[Factors associated dementia preventive behavior of older adults in a local community: Application of the information-motivation-behavioral skills model: A cross-sectional study].

Q4 Nursing Journal of Korean Gerontological Nursing Pub Date : 2023-02-01 Epub Date: 2023-02-28 DOI:10.17079/jkgn.2023.25.1.34
Eun Hye Ha, Mi Yang Jeon
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Abstract

Purpose: The purpose of this study was to identify the factors associated the dementia preventive behavior of older adults living in the community by adding fear of dementia to the information-motivation-behavioral skills model.

Method: The data was collected from October 10~31, 2019 by using structured questionnaires for 202 older people aged over 65 living in the community. The data was analyzed independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, multiple regression and Bootstrapping by using SPSS/WIN 24.0.

Results: As a result of the analysis, it was shown that factors associated dementia preventive behavior were age, social support, self- efficacy, and fear of dementia, which explained 20.9% dementia preventive behavior (F=13.01, p<.001). The verification result of the mediating effects of self-efficacy and dementia fear by using Bootstrapping method in the relationship between dementia knowledge, dementia attitude, social support and dementia prevention behavior based on the information-motivation-behavioral skills model showed that indirect effects.

Conclusion: When an effective dementia preventive behavior program is developed and provided for improving social support and self-efficacy and for reducing fear of dementia based on the results, it will contribute to the improvement of dementia prevention behavior for older adults.

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[当地社区老年人痴呆预防行为的相关因素:信息-动机-行为技能模型的应用:一项横断面研究]。
目的:本研究的目的是通过在信息-动机-行为技能模型中加入对痴呆的恐惧,来确定社区老年人痴呆预防行为的相关因素。方法:于2019年10月10日~31日对202名65岁以上的社区老年人进行结构化问卷调查。采用SPSS/WIN 24.0对数据进行独立t检验、单因素方差分析、scheff检验、Pearson相关系数、多元回归和Bootstrapping分析。结果:分析结果显示,与痴呆预防行为相关的因素为年龄、社会支持、自我效能感和对痴呆的恐惧,解释了20.9%的痴呆预防行为(F=13.01, p)。如果开发出有效的痴呆症预防行为项目,以提高社会支持和自我效能,并以此为基础减少对痴呆症的恐惧,将有助于改善老年人的痴呆症预防行为。
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