Measurement and correlates of family caregiver self-efficacy for managing dementia
Measurement and correlates of family caregiver self-efficacy for managing dementia
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DOI：
10.1080/13607860220126763
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发表时间：
2002-05-01
影响因子：
3.4
通讯作者：
Burant, CJ
中科院分区：
文献类型：
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作者：
Fortinsky, RH;Kercher, K;Burant, CJ
老龄化领域的研究人员越来越重视自我效能感在理解家庭照顾者的经历和健康相关结果方面的重要性。本文详细介绍了我们用来测量家庭照顾者管理痴呆症的自我效能的策略，并报告了由此产生的自我效能测量、照顾者抑郁症状和照顾者身体健康症状之间的观察到的关联。197名家庭照顾者在致电美国中西部阿尔茨海默氏症协会当地分会后接受了采访。询问照顾者是否能够实施与痴呆护理相关的具体行为的9个条目被聚为两个不同的自我效能感因素：症状管理自我效能感(4个条目)和社区支持服务使用效能感(5个条目)。两个因素的内部一致性信度都很高(Cronbach‘sα分别为0.77和0.78)。症状管理自我效能与已发表的全球照顾者能力测量结果的相关性比服务使用自我效能强得多(r分别为0.49和0.27)。在预测照顾者抑郁症状的多元回归模型中，症状管理自我效能感得分越高，抑郁症状越少(beta=-0.17，p<；0.05)。在一个单独的模型中，较高的服务使用自我效能得分(β=-0.20，p<；0.01)和较高的症状管理自我效能得分(β=-0.16，p<；0.05)与较少的身体健康症状相关。这些痴呆症管理自我效能的新测量方法有望在未来的研究中使用。
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 (β = -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.