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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Main Authors: Rui Hu, Bingbing Lai, Wenhao Ma, Yuan Zhang, Yujiao Deng, Lianqi Liu, Zeping Lv, Chetwyn Chan, Fan Zhang, Qian Tao
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Geriatrics
Subjects:
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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