Research in Community and Public Health Nursing

Original Articles

[English] Priorities of Family Caregivers in Preserving Functional Abilities of Individuals with Alzheimer's Disease Living at Home: A Best-Worst Scaling Approach: Eunhye Cho, Youngran Yang, Hyun Kyung Kim, Hye Young Kim; Res Community Public Health Nurs. 2024;35(2):156-167. Published online June 28, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00556

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Abstract PDF Supplementary Material: Purpose
The decline in cognitive abilities among individuals with Alzheimer’s disease significantly impacts their Activities of Daily Living (ADLs), creating challenges and stress for their caregivers. This study aimed to investigate the priorities of family caregivers of community-dwelling individuals with Alzheimer's disease concerning the preservation of their loved ones' ADLs.
Methods
We employed a cross-sectional design with a best-worst scaling approach (BWS), and developed a BWS questionnaire utilizing the 10 daily living items from the Disability Assessment for Alzheimer’s Disease scale. This questionnaire was administered to 132 caregivers of individuals with Alzheimer's disease. Data analysis was conducted using SPSS WIN 21.0 and the R statistical program.
Results
The results revealed that "using the toilet without accidents" emerged as the top-ranked ADL that family caregivers preferred to preserve for the longest duration among individuals with Alzheimer's disease living at home. In contrast, "Managing money appropriately" was identified as a daily living activity considered relatively less critical to preserve. The study further indicated a preference among caregivers for preserving physical ADLs over instrumental ADLs.
Conclusion
This research provides clinical evidence shedding light on the priorities of family caregivers in preserving the functional abilities of individuals with Alzheimer's disease within the community.

[English] A Concept Analysis of Fear of Dementia: Min Kyung Lee, Dukyoo Jung; J Korean Acad Community Health Nurs. 2018;29(2):206-219. Published online June 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.2.206

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4 Citations

PURPOSE
This study tries to identify and clarify the concept of fear of dementia.
METHODS
The hybrid model method was used to perform a conceptual analysis of fear for dementia. Results from both the theoretical review of 35 studies and the field study with 8 community-dwelling older adults were included in the final stage.
RESULTS
Fear for dementia had 4 dimensions with 14 attributes including cognitive factors (direct experience of precursor symptoms of dementia, indirect experience of dementia, preliminary knowledge of dementia, impossibility of cognitive control, and confidence in dementia), emotional factors (negative feelings and pessimistic thoughts), social factors (social isolation, economic instability, embarrassment), and behavioral factors (existing health problems, making efforts to maintain health, impossibility of body control, peripheral autonomic nervous system response) along with 34 indicators.
CONCLUSION
This study is meaningful because it reveals the attributes of Korean elderly adults' fear for dementia. In addition, the results may serve as a basis for the early assessment and management of fear for dementia.

Citations

Citations to this article as recorded by

Instruments to Assess Dementia Fear Among Older Adults: A Systematic Review of Measurement Properties
Kai Yu, Xiaoxu Ding, Xiaoqing Wang, Huiqin Li, Jinqiu Zhai, Yuexian Shi
Psychogeriatrics.2025;[Epub] CrossRef
The relationship between dementia education and preventive behaviors: The mediation of fear and knowledge of dementia
Jina Han
Korean Journal of Health Education and Promotion.2023; 40(2): 55. CrossRef
Factors Influencing Fear of Dementia among Middle-Aged and Older Adults
Bo Ram Kim, Hee Kyung Chang
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 156. CrossRef
Development and Psychometric Evaluation of a Fear of Dementia Scale for Community-Dwelling Older Adults
Minkyung LEE, Dukyoo JUNG
Journal of Nursing Research.2020; 28(3): e94. CrossRef

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