Objective:to derive psychometric indicators of construct validity and internal consistence of the Zarit Burden Interview scale for caregivers, describing associations of the scale with metrics related to care demands, coping strategies and depression in aged caregivers. Method:crosscutting descriptive and correlational study. The convenience sample was composed by a hundred and twenty one senior caregivers (Avg=70.5 ± 7.2 years, 73% women). They answered a questionnaire to check the physical and cognitive demands of care, the Zarit Burden Interview (ZBI), the California Inventory of Coping Strategies and the Geriatric Depression Scale (GDS-15). Results:ZBI showed good internal consistency and also for the three factors emerging from factor analysis, explaining 44% of variability. ZBI is positively related with objective care demands (p < 0.001), depression (p = 0.006) and use of dysfunctional coping strategies (p = 0.0007). Conclusion:ZBI is of interest to be applied to aged caregivers and the association of higher degrees of burden, dysfunctional coping and depression show a vulnerability scenario that may affect to older people taking care of other elderly.

Objective: To identify if multimorbidity and burden are associated with a greater likelihood of frailty in elderly caregivers of other elderly persons within the family context. Method: 148 elderly caregivers caring for other elderly persons [M=69.7 (±7.0) years old] were recruited using a criterion of convenience in public and private health services in the city of Campinas and surrounding areas. Information was gathered about socio-demographic context, context of care, physical health, care burden using the Zarit Burden Scale, and frailty, measured by subjective evaluation. Four groups of vulnerability were created based on the presence or absence of multimorbidities and high or low burden, in order to verify which group was most strongly associated with frailty. Data were analyzed using descriptive analysis, measurements of association and multivariate hierarchical logistic regression. Results: The prevalence of multimorbidity was 55.4%. The Zarit Burden Scale presented a median of 23 out of a total of 88 points. Of the sample, 35.1% were frail, 46.0% intermediate, and 18.9% robust. Elderly caregivers with multimorbidity and high burden had a greater probability of frailty (OR=3.6; CI 1.55-8.36), followed by those with multimorbidity and low burden (OR=2.8; CI 1.13-6.79). Conclusion: The sensation of burden among caregivers was reduced; those with double vulnerability were most prevalent among the four groups and had the greatest association with the occurrence of frailty; multimorbidity was associated with frailty. If combined with perceived burden, however, the odds ratios of the elderly caregivers being frail increased.

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Este texto relata a importância da territorialização como instrumento para a formação em saúde a partir de uma experiência de extensão popular vinculada à Universidade Federal da Paraíba (UFPB). Trata-se de um relato de experiência, com abordagem qualitativa, de atividade de territorialização, baseado na sistematização de experiências segundo Oscar Jara. A atividade foi vivenciada por estudantes, professores e trabalhadores da atenção básica, como parte do Programa Educação Popular em Saúde do Trabalhador (PEPST), o qual tem como eixo teórico-metodológico a Educação Popular em Saúde. O trabalho teve como cenário de prática a comunidade do Grotão, localizada no município de João Pessoa-PB. Os estudantes foram divididos em grupos e acompanhados por profissionais da equipe de saúde. As impressões foram relatadas em um diário de campo. Também foram realizadas entrevistas com ex-participantes do PEPST. A partir dessa experiência ficou evidente que a territorialização contribui para a reorientação da formação em saúde e para a integração ensino-serviço-comunidade, apresentando-se também como um subsídio para o planejamento de ações estratégicas capaz de considerar as iniquidades sociais inerentes ao território.