How formal caregiver’s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy
Abstract Background The current study investigated the relationship between behavioural and psychological symptoms of dementia (BPSD) knowledge and positive aspects of caregiving (PAC), in addition, how caregiving attitude and self-efficacy mediate or moderate this relationship. Methods Two hundred...
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BMC
2022-09-01
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Series: | BMC Geriatrics |
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Online Access: | https://doi.org/10.1186/s12877-022-03417-5 |
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author | Rui Hu Bingbing Lai Wenhao Ma Yuan Zhang Yujiao Deng Lianqi Liu Zeping Lv Chetwyn Chan Fan Zhang Qian Tao |
author_facet | Rui Hu Bingbing Lai Wenhao Ma Yuan Zhang Yujiao Deng Lianqi Liu Zeping Lv Chetwyn Chan Fan Zhang Qian Tao |
author_sort | Rui Hu |
collection | DOAJ |
description | Abstract Background The current study investigated the relationship between behavioural and psychological symptoms of dementia (BPSD) knowledge and positive aspects of caregiving (PAC), in addition, how caregiving attitude and self-efficacy mediate or moderate this relationship. Methods Two hundred twenty-nine formal caregivers (51males and 178females) who has worked in nursing homes for more than a month were recruited.With a cross-sectional, face-to-face survey, structural questionnaires were implemented to evaluate formal caregiver’s BPSD knowledge, attitude, self-efficacy and PAC.A 13-item self-developed questionnaire was used to assess caregiver’s BPSD knowledge about disease characteristics, care and risks, and treatment needs. Dementia attitude, self-efficacy and positive aspects of caregiving were measured by dementia attitude scale, the General self-efficacy scale, and Chinese version of positive aspects of caregiving respectively. Model 5 in the PROCESS micro was employed in order to verify the mediating effect of attitude and the moderating effect of self-efficacy on the relationship between BPSD knowledge and PAC. Results The results showed that greater BPSD knowledge was associated with increased PAC, and this relationship was fully mediated by increased friendly attitude toward people with dementia. Moreover, direct effect was moderated by self-efficacy, and that only among those with high self-efficacy, the direct effect of BPSD knowledge was found on promoting PAC. Conclusions By elucidating the knowledge-attitude-practice pathway in handling patient’s BPSD, the current study extends existing literature and provides insights for developing psychoeducation programs among formal caregivers. |
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spelling | doaj.art-b3a5f6a5297d42b2aca9d167265d5f2e2022-12-22T03:13:02ZengBMCBMC Geriatrics1471-23182022-09-012211810.1186/s12877-022-03417-5How formal caregiver’s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacyRui Hu0Bingbing Lai1Wenhao Ma2Yuan Zhang3Yujiao Deng4Lianqi Liu5Zeping Lv6Chetwyn Chan7Fan Zhang8Qian Tao9Department of Public Health and Preventive Medicine, School of Medicine, Jinan UniversityDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan UniversityDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan UniversityDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan UniversityHome for the Aged GuangzhouDepartment of Rehabilitation, Psychiatric Hospital of Guangzhou Civil Affairs BureauBeijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical AidsDepartment of Psychology, the Education University of Hong KongDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan UniversityDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan UniversityAbstract Background The current study investigated the relationship between behavioural and psychological symptoms of dementia (BPSD) knowledge and positive aspects of caregiving (PAC), in addition, how caregiving attitude and self-efficacy mediate or moderate this relationship. Methods Two hundred twenty-nine formal caregivers (51males and 178females) who has worked in nursing homes for more than a month were recruited.With a cross-sectional, face-to-face survey, structural questionnaires were implemented to evaluate formal caregiver’s BPSD knowledge, attitude, self-efficacy and PAC.A 13-item self-developed questionnaire was used to assess caregiver’s BPSD knowledge about disease characteristics, care and risks, and treatment needs. Dementia attitude, self-efficacy and positive aspects of caregiving were measured by dementia attitude scale, the General self-efficacy scale, and Chinese version of positive aspects of caregiving respectively. Model 5 in the PROCESS micro was employed in order to verify the mediating effect of attitude and the moderating effect of self-efficacy on the relationship between BPSD knowledge and PAC. Results The results showed that greater BPSD knowledge was associated with increased PAC, and this relationship was fully mediated by increased friendly attitude toward people with dementia. Moreover, direct effect was moderated by self-efficacy, and that only among those with high self-efficacy, the direct effect of BPSD knowledge was found on promoting PAC. Conclusions By elucidating the knowledge-attitude-practice pathway in handling patient’s BPSD, the current study extends existing literature and provides insights for developing psychoeducation programs among formal caregivers.https://doi.org/10.1186/s12877-022-03417-5BPSD knowledgePositive aspects of caregivingDementia attitudeSelf-efficacyFormal caregivers |
spellingShingle | Rui Hu Bingbing Lai Wenhao Ma Yuan Zhang Yujiao Deng Lianqi Liu Zeping Lv Chetwyn Chan Fan Zhang Qian Tao How formal caregiver’s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy BMC Geriatrics BPSD knowledge Positive aspects of caregiving Dementia attitude Self-efficacy Formal caregivers |
title | How formal caregiver’s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy |
title_full | How formal caregiver’s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy |
title_fullStr | How formal caregiver’s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy |
title_full_unstemmed | How formal caregiver’s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy |
title_short | How formal caregiver’s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy |
title_sort | how formal caregiver s bpsd knowledge influences positive aspects of caregiving the mediating role of attitude and the moderating role of self efficacy |
topic | BPSD knowledge Positive aspects of caregiving Dementia attitude Self-efficacy Formal caregivers |
url | https://doi.org/10.1186/s12877-022-03417-5 |
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