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Self-efficacy and health-related quality of life in family carers of people with dementia: a systematic review

McDermott, Orii; Orrell, Martin; Crellin, Nadia; Charlesworth, Georgina

Authors

MARTIN ORRELL M.ORRELL@NOTTINGHAM.AC.UK
Director - Institute of Mental Health

Nadia Crellin

Georgina Charlesworth



Abstract

Objectives: This review aims to explore the role of self-efficacy (SE) in the health-related quality of life (QoL) of family carers of people with dementia.

Methods: A systematic review of literature identified a range of qualitative and quantitative studies. Search terms related to caring, SE, and dementia. Narrative synthesis was adopted to synthesise the findings.

Results: Twenty-two studies met the full inclusion criteria, these included 17 quantitative, four qualitative, and one mixed-method study. A model describing the role of task/domain-specific SE beliefs in family carer health-related QoL was constructed. This model was informed by review findings and discussed in the context of existing conceptual models of carer adaptation and empirical research. Review findings offer support for the application of the SE theory to caring and for the two-factor view of carer appraisals and well-being. Findings do not support the independence of the negative and positive pathways. The review was valuable in highlighting methodological challenges confronting this area of research, particularly the conceptualisation and measurement issues surrounding both SE and health-related QoL.

Conclusions: The model might have theoretical implications in guiding future research and advancing theoretical models of caring. It might also have clinical implications in facilitating the development of carer support services aimed at improving SE. The review highlights the need for future research, particularly longitudinal research, and further exploration of domain/task-specific SE beliefs, the influence of carer characteristics, and other mediating/moderating variables.

Citation

McDermott, O., Orrell, M., Crellin, N., & Charlesworth, G. (2014). Self-efficacy and health-related quality of life in family carers of people with dementia: a systematic review. Aging and Mental Health, 18(8), 954-969. https://doi.org/10.1080/13607863.2014.915921

Journal Article Type Article
Acceptance Date Apr 14, 2014
Online Publication Date Jun 19, 2014
Publication Date Nov 17, 2014
Deposit Date Sep 14, 2018
Journal Aging & Mental Health
Print ISSN 1360-7863
Electronic ISSN 1364-6915
Publisher Routledge
Peer Reviewed Peer Reviewed
Volume 18
Issue 8
Pages 954-969
DOI https://doi.org/10.1080/13607863.2014.915921
Public URL https://nottingham-repository.worktribe.com/output/1103334
Publisher URL https://www.tandfonline.com/doi/full/10.1080/13607863.2014.915921
PMID 00034229