is upsetting to find that he/she has changed so much from his/her former self (e.g., he/she is a different person than he/she used to be) 
There have been work adjustments (e.g., because of having to take time off) 
I'm feeling completely overwhelmed (e.g., because of worry about the person I care for; concerns about how you I will manage) 
It is a financial strain