Your browser does not support the NLM PubReader view.

Go to this page to see a list of supporting browsers.

Factors Affecting On Caregiving Self-efficacy among Dementia Caregivers

Article information

Res Community Public Health Nurs. 2010;21(2):210-219
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2010.21.2.210
Eun Sook Choi1, Kyung Sook Kim2
1Assistant Professor, College of Nursing, Kyungpook National University, Korea.
2Full-time Lecturer, Department of Nursing, Namseoul University, Korea.
Address reprint requests to: Kim, Kyung Sook, Department of Nursing, Namseoul University, 21 Maeju-ri Sungwhane-eup, Seobuk-gu, Cheonan 331-707, Korea. Tel: 82-41-580-2712, Fax: 82-41-580-2931, kgs4321@nsu.ac.kr
Received 2010 May 03; Revised 2010 June 18; Accepted 2010 June 18.

Abstract

Purpose

The study evaluated the determinants of caregiving self-efficacy among dementia caregivers.

Methods

Data were collected through a structured questionnaire survey from dementia sufferers and caregivers by nurses or social workers caring for dementia sufferers at health centers during July to September 2007. Multiple stepwise regression analysis using SAS Version 9.1 was performed to examine the determinants of caregiving self-efficacy.

Results

Factors affecting caregiving self-efficacy were behavioral and psychological symptoms of dementia (BPSD), activities of daily living (ADL), and age of dementia sufferer.

Conclusion

To increase dementia caregivers' self-efficacy, there is a need to reduce difficulties of dementia caregivers in caring BPSD and increasing the ADL level of dementia sufferers by providing guidelines of care and intervention programs for BPSD and ADL management.

Keywords: Dementia; Self efficacy; Caregiver

References

1. Alexopoulos GS, Abrams RC, Young RC, Shamoian CA. Cornell scale for depression in dementia. Biol Psychiatry 1988;23(3):271–284.
2. Au A, Lai MK, Lau KM, Pan PC, Lam L, Thompson L, et al. Social support and well-being in dementia family caregivers: The mediating role of self-efficacy. Aging Ment Health 2009;13(5):761–768.
3. Bandura BA. Social foundations thought and action: A social cognitive theory Englewood Cliffs, NJ: Prentice-Hall; 1986.
4. Beekman NR. Family caregiving, dementia, and social support Ann Arbor, USA: The University of Michigan; 1999. Unpublished doctoral dissertation.
5. Cho MJ, Kim KW, Kim MD, Kim BJ, Kim SK, Kim SG, et al. Nationwide study on the prevalence of dementia in Korean elders (11-1351000-000227-01) Seoul: Ministry of Health & Welfare, Seoul National Hospital; 2008.
6. Chou KL, Chi I. Social comparison in Chinese older adults. Aging Ment Health 2001;6:242–254.
7. Chou KR, LaMontagne LL, Hepworth JT. Burden experienced by caregivers of relatives with dementtiia in Taiwan. Nurs Res 1999;48(4):206–214.
8. Epstein-Lubow G. Family caregiver health: What to do when a spouse or child needs help. Med Health R I 2009;92(3):106–107.
9. Evon D, Burns J. Process and outcome in cardiac rehabilitation: An examination of cross-lagged effects. J Consult Clin Psychol 2004;72:605–616.
10. Folstein MF, Folstein SE. 'Mini-mental state'. A practical method for grading the cognitive state of patient for the Clinician. J Psychiatr Res 1975;12(3):189–198.
11. Fortinsky RH, Kercher K, Burant CJ. Measurement and correlates of family caregiver self-efficacy for managing dementia. Aging Ment Health 2002;6:153–160.
12. Gilliam CM, Steffen AM. The relationship between caregiving self-efficacy and deprssive symptoms in dementia family caregivers. Aging Ment Health 2006;10(2):79–86.
13. Gonyea JG, O'Connor M, Carruth A, Boyle PA. Subjective appraisal of Alzheimer's disease care-giving: The role of self-efficacy and depressive symptoms in the experience of burden. Am J Alzheimers Dis Other Demen 2005;20(5):273–280.
14. Harwood DG, Ownby RL, Barker WW, Duara R. The factor structure of the Cornell Scale for Depression in Dementia among probable Alzheimer's disease patients. Am J Geriatr Psychiatry 1998;6(3):212–220.
15. Huang H, Shyu YL, Chen S, Hsu W. Caregiver self-efficacy for managing behavioural problems of older people with dementia in Taiwan correlates with care receivers' behavioural problems. J Clin Nurs 2009;18(18):2588–2595.
16. Kim SY, Kim JS, Youn HS. Predictors of depression and life satisfaction among family caregivers for demented elderly. J Korea Gerontol Soc 2004;24(2):111–128.
17. Kim YI. A study on quality of life and burden of primary caregiving of primary caregiver of demented elderly Iksan: Wonkang University; 2009. Unpublished master's thesis.
18. Kim JM, Shin IS, Yoon JS. Determinants of care burden of caregiver in patients with dementia. J Korean Neuropsychiatr Assoc 2001;40(6):1106–1113.
19. Kramer BJ, Kipnis S. Eldercare and work-role conflict: Toward an understanding of gender differences in caregiver burden. Gerontologist 1995;35(3):349–348.
20. Kwon JD. Study on the assessment of caregiver burden in caring for the demented elderly in Korea Seoul: Yonsei University; 1994. Unpublished doctoral dissertation.
21. Kwon YC, Park JH. Korean version of Mini-Mental State Examination (MMSE-K), Part I: Development of the test for the elderly. J Korean Neuropsychiatr Assoc 1989;28(1):125–135.
22. Lawton MP, Brody EM. Assessment of older people; Self-Maintaining and Instrumental activities of daily living. Gerontologist 1969;9(3):179–186.
23. Ma PS. A study on the people in charge of the demented-Especially people in the day care center or short stay service- Seoul: Ewha Womans University; 1999. Unpublished master's thesis.
24. National Health Insurance Corporation. Analysis on medical cost per disease of elderly in Aging society 2010. 02. 01. Retrieved March 3, 2010. from http://www.nhic.or.kr/portal/site/main/menuitem.31f14893bf4f6c38b31148b4062310a0/.
25. National Statistical Office. Future Population estimates 2006. Retrieved April 5, 2010. from http://www.kostat.go.kr/nso_main/nsoMainAction.do?method=search&catgrp=nso2009&catid1=k09___0000&catid2=k09i__0000&forward=search.
26. Park JH, Cho SW, Shon HS. Reliability of functional status measurements in Elderly people. J Korean Neuropsychiatr Assoc 1995;34(2):475–483.
27. Rabinowitz YG, Mausbach BT, Gallagher-Thompson D. Self-efficacy as a moderator of the relationship between care recipient memory and behavioral problems and caregiver depression in female dementia caregivers. Alzheimer Dis Assoc Disord 2009;23(4):389–394.
28. Schulz R, Beach SR. Caregiving as a risk factor for mortality. JAMA 1999;282:2215–2219.
29. Sherbourne CD, Stewart AL. The MOS socialsupport survey. Soc Sci Med 1991;32(6):705–714.
30. Steffen AM, Mckibbin C, Zeiss AM, Gallagher-Thompson D, Bandura A. The revised scale for Caregiving self-efficacy: Reliability and vality studies. J Gerontol B Psychol Sci Soc Sci 2002;57(1):P74–P86.
31. Sung KH. Burden and depression of caregivers according to cognitive function and daily living ability of dementia patients Seoul: Ewha Womans University; 2006. Unpublished master's thesis.
32. Teri L, Truax P, Logsdon R, Uomoto J, Zarit S, Vitaliano PP. Assessment of behavioral problems in dementia: The revised memory and behavior problems checklist. Psychol Aging 1992;7(4):622–631.

Article information Continued

© 2010 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Table 1

The Sociodemographic and Dementia-related Characteristics of Dementia Sufferers (N=75)

Table 1

ADL=activities of daily living; BPSD=behavioral and psychological symptom of dementia.

Table 2

The Sociodemographic and Caregiving-related Characteristics of Dementia Caregivers (N=75)

Table 2

†Within the recent 6 months.

Table 3

Caregivers' Self-efficacy by Socio-demographic and Dementia-related Characteristics of Dementia Sufferers (N=75)

Table 3

ADL=activities of daily living; BPSD=behavioral and psychological symptom of dementia.

Table 4

Caregivers' Self-efficacy by Sociodemographic and Caregiving-related Characteristics of Caregivers (N=75)

Table 4

†Within the recent 6 months.

Table 5

Multiple Regression with Stepwise selection for the Caregiving Self-efficacy of Caregiver (N=75)

Table 5

PE=parameter estimate; SE=standard error; BPSD=behavioral and psychological symptom of dementia; ADL=activities of daily living.

†Reference group: Education of dementia sufferers - no formal education; Gender of dementia sufferers - male; Education of dementia caregivers - less than elementary school.