| Title: |
Model Predicting Positive Aspects of Caregiving Among Family Cares of Persons With Dementia: A Longitudinal Cohort Study |
| Authors: |
Yu, Doris Sau Fung; Cheng, Sheung‐Tak; Chen, Kevin Shuang Zhou |
| Source: |
Journal of Advanced Nursing ; ISSN 0309-2402 1365-2648 |
| Publisher Information: |
Wiley |
| Publication Year: |
2025 |
| Collection: |
Wiley Online Library (Open Access Articles via Crossref) |
| Description: |
Aim Positive aspects of caregiving among family carers of persons living with dementia not only benefit the carers' health, but also enhance the quality and sustainability of invaluable informal care resources. To better inform the development of carer support intervention to optimise positive aspects of caregiving, this paper tested the integrative theoretical model based on stress coping and meaning‐making paradigms. Design Longitudinal exploratory study. Methods From January 2018 to August 2021, 390 Chinese family carers of persons living with dementia were recruited from the geriatric clinics in Hong Kong. The criterion variable was measured by the Positive Aspect of Caregiving Scale at baseline and 6 months thereafter. The predictors were measured using the Dementia Management Strategies Scale, the Caregiving Self‐Efficacy Scale, the Meaning‐Focused Coping Scale, the Medical Outcome Study Social Support Survey, the Duke University Religion Index, the Positive Affect Index and the Intrinsic Motivations to Care. Path analysis tested the hypothesised model. Results The carers aged 56.2 (SD = 12.2); about two‐thirds being female and adult‐child caregivers. The hypothesised model showed an unsatisfactory model fit. The model was optimised by modification index with consideration of the theoretical plausibility in making the changes (CFI = 0.971, RMSEA = 0.057, SRMR = 0.027). After adjusting the baseline PAC, the 6‐month PAC was predicted by self‐efficacy in controlling upsetting thoughts and obtaining respite as well as meaning‐focused coping. Various contextual factors strengthened the self‐efficacy and meaning‐focused coping, indirectly increasing PAC. Whereas carers' intrinsic motivation towards care and good dyadic relationships increased the carer's self‐efficacy in emotional regulation, social support and religiosity played indispensable roles to facilitate meaning‐focused coping. Conclusion PAC in dementia context is evolved from an integration of stress coping and existential meaning‐making ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1111/jan.17083 |
| Availability: |
https://doi.org/10.1111/jan.17083; https://onlinelibrary.wiley.com/doi/pdf/10.1111/jan.17083 |
| Rights: |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Accession Number: |
edsbas.F22CCFDC |
| Database: |
BASE |