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dc.contributor.authorStockwell-Smith, Gillian
dc.contributor.authorMoyle, Wendy
dc.contributor.authorKellett, Ursula
dc.date.accessioned2019-05-29T13:16:40Z
dc.date.available2019-05-29T13:16:40Z
dc.date.issued2019
dc.identifier.issn0962-1067
dc.identifier.doi10.1111/jocn.14657
dc.identifier.urihttp://hdl.handle.net/10072/382318
dc.description.abstractAims and objectives: To explore the impact of early‐stage dementia on care recipient/carer dyads’ confidence or belief in their capacity to manage the behavioural and functional changes associated with dementia and to access appropriate support networks. Background: Living with dementia has predominantly been explored from the carer perspective and focused on the stress and burden of supporting a person with dementia. There has been a shift towards a more positive discourse to accommodate the role of self‐efficacy in supporting self‐management by people living with dementia. However, little has been reported on the dyadic experience of self‐efficacy in managing life with dementia. Design: A qualitative study using an interpretive descriptive approach. Semi‐structured interviews were conducted with 13 dyads in the early stages of dementia. The collected data underwent a process of thematic analysis. The study followed the COnsolidated criteria for REporting Qualitative research (COREQ) checklist. Results: Dyadic adjustment to dementia was dynamic, involving shifts between loss and adaptation. Threats to self‐efficacy, declining autonomy and stigma, were significant causes of concern for both members of the dyad. Dyadic self‐efficacy was demonstrated through recognition of and adaptation to dementia‐related changes and development of coping strategies to integrate impairment into everyday life. Conclusions: Solution‐focused approaches that improve knowledge and skills enable the dyad to adjust. The considerable impact of stigma on self‐efficacy indicates that supportive disclosure strategies developed in mental health may also have a role to play in dementia interventions.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherWiley-Blackwell Publishing
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom629
dc.relation.ispartofpageto640
dc.relation.ispartofissue3-4
dc.relation.ispartofjournalJournal of Clinical Nursing
dc.relation.ispartofvolume28
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111099
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1701
dc.subject.fieldofresearchcode1117
dc.titleThe impact of early-stage dementia on community-dwelling care recipient/carer dyads' capacity to self-manage
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.hasfulltextNo Full Text
gro.griffith.authorMoyle, Wendy
gro.griffith.authorKellett, Ursula M.
gro.griffith.authorStockwell-Smith, Gillian B.


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