방법 비교

	Caregiver Strain Index	Comprehensive Geriatric Assessment
분야	Social Gerontology	Social Gerontology
계열	Latent structure	Process / pipeline
기원 연도	1983	1993
창시자	Betsy C. Robinson	Andreas E. Stuck, Laurence Z. Rubenstein and colleagues (meta-analytic synthesis)
유형	Brief yes/no screening index for informal-caregiver strain	Multidimensional interdisciplinary diagnostic and care-planning process
원전	Robinson, B. C. (1983). Validation of a Caregiver Strain Index. Journal of Gerontology, 38(3), 344-348.	Stuck, A. E., Siu, A. L., Wieland, G. D., Adams, J., & Rubenstein, L. Z. (1993). Comprehensive geriatric assessment: a meta-analysis of controlled trials. The Lancet, 342(8878), 1032-1036.
별칭	CSI, Robinson Caregiver Strain Index, Caregiver Strain Screen, Informal Caregiver Strain Measure	CGA, Geriatric Assessment, Multidimensional Geriatric Assessment, Interdisciplinary Geriatric Evaluation
관련	3	3
요약	The Caregiver Strain Index (CSI) is a brief, thirteen-item yes/no screening tool that measures the strain experienced by informal caregivers of older adults. Developed and validated by Betsy Robinson in 1983, it was designed to be a quick, easily administered instrument that flags caregivers struggling with the physical, financial, social, and time demands of providing care. Each of the thirteen items is endorsed or not, the endorsements are summed into a score from zero to thirteen, and a score of seven or more signals a caregiver under high strain who may need support. The index emerged from the recognition that family caregiving, while central to long-term care of frail and ill older people, exacts a measurable toll that ought to be screened for in clinical practice. Its brevity and simple scoring made it one of the earliest practical caregiver-screening tools and it remains widely used, including in a later modified version. It complements more detailed instruments like the Zarit Burden Interview by offering rapid identification rather than in-depth assessment.	Comprehensive Geriatric Assessment (CGA) is a multidimensional, interdisciplinary diagnostic process that evaluates an older person's medical, functional, cognitive, psychological, social, and environmental status and translates the findings into a coordinated, monitored plan of care. Rather than treating a single presenting complaint, CGA assumes that vulnerability in late life is multifactorial and that problems in one domain spill over into others. Stuck and colleagues' landmark 1993 meta-analysis of controlled trials showed that CGA is not merely descriptive: when it includes control over the implementation of recommendations and structured follow-up, it reduces mortality, increases the chance of living at home, and improves physical and cognitive function. The same synthesis clarified that assessment alone, without the power to act on findings and to follow patients over time, yields little benefit. CGA thus reframed geriatric care around systematic, team-based evaluation linked to action. It became the organizing model for geriatric medicine units, outpatient geriatric clinics, and home-assessment programs worldwide. The method is best understood as a process, not a single scale, even though it is built from many validated instruments.