Assessment & Research

Caring for a child with autism spectrum disorder and parents' quality of life: application of the CarerQol.

Hoefman et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

The CarerQol is a quick, valid way to measure caregiver burden and quality of life in autism families.

✓ Read this if BCBAs running parent training or respite programs who need a brief caregiver outcome measure.
✗ Skip if Practitioners focused solely on child skill acquisition without family-level goals.

01Research in Context

01

What this study did

Hoefman et al. (2014) tested a short survey called the CarerQol. The goal was to see if it truly measures how heavy caregiving feels for parents of children with autism.

Parents answered the seven CarerQol questions plus longer surveys on burden and family life. Researchers then checked if CarerQol scores moved with these longer measures.

02

What they found

The CarerQol worked. Higher scores matched parents who reported more caregiving burden and lower family quality of life.

The tool is valid, quick, and ready for clinic or research use with autism families.

03

How this fits with other research

Hutchins et al. (2020) later used a different tool, the EQ-5D-5L, and still saw caregiver quality of life drop when child behavior problems rose. The two studies line up: both show caregiving strain is real and measurable.

Kemmerer et al. (2023) scoping review warns that most caregiver-training studies skip quality-of-life outcomes or measure them poorly. Renske et al. gives the field a fix: a brief, solid scale ready for pre- and post-training checks.

Fairthorne et al. (2016) found mothers of kids with autism or ID visit psychiatric hospitals more often after birth. Their medical-record data and Renske’s survey data agree: caregiving burden shows up in both hospital codes and questionnaire scores.

04

Why it matters

You now have a one-minute tool that reliably tracks how parents are doing. Add the CarerQol to intake packets, re-administer after six months of intervention, and use the score to guide extra support or respite referrals.

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Print the seven-item CarerQol, give it to every autism parent at intake, and file the score for later comparison.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
positive

03Original abstract

This study describes the impact of caregiving on parents of children with autism spectrum disorders (ASDs). Secondly, we investigate construct validation of the care-related quality of life instrument (CarerQol) measuring impact of caregiving. Primary caregivers of children with ASDs were included. Many parents experienced considerable problems combining daily activities with care, had financial problems or suffered from depressive mood. Validity tests showed that a higher impact of caring on the CarerQol was positively associated with higher subjective burden and lower family quality of life. Most of the associations between CarerQol scores and background characteristics confirmed previous research. The CarerQol validly measures the impact of caregiving for children with ASDs on caregivers in our sample. The CarerQol may therefore be useful for including parent outcomes in research on ASDs.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s11136-005-5994-6