Measurement and correlates of family caregiver self-efficacy for managing dementia
Abstract
Researchers in the aging field are paying increasing attention to the importance of perceived self-efficacy in understanding experiences and health-related outcomes of family caregivers. This paper details the strategy we used to measure family caregiver self-efficacy for managing dementia, and reports on observed associations between the resulting self-efficacy measures, caregiver depressive symptoms, and caregiver physical health symptoms. Family caregivers (n = 197) were interviewed after calling a local Alzheimer's Association chapter in the mid-western USA. Nine items inquiring about caregivers' certainty that they could carry out specific behaviors related to dementia care clustered into two distinct self-efficacy factors: symptom management self-efficacy (4 items) and community support service use self-efficacy (5 items). Internal consistency reliability for both factors was high (Cronbach's alpha = 0.77 and 0.78, respectively). Symptom management self-efficacy demonstrated a much stronger correlation with a published global caregiver competence measure than did service use self-efficacy (r = 0.49 and 0.27, respectively). In a multivariate regression model predicting caregiver depression symptoms, higher symptom management self-efficacy scores were associated with fewer depressive symptoms (beta = -0.17, p < 0.05). In a separate model, higher service use self-efficacy scores (beta = -0.20, p < 0.01) and higher symptom management self-efficacy scores (beta = -0.16, p < 0.05) were associated with fewer physical health symptoms. These new measures of dementia management self-efficacy hold promise for use in future studies.
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- Authors
- Fortinsky, R. H., Kercher, K., & Burant, C. J.
- Affiliations
- UConn Health (US)
- Case Western Reserve University (US)
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2002-05
- Volume
- 6
- Issue
- 2
- Pages
- 153-160
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2049155331
- Cited by
- 214
- References
- 23
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 9 · 2023: 13 · 2022: 13 · 2021: 11 · 2020: 14 · 2019: 10 · 2018: 17 · 2017: 9 · 2016: 9 · 2015: 7 · 2014: 8 · 2013: 7 · 2012: 14
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Keywords
- family caregivers, self-efficacy, dementia care, caregiver depression, caregiver physical health, caregiver competence, scale development, Alzheimer's disease
- MeSH terms
- Aged, Aging, Dementia, Depression, Female, Health Status, Humans, Male, Middle Aged, Psychometrics, Quality of Life, Regression Analysis, Social Support, Caregivers, Self Efficacy
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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