Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
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Factors Influencing Dementia Preventive Behavior Intention in the Elderly People

노인의 치매예방 행위의도에 미치는 영향요인

  • Choi, Won-Hee (Department of Nursing, Kyungsung University) ;
  • Seo, Yeong-Mi (Department of Nursing, Gyeongnam National University of Science and Technology) ;
  • Kim, Bo Ram (Department of Nursing, Kyungsung University)
  • Received : 2019.10.07
  • Accepted : 2019.11.04
  • Published : 2019.11.30
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Abstract

Purpose: The purpose of this study was to identify the factors influencing dementia preventive behavior intention of the elderly people based on the Health Belief Model. Methods: The participants included 113 elderly people who met the eligibility criteria. Demographic variables, variables of the Health Belief Model (perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, general health motivation, and self efficacy), dementia fear and behavioral intention of dementia prevention were examined using structured self-report questionnaires. Statistical analysis was performed by stepwise multiple regression using SPSS for Windows version 21. Results: Self efficacy, alcohol drinking, perceived barrier and education level were significant factors, which explained 32% of the variance in dementia preventive behavior intention. Multiple regression analysis demonstrated that a powerful predictor of dementia preventive behavior intention of the elderly was self efficacy. Conclusion: Developing nursing intervention to enhance self efficacy toward improvement of dementia preventive behavior among elderly people would be recommended.

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References

  1. Ministry of Health and Welfare & National Institute of Dementia. 2019. Dementia guide book [Internet]. Ministry of Health and Welfare & National Institute of Dementia; 2019[cited 2019 August 2]. Available from https://www.nid.or.kr/info/dataroom_view.aspx?bid=202
  2. National Institute of Dementia. 2019. National Institute of Dementia annual report 2018. [Internet]. National Institute of Dementia; 2019 [cited 2019 August 3]. Available from: https://www.nid.or.kr/info/dataroom_view.aspx?BID=183
  3. Lee DW, Seong SJ. Korean national dementia plans: From 1st to 3rd. Journal of the Korean Medical Association. 2018;61(5):298-303. https://doi.org/10.5124/jkma.2018.61.5.298
  4. Norton S, Matthews, FE, Barnes D, Yaffe K, Brayne C. Potential for primary prevention of Alzheimer's disease: An analysis of population-based data. Lancet Neurology. 2014;13(8):788-94. https://doi.org/10.1016/S1474-4422(14)70136-X
  5. Ko S, Jung Y, Kim Y. The Social burden and care management for people with dementia. Policy report. Sejong City: Korean Institute for Health and Social Affairs. 2016. December. Report No: 2016-04.
  6. World Health Organization. Global action plan on the public health response to dementia 2017-2025 [Internet]. Geneva: World Health Organization; 2017[cited 2019 August 3]. Available from: https://www.who.int/mental_health/neurology/dementia/action_plan_2017_2025/en/
  7. Kim B, Lee O, Kim Y, Choi Y, Beon S, Kim G. Global trends of dementia policy 2018. Policy report. Seongnam city: National Institute of Dementia. 2018. December. Report No: NIDR-1801-0022.
  8. Kim KM, Yang YO. The dementia knowledge, attitude and preventive behavior of the elderly lived in the urban-rural complex city. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(1):485-92. http://dx.doi.org/10.5762/KAIS.2016.17.1.485
  9. Cho I. Lifestyle behaviors for the prevention of Alzheimer's disease in middle-aged and olde adults. The Journal of Humanities and Social Science. 2019;10(2):455-68. http://dx.doi.org/10.22143/HSS21.10.2.33
  10. Janz NK, Becker MH. The health belief model: A decade later. Health Education Quarterly. 1984;11(1):1-47. https://doi.org/10.1177/109019818401100101
  11. Lee BK, Sohn YK, Lee SL, Yoon MY, Kim MH, Kim CR. An efficacy of social cognitive theory to predict health behavior a meta-analysis on the health belief model studies in Korea. Journal of Public Relations. 2014;18(2):163-206. https://doi.org/10.15814/jpr.2014.18.2.163
  12. Champion VL. Instrument development for health belief model constructs. Advances in Nursing Science. 1984;6(3):73-85. https://doi.org/10.1097/00012272-198404000-00011
  13. Reynolds KD, Metz DS, Unger J. Health behaviour research and intervention. In: Wallace R, editors. Public health and preventive medicine. New York, NY: The McGraw-Hill Companies; 2007. pp. 941-2.
  14. Kim S, Sargent-Cox K, Cherbuin N, Anstey KJ. Development of the motivation to change lifestyle and health behaviours for dementia risk reduction scale. Dementia and Geriatric Cognitive Disorders Extra. 2014;4(2):172-83. https://doi.org/10.1159/000362228
  15. Werner P. Factors influencing intentions to seek a cognitive status examination: A study based on the health belief model. Internal Journal of Geriatric Psychiatry. 2003;18(9):787-94. https://doi.org/10.1002/gps.921
  16. Harada K, Lee S, Shimada H, Lee S, Bae S, Anan Y, et al. Psychological predictors of participation in screening for cognitive impairment among community-dwelling older adults. Geriatrics & Gerontology International. 2017;17(8):1197-204. https://doi.org/10.1111/ggi.12841
  17. Kim YR, Kim GS. Factors affecting the performance of the dementia screening test using the health belief model. Journal of Korean Public Health Nursing. 2017;31(3):464-77. http://dx.doi.org/10.5932/JKPHN.2017.31.3.464
  18. Oh HK. Influencing factors on dementia preventive behavior in the elderly [master's thesis]. Daegu: Catholic University of Daegu; 2017. pp. 1-55.
  19. Seydel E, Taal E, Wiegman O. Risk-appraisal, outcome and self-efficacy expectancies: Cognitive factors in preventive behaviour related to cancer. Psychology and Health. 1990;4(2):99-109. https://doi.org/10.1080/08870449008408144
  20. Floyd DL, Prentice-Dunn SM, Rogers RW. A meta-analysis research on protection motivation theory. Journal of Applied Social Psychology. 2000;30(2):407-29. https://doi.org/10.1111/j.1559-1816.2000.tb02323.x
  21. Cha DP. The study on the predictive power of the extended parallel process model. Korean Journal of Social Science. 2005;27(3):91-114.
  22. Ajzen I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Process. 1991;50(2):179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  23. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-91. https://doi.org/10.3758/BF03193146
  24. French SL, Floyd M, Wilkins S, Osato S. The fear of Alzheimer's disease scale: A new measure designed to assess anticipatory dementia in older adults. International Journal of Geriatric Psychiatry. 2012;27(5):521-28. https://doi.org/10.1002/gps.2747
  25. Moon YS, Kim HJ, Choi H, Oh SI, Han SH. Validity of the Korean version of the fear of Alzheimer's disease scale for the assessment of anticipatory dementia. Journal of Korean Medicine Science. 2014;29(3):411-15. http://dx.doi.org/10.3346/jkms.2014.29.3.411
  26. Ajzen I. Constructing a TPB questionnaire: Conceptual and methodological considerations[Internet]. Amherst: University of Massachusetts; 2002[cited 2019 February 15]. Available from:https://scholar.google.com/citations?user=FS6qgIwAAAAJ&hl=en
  27. Sohn Y, Lee B. An efficacy of social cognitive behavior model based on the theory of planned behavior: A meta-analytic review. Korean Journal of Journalism & Communication Studies. 2012;56(6):127-61. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE02060403
  28. Kim S, Sargent-Cox KA, Anstey KJ. A qualitative study of older and middle-aged adults' perception and attitudes towards dementia and dementia risk reduction. Journal of The Advanced Nursing. 2015;71(7):1694-703. https://doi.org/10.1111/jan.12641
  29. Yoo SW, Park KH, Na EY. The effect of psychological reactance and fear of influenza A(H1N1) message on the preventive behavioral intention. Korean Journal of Journalism & Communication Studies. 2010;54(3):27-53.

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