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Original Article
Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis
Suk Jeong Ko, Sung Hee Shin
Journal of Korean Academy of Nursing 2013;43(2):276-286.
DOI: https://doi.org/10.4040/jkan.2013.43.2.276
Published online: April 30, 2013

1College of Nursing Science, Kyung Hee University, Seoul, Korea.

2College of Nursing Science, East-West Research Institute, Kyung Hee University, Seoul, Korea.

Address reprint requests to: Shin, Sung Hee. College of Nursing Science, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea. Tel: +82-2-961-0917, FAX: +82-2-961-9398, sunghshin@khu.ac.kr
• Received: August 13, 2012   • Accepted: January 24, 2013

© 2013 Korean Society of Nursing Science

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  • Purpose
    This study was done to examine actor and partner effect of dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
  • Methods
    Participants were 115 couples aged 60 years or over who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program.
  • Results
    Dementia knowledge in elderly couples showed actor and partner effect on dementia preventive behavior. Self-efficacy in the wife did not have direct effects on dementia preventive behavior, but showed indirect effects through dementia knowledge. Self-efficacy in the husband showed direct effects on dementia preventive behavior and indirect effects through dementia knowledge. Wife's depression had direct actor effect on dementia preventive behavior and indirect effect through self-efficacy and dementia knowledge. Husband's depression did not have direct actor effect on dementia preventive behavior, but indirect effect through self-efficacy and dementia knowledge. Effect size of wives' dementia knowledge, self-efficacy and depression on dementia preventive behavior was larger than that of husbands'. Dementia preventive behavior, dementia knowledge and depression had a mutual effect.
  • Conclusion
    Results indicate that to promote dementia preventive activity in elderly couples, programs should be conducted for both of the couple, but focused differently for wife and husband.
  • 1. Ayotte BJ, Yang FM, Jones RN. Physical health and depression: A dyadic study of chronic health conditions and depressive symptomatology in older adult couples. J Gerontol B Psychol Sci Soc Sci. 2010;65(4):438–448. http://dx.doi.org/10.1093/geronb/gbq033.PubMed
  • 2. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.ArticlePubMed
  • 3. Burgener S, Twigg P. Relationships among caregiver factors and quality of life in care recipients with irreversible dementia. Alzheimer Dis Assoc Disord. 2002;16(2):88–102.ArticlePubMed
  • 4. Cho HO. A study on public's knowledge of and attitude towards dementia. 1999;Seoul, Hanyang University. Unpublished master's thesis.
  • 5. Cho MJ. The prevalence and risk factors of dementia in the Korean elderly. Health Welf Policy Forum. 2009;156:43–48.
  • 6. Cohen J. Statistical power analysis for the behavioral sciences. 1988;2nd ed. Hillsdale, NJ, Lawrence Erlbaum Associates.
  • 7. Cook WL, Kenny DA. The actor-partner interdependence model: A model of bidirectional effects in developmental studies. Int J Behav Dev. 2005;29(2):101–109. http://dx.doi.org/10.1080/01650250444000405.ArticlePDF
  • 8. Hong SH. The criteria for selecting appropriate fit indices in structural equation modeling and their rationales. Korean J Clin Psychol. 2000;19(1):161–177.
  • 9. Joo AR, Park SH. The relationship between cognitive function and depression in elderly people in rural areas. J Korean Gerontol Nurs. 2004;6(1):27–37.
  • 10. Jung IK, Kwak DI, Shin DK, Lee MS, Lee HS, Kim JY. A reliability and validity study of geriatric depression scale. J Korean Neuropsychiatr Assoc. 1997;36(1):103–112.
  • 11. Kang HW, Kim JT. The effect of perceived social support and self-efficiency on health promoting behavior of the elderly. J Leis Recreat Stud. 2009;33(3):57–68.
  • 12. Kenny DA. Models of non-independence in dyadic research. J Soc Pers Relat. 1996;13(2):279–294. http://dx.doi.org/10.1177/0265407596132007.ArticlePDF
  • 13. Kim SD, Kim YH. The effect of family resilience on the life satisfaction of the family caregivers of the elderly with the dementia. J Welf Aged. 2009;45:7–31.
  • 14. Kim SY. Depression in dementia. Dement Neurocognitive Disord. 2004;3(1):18–23.
  • 15. Kim SY, Seo YS. The relationships between stress, perceived marital support, and marital satisfaction: Testing actor and partner effects of stress and perceived marital support. Korean J Woman Psychol. 2010;15(2):189–213.Article
  • 16. Ko LK, Lewis MA. The role of giving and receiving emotional support on depressive symptomatology among older couples: An application of the actor-partner interdependence model. J Soc Pers Relat. 2011;28(1):83–99. http://dx.doi.org/10.1177/0265407510387888.PubMedPMC
  • 17. Lee GJ, Lee KL, Yang S, Jun WH. Quality of life and the associated factors in dementia. J Korean Acad Psychiatr Ment Health Nurs. 2008;17(3):273–280.ArticlePDF
  • 18. Lee YH. The study on relationship between perception for dementia and health promotion behavior among middle and old-aged people. 2011;Seoul, Hanyang University. Unpublished master's thesis.
  • 19. Lee YW, Woo SM, Kim OR, Lee SY, Im HB. Relationships between dementia knowledge, attitude, self-efficacy, and preventive behavior among low income middle-aged women. J Korean Acad Adult Nurs. 2009;21(6):617–627.
  • 20. Ministry of Health and Welfare Division of Senior Policy. Nationwide study on the prevalence of dementia in Korean elders (2008). 2008;04 13 Retrieved August 2, 2012. from http://www.mw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=031604&CONT_SEQ=264429&page=1.
  • 21. Oh HS. Health promotin g behaviors and quality of life of Korean women with arthritis. J Nurs Acad Soc. 1993;23(4):617–630.ArticlePDF
  • 22. Oh H, Seok SR. Health condition, burden of caring, and the quality of life among family members of the elderly with senile dementia. J Korean Acad Psychiatr Ment Health Nurs. 2009;18(2):157–166.ArticlePDF
  • 23. Park HS. A study on the relationship between depression, health promoting behavior, self-esteem, and optimism in middle-aged women. J Korean Acad Psychiatr Ment Health Nurs. 2002;11(3):352–362.ArticlePDF
  • 24. Park SJ, Kim HG. A study on the quality of life of elderly people with dementia and the environmental factor of facilities. J Korean Gerontol Soc. 2009;29(4):1361–1381.
  • 25. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychol Rep. 1982;51(2):663–671. http://dx.doi.org/10.2466/pr0.1982.51.2.663.ArticlePDF
  • 26. Shin SJ, Lee WJ. The effect of husband's and wife's care-giving willingness for both his(her) parents and his(her) spouse's parents on his(her) couple's cohesion: Focusing on the actor and partner interdependence model. J Fam Relat. 2012;16(4):135–158.
  • 27. Sim MK, Park JM. A study on the physical health status, depression and health behaviors of the elderly. J Korean Community Nurs. 2004;15(3):438–449.
  • 28. Statistics Korea. 2010 population and housing census. 2011;10;Retrieved August 2, 2012. from http://census.go.kr/hcensus/ui/html/data/data_020_010_List.jsp?q_menu=4&q_sub=2.
  • 29. Suh GH, Kim JK, Yeon BK, Park SK, Yoo KY, Yang BK, et al. Prevalence and risk factors of dementia and depression in the elderly. J Korean Neuropsychiatr Assoc. 2000;39(5):809–824.
  • 30. Townsend AL, Miller B, Guo S. Depressive symptomatology in middle-aged and older married couples: A dyadic analysis. J Gerontol B Psychol Sci Soc Sci. 2001;56(6):S352–S364.ArticlePubMed
  • 31. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1982;17(1):37–49.ArticlePubMed
  • 32. Yu JY. Dementia preventive behavior, self-efficacy and cognitive funtion in elderly. 2011;Seoul, Ewha Womans University. Unpublished master's thesis.
  • 33. Yun MJ, Sohn AR. Factors that affect health promotion behavior for prevention of dementia. J Korea Sport Res. 2004;15(6):811–820.
Figure 1
Testing for hypothetical model: Effects of the dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
jkan-43-276-g001.jpg
Figure 2
Testing for modified model: Effects of the dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
jkan-43-276-g002.jpg
Table 1
General Characteristics of Participants (N=115)
jkan-43-276-i001.jpg
Table 2
Characteristics related to Dementia (N=115)
jkan-43-276-i002.jpg
Table 3
Differences in Variables between Wife and Husband (N=115)
jkan-43-276-i003.jpg

Figure & Data

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        Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis
        J Korean Acad Nurs. 2013;43(2):276-286.   Published online April 30, 2013
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      Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis
      Image Image
      Figure 1 Testing for hypothetical model: Effects of the dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
      Figure 2 Testing for modified model: Effects of the dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
      Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis

      General Characteristics of Participants (N=115)

      Characteristics related to Dementia (N=115)

      Differences in Variables between Wife and Husband (N=115)

      Table 1 General Characteristics of Participants (N=115)

      Table 2 Characteristics related to Dementia (N=115)

      Table 3 Differences in Variables between Wife and Husband (N=115)


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