Dementia knowledge and its demographic correlates amongst informal dementia caregivers in Singapore

Tan, Gregory Tee Hng; Yuan, Qi; Devi, Fiona; Wang, Peizhi; Ng, Li Ling; Goveas, Richard; Chong, Siow Ann; Subramaniam, Mythily

doi:10.1080/13607863.2020.1740914

Cited by 17 publications

(18 citation statements)

References 52 publications

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“…Another study [27] found a sample of Australian nurses, allied health professionals, care workers, and care managers had much higher dementia knowledge (mean score of 44.9 out of 54) compared to that of our study. However, our study result was similar with that of a study in which the sample of informal caregivers in Singapore had only moderate level of dementia knowledge with a mean score was 24.1 out of 46 [19].…”

Section: Discussionsupporting

confidence: 89%

“…The differences of factor structure found in the studies might be due to differences in the sample. The majority of the samples in previous studies were nurses [15], health students and professionals in Japan [18], an international cohort of health professionals [16], and hospital and nursing home health care providers in China [17] except only one study from Singapore in which the sample was informal caregivers [19]. Our study specifically recruited only home care workers in Taiwan.…”

Section: Discussionmentioning

confidence: 99%

“…The DKAS has also been translated into a number of other languages, such as Simplified Chinese [17], Japanese [18], and Mandarin and Bahasa Melayu for Singaporean [19], and it had been tested on hospital health care providers, allied health students and professionals, and families. However, the DKAS has not been translated into traditional Chinese and tested on long-term care staff, and it may need refinement and examination of the psychometric properties to assure its validity.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the dementia knowledge assessment scale-traditional Chinese among home care workers in Taiwan

Sung

Wang

et al. 2021

BMC Psychiatry

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Background The Dementia Knowledge Assessment Scale (DKAS) is a reliable and valid measurement of dementia knowledge for diverse allied health professionals but its traditional Chinese version has not been formally validated yet. The purpose of this study was to translate the DKAS from English to traditional Chinese and evaluate its psychometric properties among home care workers in Taiwan. Methods The DKAS scale was translated into traditional Chinese through a forward translation and back translation process following the cross-cultural translation guideline. A total of 285 home care workers in eastern Taiwan were recruited using convenience sample. A total of 252 participants completed the questionnaires, giving a response rate of 88.4%. We tested the construct validity by confirmatory factor analysis (CFA) and evaluated the reliability by internal consistency. Results The results of the CFA supported the 25-item, four-factor model for the DKAS-TC. The DKAS-TC achieved a good overall Cronbach’s alpha of .93 and McDonald’s omega of 0.94 with acceptable subscales McDonald’s omega ranged from .77 to .82. Conclusions The DKAS-TC has adequate construct validity and reliability and can serve as an assessment tool to evaluate the knowledge level of home care workers in a dementia training program in Taiwan. The dementia knowledge level among home care workers in Taiwan was inadequate. There is a need for developing suitable dementia care training tailored to their learning needs and educational levels, and to improve their quality of care for those with dementia.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the dementia knowledge assessment scale-traditional Chinese among home care workers in Taiwan

Sung

Wang

et al. 2021

BMC Psychiatry

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“…This study is the first of its kind in Singapore to lend a voice to individuals of the general public to understand their perceptions on cognition and ageing, as previous studies on perceptions of cognitive health in Singapore were mainly quantitative or stakeholder focused (carers, healthcare professionals, policymakers) [17,[27][28][29][30]. Results are congruent with previous research demonstrating the lack of knowledge of dementia among the general public [17,27,31].…”

Section: Discussionsupporting

confidence: 81%

Older Chinese Adults’ Knowledge, Beliefs, Attitudes and Behaviour on Cognitive Health and Ageing: An Exploratory Study in Singapore

Grillo¹

2021

International Journal on Neuropsychology and Behavioural Sciences (IJNBS)

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Introduction: In recent years there has been increasing strategies to delay onset or progression of dementia, and identification of its modifiable risk factors. Given the collective emphasis on dementia prevention, an in-depth exploratory study is needed to enrich previous research and provide insights on current behaviours and attitudes towards dementia prevention. We aim to investigate the knowledge, beliefs, attitude and behaviour of older Chinese adults on cognitive health and ageing to identify motivators and barriers towards activities of dementia risk reduction. Methods & Materials: In-depth interviews were conducted with 25 older Chinese adults between 50-75 years. The COM-B Framework from the Behavioural Change Wheel was used in the discussion guide design, and to identify themes to cover a. knowledge on brain health; b. perceptions of people with cognitive decline, impairment, and related conditions; and c. habits of maintaining a healthy lifestyle. Results: Four common insights identified were: a. Overall understanding of dementia remained low even as the word dementia was particularly recognizable among informants; b. Mental health was instinctively perceived to be integral to cognitive health; c. Presence of stigma towards the at-risk population of dementia and its support services; d. There was a basic knowledge of modifiable risk factors of dementia, but the knowledge did not always translate into preventive and health-seeking behaviour for brain health. Conclusion: The study has adopted an innovative approach in using the COM-B Framework of Behaviour Change to unveil motivators and barriers that would influence perceptions of older Chinese adults towards cognitive health and ageing. Elements of behaviour change identified in our research can be used to support older adults and their communities to gain more awareness about dementia, reduce risks and address challenges experienced, creating a supportive community for those at risk and having dementia.

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“…In all, 282 caregivers were recruited. More information about the study can be found in earlier articles [24][25][26].…”

Section: Participants and Proceduresmentioning

confidence: 99%

Combining a variable‐centered and a person-centered analytical approach to caregiving burden – a holistic approach

et al. 2021

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Background Informal caregivers of persons with dementia often experience elevated levels of caregiving burden. However, existing studies tend to use a variable-centered approach to explore it. This study aims to understand the caregiving burden of informal caregivers of persons with dementia in Singapore through a combination of variable-centered and person-centered analytical approaches, and explore the correlates of identified factors and latent classes of caregiving burden. Methods Zarit Burden Interview was used to gauge the caregiving burden of 282 primary informal caregivers of persons with dementia recruited through convenience sampling in Singapore. Factor analysis and latent class analysis were conducted to identify the latent factors and the latent classes of Zarit Burden Interview, followed by multiple linear regression and multinomial logistic regression to explore their significant correlates. Results The analyses suggested a 17-item 3-factor structure for Zarit burden interview and three mutually exclusive caregiving burden classes. Regression analyses found that caregiving related variables especially care recipients’ memory and behaviour problems were correlated with both the factors and latent classes of caregiving burden. Conclusions The combination of these two approaches suggests that caregivers experiencing higher burden on one domain are likely to experience higher burden on the other two domains. This further supports the point that more attention should be given to caregivers who experience an overall high burden. Future research could explore the generalizability of our findings among caregivers elsewhere and explore the type of support needed by caregivers, especially those experiencing high burden.

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Dementia knowledge and its demographic correlates amongst informal dementia caregivers in Singapore

Cited by 17 publications

References 52 publications

Psychometric properties of the dementia knowledge assessment scale-traditional Chinese among home care workers in Taiwan

Psychometric properties of the dementia knowledge assessment scale-traditional Chinese among home care workers in Taiwan

Older Chinese Adults’ Knowledge, Beliefs, Attitudes and Behaviour on Cognitive Health and Ageing: An Exploratory Study in Singapore

Combining a variable‐centered and a person-centered analytical approach to caregiving burden – a holistic approach

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