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Dementia knowledge and its demographic correlates amongst informal dementia caregivers in Singapore

Gregory Tee Hng Tan, Qi Yuan, Fiona Devi, Peizhi Wang, Li Ling Ng, Richard Goveas, Siow Ann Chong, Mythily Subramaniam

2020Aging & Mental Health28 citationsDOIOpen Access PDF

Abstract

Objectives: The Dementia Knowledge Assessment Scale (DKAS) is a validated assessment tool to measure dementia knowledge. However, the factor structure of the DKAS has yet to be validated in Singapore. This study aims to investigate the DKAS factor structure amongst a sample of informal dementia caregivers in Singapore, as well as their sociodemographic correlates.Methods: A total of 282 participants were evaluated on their knowledge of dementia by an interviewer administering the DKAS. Confirmatory factor analysis (CFA) of factor models proposed by previous study yielded poor fit for our sample. Thus, an exploratory factor analysis (EFA) was conducted. Multiple linear regression was then performed to examine the sociodemographic correlates of DKAS factors.Results: EFA revealed a 23-item 3-factor model – ‘misconceptions about dementia’ (MD), ‘caregiving considerations towards dementia’ (CD) and ‘dementia symptoms’ (DS). Being a male caregiver and having lower educational levels were associated with poorer scores on MD and CD.Conclusion: A 3-factor model of the DKAS was found to be more appropriate with the sample in this study. Findings from this study suggests the need for more dementia literacy intervention for caregivers of dementia patients in Singapore, especially for male caregivers and those of lower education levels.

Topics & Concepts

DementiaConfirmatory factor analysisClinical psychologyPsychologyExploratory factor analysisLiteracyProtective factorGerontologyMedicinePsychometricsStructural equation modelingDiseaseInternal medicineMathematicsStatisticsPedagogyDementia and Cognitive Impairment ResearchPatient-Provider Communication in HealthcareHealth Literacy and Information Accessibility
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