{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T04:45:21Z","timestamp":1789274721431,"version":"build-2803163510"},"reference-count":78,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAD"],"published-print":{"date-parts":[[2022,8,2]]},"abstract":"<jats:p>Background: Dementia is rapidly increasing worldwide due to demographic aging. More than two-thirds of patients are cared by family members. The quality of care depends on the caregivers\u2019 attitude toward dementia influencing patient care decisions. Objective: The aim of this study is to examine the factors that influence the caregivers\u2019 attitude and whether there is an association between participation in a psycho-educational program and attitude. Methods: We performed a cross-sectional study using a structured closed-ended questionnaire to retrieve socio-demographic information from caregivers and the persons with dementia (N\u200a=\u200a86). The study included validated scales such as the Dementia Attitude Scale, the Dementia Knowledge Assessment Tool 2, the Positive Aspects of Caregiving, the Zarit Burden Interview, the Confidence in Dementia Scale, and Spielberger\u2019s State-Trait Anxiety Inventory, as well as a neuropsychological battery to assess the condition of people with dementia. Results: Our final model explains 55.6% of the total variance and shows a significant correlation of five factors with attitude toward dementia: confidence, behavioral and psychological symptoms of dementia, anxiety as a trait, positive aspects of caregiving, and dementia knowledge. The caregivers who participated in a psycho-educational program showed a significantly more positive attitude toward dementia, better dementia knowledge, higher confidence in dementia care, and lower anxiety as a state. Conclusion: The strong correlation of attitude and knowledge, as well as confidence in dementia care, supports the tripartite model of attitude, which hypothesizes the interrelation of affect, cognition, and behavior.<\/jats:p>","DOI":"10.3233\/jad-215731","type":"journal-article","created":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T13:14:57Z","timestamp":1655212497000},"page":"971-984","source":"Crossref","is-referenced-by-count":36,"title":["Informal Caregivers\u2019 Attitude Toward Dementia: The Impact of Dementia Knowledge, Confidence in Dementia Care, and the Behavioral and Psychological Symptoms of the Person with Dementia. A Cross-Sectional Study"],"prefix":"10.1177","volume":"88","author":[{"given":"Birgit","family":"Teichmann","sequence":"first","affiliation":[{"name":"Network Aging Research, Heidelberg University, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Gkioka","sequence":"additional","affiliation":[{"name":"Network Aging Research, Heidelberg University, Heidelberg, Germany"},{"name":"School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Kruse","sequence":"additional","affiliation":[{"name":"Institute for Gerontology, Heidelberg University, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magda","family":"Tsolaki","sequence":"additional","affiliation":[{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/JAD-215731_ref1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.31887\/DCNS.2009.11.2\/hbrodaty","article-title":"Family caregivers of people with dementia","volume":"11","author":"Brodaty","year":"2009","journal-title":"Dialogues Clin Neurosci"},{"key":"10.3233\/JAD-215731_ref2","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/s12877-020-1454-y","article-title":"Information needs and information seeking behaviour of people with dementia and their non-professional caregivers: A scoping review","volume":"20","author":"Soong","year":"2020","journal-title":"BMC Geriatr"},{"key":"10.3233\/JAD-215731_ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijnurstu.2017.10.008","article-title":"Unravelling positive aspects of caregiving in dementia: An integrative review of research literature","volume":"79","author":"Yu","year":"2018","journal-title":"Int J Nurs Stud"},{"key":"10.3233\/JAD-215731_ref4","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1590\/1980-57642020dn14-010009","article-title":"Emotional disorders evidenced by family caregivers of older people with Alzheimer\u2019s disease","volume":"14","author":"Manzini","year":"2020","journal-title":"Dement Neuropsychol"},{"key":"10.3233\/JAD-215731_ref5","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.healthpol.2014.07.013","article-title":"Mapping support policies for informal carers across the European Union","volume":"118","author":"Courtin","year":"2014","journal-title":"Health Policy"},{"key":"10.3233\/JAD-215731_ref6","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1111\/inr.12194","article-title":"Caregiver burden for informal caregivers of patients with dementia: A systematic review","volume":"62","author":"Chiao","year":"2015","journal-title":"Int Nurs Rev"},{"key":"10.3233\/JAD-215731_ref7","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1177\/0164027519884766","article-title":"Interventions for attitudes and empathy toward people with dementia and positive aspects of caregiving: A systematic review and meta-analysis","volume":"42","author":"Han","year":"2020","journal-title":"Res Aging"},{"key":"10.3233\/JAD-215731_ref8","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1017\/S1041610211000640","article-title":"Attitudes towards Alzheimer\u2019s disease as a risk factor for caregiver burden","volume":"23","author":"Zawadzki","year":"2011","journal-title":"Int Psychogeriatr"},{"key":"10.3233\/JAD-215731_ref10","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1037\/0022-3514.47.6.1191","article-title":"Empirical validation of affect, behavior, and cognition as distinct components of attitude","volume":"47","author":"Breckler","year":"1984","journal-title":"J Pers Soc Psychol"},{"key":"10.3233\/JAD-215731_ref11","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1037\/h0031448","article-title":"Validation of feeling, belief, and intention to act as three components of attitude and their contribution to prediction of contraceptive behavior","volume":"19","author":"Kothandapani","year":"1971","journal-title":"J Pers Soc Psychol"},{"key":"10.3233\/JAD-215731_ref12","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1017\/S1041610216000843","article-title":"A cross-sectional investigation of public attitudes toward dementia in Bristol and South Gloucestershire using the approaches to dementia questionnaire","volume":"28","author":"Cheston","year":"2016","journal-title":"Int Psychogeriatr"},{"key":"10.3233\/JAD-215731_ref13","doi-asserted-by":"crossref","unstructured":"Guyer JJ , Fabrigar LR (2015) Attitudes and Behavior. 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