Evidence map›Paper›PMID 32888197›Full record

ReviewNursing forum2021

Self-efficacy of family caregivers of older adults with cognitive impairment: A concept analysis.

Tarik S Khan, Karen B Hirschman, Matthew D McHugh, Mary D Naylor

Open access · greenAbstract readReview
In one paragraph

Review in Nursing forum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 37 citations in OpenAlex.

  1. Correlates and predictors of self-efficacy among dementia caregivers: D-CARE findings.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  3. Self-efficacy change among diverse family caregivers in dementia care.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
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  17. Models of Support for Caregivers and Patients with the Post-COVID-19 Condition: A Scoping Review.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Tarik S KhanSchool of Nursing, New Courtland Center for Transitions and Health, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID http://orcid.org/0000-0003-4675-2112
Karen B HirschmanSchool of Nursing, New Courtland Center for Transitions and Health, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0003-4886-7765
Matthew D McHughSchool of Nursing, Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-1263-0697
Mary D NaylorSchool of Nursing, New Courtland Center for Transitions and Health, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0001-9287-153X
University of Pennsylvania · US

Funding

Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
NINR NIH HHS T32 NR009356Ruth L. Kirschstein National Research Service Award T32NR009356
6 · The paper itself

Abstract

backgroundResearch demonstrates that increased self-efficacy can help family caregivers of older adults with Alzheimer's and other types of cognitive impairment experience lower burden and depressive symptom severity.

aimsThe purpose of this concept analysis is to address fundamental gaps in the understanding of self-efficacy in family caregivers of older adults with cognitive impairment, including updating the 26-year-old concept analysis with a contemporary definition.

methodsThis study utilizes Walker and Avant's (2019) concept analysis method, an eight-step iterative process that helps to clarify ambiguous concepts. A literature review was conducted from July 1993 through March 2019 using PubMed/MEDLINE, Scopus, CINAHL, and Embase. Inclusion criteria encompassed peer-reviewed research articles and review articles that included family caregivers of older adults with cognitive impairment.

resultsEight defining attributes of this concept are identified. The revised definition of self-efficacy in this population is a family caregiver's confidence in their ability to: manage behaviors and other caregiving stresses, control upsetting thoughts, acquire medical information, manage medical issues, obtain self-care, access community supports, assist with activities of daily living and other care, and maintain a good relationship with a relative, friend, or neighbor of an older adult with cognitive impairment.

conclusionThis paper utilizes over a quarter-century of research to build on the original analysis by Mowat and Spence Laschinger (1994) and update the concept's definition. This analysis should provide researchers with a clearer understanding of this concept and a renewed emphasis on the importance of targeting interventions to improve self-efficacy in this vulnerable caregiving population.

Indexed as

Concept FormationSelf EfficacyCaregiversCognitive DysfunctionHumansOccupational Stressconcept analysisdementiafamily caregiverfrail older adultself-efficacy

Identifiers

PMID32888197
PMCPMC8549654
OpenAlexW3083191014

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.