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

Nadia E. Crellin, Martin Orrell, Orii McDermott, Georgina Charlesworth

Research output: Contribution to journalReview articlepeer-review

98 Citations (Scopus)

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.
Original languageEnglish
JournalAging & Mental Health
Volume18
Issue number8
Pages (from-to)954-969
Number of pages17
ISSN1360-7863
DOIs
Publication statusPublished - 19 Jun 2014

Keywords

  • dementia
  • caregivers
  • self-efficacy
  • quality of life
  • systematic review
  • narrative synthesis

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