The incidence of dementia is increasing dramatically worldwide. It is important to determine knowledge about the dementia for it's prevention, early diagnosis, treatment, and care. The psychometric ...properties of the Turkish version of the Dementia Knowledge Assessment Scale (DKAS-T) were evaluated in this study.
The psychometric study was conducted. A total of 1592 participants were recruited between November 2019 and March 2020. The data were collected using a sociodemographic form and DKAS-T. The language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale's reliability was obtained using Cronbach's alpha coefficient, a paired sample t-test, item-total score correlation, and Hotelling's T-squared test.
The mean age of the sample was 29.38 (±11.50) years; 66.8% (n = 1064) were female, and 54.1% (n = 861) reported their income status as income equal to expenditure. The DKAS-T demonstrated content validity and adequate sensitivity (Kendall W = 0.155, p = 0.093). The scale consisted of seventeen items and was unidimensional, which explained 28.705% of the variance. All the factor loadings were found to be >0.30 in factor analysis. In CFA, all of the fit indexes were >0.95 and root mean square error of approximation (RMSEA) was 0.033. A Cronbach's alpha value of 0.836 was obtained for the entire scale. It was determined that the scale has invariance according to time (t = -1.362, p = 0.181). Homogeneity of the scale was 3.26%, and there was no absence of reaction bias (Hotelling's T-squared = 2573.681, p < 0.001).
The results demonstrated that the instrument is reliable and generates valid data for the Turkish sample. This scale can be used to determine knowledge about dementia and planning educational interventions in the issue.
This methodological study evaluates the validity and reliability of the Motivation for Changing Life Style and Health Behavior for Reducing the Risk of Dementia scale in Turkish.
The study enrolled ...220 individuals aged 40 years and older between September 2017 and June 2018. The Kendall W analysis and content validity index were used for validity; test-retest and confirmatory factor analyses were used for the reliability analysis.
The Turkish version of the Motivation for Changing Life Style and Health Behavior for Reducing the Risk of Dementia scale has valid content. The Cronbach α coefficient of the scale was .809, and the subscales were in the ranges of .781 to .609. A statistically significant, positive correlation was found between the test and retest scores.
These results show that the scale has validity and reliability for use in the Turkish population.
Given the increased demand for health professionals to work with older adults, research on the factors that influence students' career choices is critical in order to increase the popularity of ...gerontology. The purpose of this study was to investigate willingness and related factors of undergraduate nursing students to work with older adults. A descriptive and cross-sectional study was conducted with 579 undergraduate nursing students in Turkiye. The data were collected using the descriptive characteristics form, the 12-item expectations regarding aging scale (ERA-12), Kogan's attitudes toward old people scale (KAOP), and willingness to work with elderly people scale (WEPS). Descriptive statistics and multiple regression were used for data analysis. The WEPS, ERA-12, and KAOP mean score of the students were 68.57 ± 11.54 (range: 20-120), 59.83 ± 15.09 (range: 0-100), and 142.98 ± 18.63 (range: 34-238), respectively. Expectations regarding aging, attitudes toward older adults, prior experience caring for older adults, and completing an elective geriatric nursing course positively predicted the total score of WEPS. These variables accounted for 14% of total variance of WEPS (R
2
: 0.137, F: 12.995, p < .001). Age, sex, and academic year also positively predicted the total score of WEPS, but it was not statistically significant. The willingness of nursing students to work with older adults was moderate. To enhance nursing students' willingness to work with older adults, nursing programs should foster a positive attitude toward older adults and expectations regarding aging. Greater willingness of nursing students to care for older adults will eventually improve the quality of care for the geriatric population.
Aims: This descriptive qualitative study was conducted in an attempt to understand the experiences of family members of people with dementia in the process of deciding to institutional their care. ...Methodology: The data were collected from 15 caregivers using a semi-structured data form with in-dept interviews. The data were analyzed using qualitative content analysis. Results: Three main themes identified were having difficulty providing care, seeking solutions to maintaining care at home, and difficulty in decision-making to place their family members in a long-term care facility. Conclusions: Turkish families experiences difficulties about decision making process for placing their loved ones in a long term care. Results showed us that they need support in this process. Nurses should consider their feelings and support them.
•What are the effects of telehealth-based interventions applied to family caregivers of individuals with dementia on self-efficacy levels of caregivers?•Do the self-efficacy levels of caregivers vary ...according to the type, duration, and operation pattern of telehealth application used?•What are the variables that affect or contribute to the effect of telehealth application on the self-efficacy levels of caregivers?
The effectiveness of telehealth applications for family caregivers of individuals with dementia remains unclear. The aim of this study is to investigate how telehealth-based interventions applied for family caregivers of individuals with dementia affect their self-efficacy levels, caregiving burden, stress, depression, and quality of life.
This was a systematic review. Screening took place between April 30 and May 5, 2022, for the scope of the past 10 years (January 2012/May 2022). The related studies were screened over ten (10) databases and search engines both in English and Turkish, including CINAHL, Cochrane Library, MEDLINE, PsycINFO, PubMed and Web of Science, ULAKBIM, Turkish Medline, Türkiye Klinikleri, and YOK National Thesis Center. Keywords included in various medical topic titles identified upon consultation with literature review experts from a library. Methodological quality of the studies was evaluated using Critical Appraisal Checklists developed by the Joanna Briggs Institute for experimental and quasi-experimental studies. The data were synthesized by meta-analysis.
Two hundred and twelve (212) records were accessed in the databases. Of that, 12 studies (covering 1,013 caregivers) were selected for the meta-analysis. Statistically, the self-efficacy mean score was significantly higher in the intervention group than the control group after the intervention (SMD: 1.08, Z= 3.12, p= 0.002). The effectiveness of telehealth-based applications for caregivers’ caregiving burden, stress, depression and quality of life –- except for self-efficacy – was evaluated. The results of the intervention and control groups were similar after the intervention (SMD: -0.17, Z= 0.82, p= 0.41; MD: -0.60, Z= 0.49, p= 0.63, SMD: -0.04, Z= 0.13, p= 0.98; SMD: 0.15, Z= 0.47, p= 0.64, respectively).
This systematic review and meta-analysis showed that telehealth applications were effective in elevating the self-efficacy levels of caregivers of individuals with dementia. However, no statistically significant difference was observed in terms of caregiving burden, stress, depression, or quality of life for caregivers.
This study aims to investigate the efficacy of the aged simulation suit on undergraduate nursing students' attitudes and empathy toward older adults.
A new approach to teaching to enhance nursing ...students' attitudes toward and empathy for older adults involves the use of an aging simulation suit.
This systematic review and meta-analysis seeks to determine the efficacy of the aged simulation suit on the attitudes and empathy of undergraduate nursing students toward older adults. This protocol for a systematic review and meta-analysis was registered as CRD 42023393879 on the PROSPERO database.
In February-March 2023, a systematic review with meta-analysis of randomized controlled and quasi-experimental studies was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Population, Intervention, Control, Outcomes, Study Design (PICOS) structure was used for search strategy. Databases CINAHL, Cochrane Library, PubMed, PsycINFO, and Web of Science, as well as ULAKBIM, Turkish Medline, Turkiye Klinikleri, and YOK National Thesis Center, were searched for the articles. The Joanna Briggs Institute Critical Appraisal Tools were used to evaluate the methodological quality of a study and the extent to which its design, conduct, and analysis addressed the possibility of bias.
The meta-analyses of attitudes toward older adults included six studies (including 535 nursing students). The intervention group's attitudes toward older adults were found to be similar to those of the control group (SMD: 15.84, Z= 1.98, p= 0.05). The subgroup analyses revealed similarities between intervention group's and the control group's mean score on attitudes toward older adults (SMD: 4.85, Z=0.70, p=0.48, for RCT; SMD: 23.05, Z= 2.02, p=0.04, for quasi-experimental). Three studies (involving 207 nursing students) revealed significantly higher mean empathy score for the control group compared with the intervention group following the intervention (SMD: 7.08, Z=4.82, p=0.00001). The subgroup analyses revealed statistically significantly higher mean level of empathy for the control group compared with the intervention group was after the intervention (SMD: 7.49, Z=3.15, p=0.002, for RCT; SMD: 6.83, Z= 3.65, p=0.0003, for quasi-experimental).
Nursing students should be aware of older adults’ feelings and experiences aging-related changes and aged simulation interventions can be a useful intervention to allow students to empathize with an older adult.
Background:
Global population is getting older and the prevalence of dementia continuously increases. Understanding the related health beliefs is bound to enable lifestyle-based interventions that ...maximize public engagement in dementia risk reduction behaviors. The aim of this study was to determine health beliefs on dementia prevention behaviors and lifestyle changes and to determine the factors influencing these beliefs among middle-aged and older people in Turkey.
Materials and Methods:
This descriptive and cross-sectional study was conducted with 284 individuals aged 40 years and older, using nonprobability convenience sampling. Data were collected using a demographic characteristic form and the Turkish version of the Motivation for Changing Lifestyle and Health Behavior for Reducing the Risk of Dementia scale. The study utilized the value, mean, percentage frequency distribution, correlation, independent t test, and the one-way analysis of variance test.
Results:
The mean age of the participants included in the study was 56.99 ± 12.05, 68.7% of individuals were males. The mean education years of the participants were 11.22 ± 4.55. The majority (72.2%) of participants expressed subjective memory complaints. Presence of family history of dementia was 28.2%. Age, gender, education years, subjective memory complaints, presence family history of dementia, prior experience as a caregiver of dementia, and willingness to know their own risk were determined as essential factors that influence several health belief factors related to dementia risk reduction.
Conclusion:
Our findings indicate that males, older adults, and lower-educated and income are priority groups that should be guided for lifestyle and behavioral changes regarding dementia risk reduction.
To examine the role of perceived social support and knowledge of dementia in family caregivers of people with dementia (PwD) regarding caregiving self-efficacy.
Descriptive, cross-sectional, and ...predictive design was used.
The study was conducted with caregivers of PwD (n:102) between March and May 2022. Data was collected using the following forms: a socio-demographic characteristics form, the revised scale for caregiving self-efficacy (RSCSE), the dementia knowledge assessment scale (DKAS) and the revised form of the multidimensional scale of perceived social support (RFMSPSS). Data was assessed through descriptive statistics and multivariate regression analysis.
The participants' RSCSE, DKAS and RFMSPSS mean scores were 1125.89 ± 417.18 (range:0-1800), 15.70 ± 6.06 (range:0-34), and 52.72 ± 20.07 (range:12-74), respectively. Analysis indicated that DKAS and RFMSPSS predicted positive caregiving self-efficacy scores but it was not statistically significant for DKAS (R2:0.209, F:13.077, p < 0.001). These variables accounted for 21% of total variance of caregiving self-efficacy. RFMSPSS predicted positively and statistically significantly (β:0.461, p < 0.001) the total score of the self-efficacy scale.
The perceived social support of caregivers of PwD is an important predictor of the self-efficacy level of caregivers.
In order to enhance improving the quality of the caregiving process, caregivers should be strengthened, and caregiving self-efficacy should be comprehensively evaluated to enable assistance to the caregiver. The social support of caregivers is an important predictor of caregiving self-efficacy. Therefore, social support should be taken into consideration when engaging in appropriate initiatives.
Aims and objectives. To assess the reliability and validity of a Turkish version of Kogan’s Attitudes Toward Older People Scale.
Background. To explore nursing students’ attitudes towards older ...people, standardised, well‐tested instruments are needed. Kogan’s Attitudes Toward Older People is a comprehensive instrument for assessment of attitudes toward older adults and has been validated in several languages. However, a validated Turkish version has not been available until now.
Design. The study used psychometric testing to establish reliability and validity of the Turkish version of Kogan’s Attitudes Toward Older People Scale.
Methods. A convenience sample of 237 nursing students in Turkey was used to collect data regarding attitudes towards older people. Content validity, construct validity, internal consistency and stability reliability of the Kogan’s Attitudes Toward Older People were assessed.
Results. Kogan’s Attitudes Toward Older People scores were between 74–224. All of the 34 items were found to have significant item‐to‐total correlations (p < 0·05). Results of the confirmatory factor analysis established that the scale had a two‐factor construct and was appropriate use in this student population. The Cronbach’s alpha was 0·89 for the total scale (0·82 for negative, 0·85 for positive). In addition, test–retest correlation was 0·83 (negative subscale 0·77, positive subscale 0·73) (p < 0.001).
Conclusions. The Turkish version of the Kogan’s Attitudes Toward Older People was found to be a reliable and valid tool for assessing Turkish nursing students’ attitudes toward older adults.
Relevance to clinical practice. This study provided evidence that the Kogan’s Attitudes Toward Older People is a reliable and valid instrument for assessing Turkish nursing student’s positive and negative attitudes toward older adults. It is easy and practical to use for both informants and investigators and acceptable for Turkish Culture.
Background: The complex health system expects high health literacy skills from individuals. Nurses play an important role in increasing individuals' health literacy, providing reliable information to ...them, helping individuals with low health literacy levels and communicating effectively with them. Therefore nurses and nursing students should have adequate health literacy levels. Objective: The aim of this study was to investigate the health literacy levels and affecting factors of the students in the nursing faculty. Methodology: This is a descriptive and cross-sectional study. The study was conducted between January-July 2018, with 808 nursing students. Turkish Health Literacy Scale-32 (THL-32) was used to collect data. Independent samples t, One way ANOVA and post-hoc Tukey tests, Mann-Whitney U test and Pearson's correlation analysis were used in analysis of data. Results: The mean general health literacy score of the students was 34.61 ± 7.57. It was determined that 8.8% of the students had an inadequate health literacy; 42.0% of them had a problematic health literacy; 31.2% of the students had adequate health literacy; 18.0% of them had excellent health literacy. It was found that health literacy was affected by gender, age and year in education. Conclusions: Approximately half of the participant nursing students had adequate HL levels, but this percentage is considered as very low. The HL levels of nurses play an important role in the quality of the care provided. It is thought that students' HL levels can be increased to the desired levels by using an opportunity such as formal health education better. For this reason, it is suggested to add content about HL concept to university curricula, to give more emphasis to this concept and to conduct interventional researches on this subject.
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