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Title: Sense of competence in family carers of people living with dementia : a positive psychology perspective
Author: Stansfeld, Jacki Lisa
ISNI:       0000 0004 7970 6259
Awarding Body: UCL (University College London)
Current Institution: University College London (University of London)
Date of Award: 2019
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Background Carer sense of competence is related to their wellbeing and may play a role in reducing the risk of institutionalisation of the person with dementia. Little is known about the predictors of family carer sense of competence, particularly positive psychology factors. Aim To better understand the nature of sense of competence in family carers of people living with dementia. Methods Two systematic reviews: (1) of positive psychology measures and (2) exploring factors related to sense of competence, were used to design a national survey of sense of competence in 583 family carers. A meta-analysis examined the impact of psychosocial interventions on sense of competence. Sense of competence was examined in relation to carer mood and person with dementia factors using data from 468 dyads in the Valuing Active Life in Dementia (VALID) study. A qualitative study of family carers further explored the nature of sense of competence. Results In the survey, higher sense of competence significantly predicted better health related quality of life of carers, with this relationship mediated by sense of coherence. In the VALID study, carer mood significantly predicted variance in sense of competence scores, but clinical features of the person with dementia did not. In the qualitative study, carers' perception of challenges in the caring role and their cognitive appraisal had a strong influence on how competent family carers perceived themselves to be. Conclusions Positive psychology factors such as resilience and gains, and carer mood contribute to carer sense of competence. These findings inform understanding of the impact of positive psychology and psychosocial factors on family carer sense of competence. As such, a revised conceptual model of sense of competence incorporating positive psychology aspects of caring was proposed. Greater knowledge of the factors influencing sense of competence can improve the design of psychosocial interventions for carers.
Supervisor: Orrell, M. ; Wenborn, J. ; Vernooij-Dassen, M. Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available