Araştırma Makalesi
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Demansla İlgili Bilgi Düzeyinin Davranış Değiştirme Motivasyonu ile İlişkisi: Yetişkinler Açısından Bir Değerlendirme

Yıl 2025, Cilt: 8 Sayı: 2, 139 - 149, 30.08.2025

Öz

Amaç: Araştırma yetişkinlerde demansla ilgili bilgi düzeyinin, demans riskini azaltmak için davranış değiştirme motivasyonu ile
ilişkisini belirlemek amacıyla yapılmıştır.
Gereç ve Yöntemler: Tanımlayıcı ve kesitsel türdeki çalışma Türkiye sınırları içerisindeki illerde Ocak-Ağustos 2024 tarihleri
arasında yürütülmüştür. Çalışmada örneklem grubunu 750 yetişkin oluşturmuştur. Araştırmanın verileri tanıtıcı bilgi formu, demans
bilgi değerlendirme ölçeği ve demans riskini azaltmak için davranış değiştirme motivasyonu ölçeği ile toplanmıştır.
Bulgular: Katılımcıların demans bilgi değerlendirme ölçeği toplam puan ortalaması 29.69±4.50, demans riskini azaltmak için
davranış değiştirme motivasyonu ölçeği toplam puan ortalaması 31.86±5.71’dir. Demans bilgi değerlendirme ölçeği ile demans riskini
azaltmak için davranış değiştirme motivasyonu ölçeği arasında orta düzeyde, pozitif ve anlamlı bir ilişki belirlenmiştir. Araştırmada
yetişkin bireylerin yaş, cinsiyet, eğitim düzeyi, gelir durumu, demans eğitimi alma durumu, aile bireylerinde demans öyküsü ve
demanslı bireye bakım verme durumlarının demans riskini azaltmak için davranış değiştirme motivasyonlarını etkileyen önemli
değişkenler olduğu saptanmıştır.
Sonuç: Araştırmaya göre yetişkin bireylerin demans bilgi düzeyleri yüksek, demans riskini azaltmak için davranış değiştirme
motivasyonları ise orta düzeydedir. Katılımcıların demansla ilgili bilgi düzeyi arttıkça, demans riskini azaltmak için davranış
değiştirme motivasyonları da artmaktadır. Bu doğrultuda, demansın önlenmesi için hemşirelerin liderliğinde yetişkinleri koruyucu
davranış değişikliklerine teşvik eden multidisipliner çalışmaların yürütülmesi önerilmektedir.

Kaynakça

  • 1. Su HF, Koo M, Lee WL, et al. A dementia care training using mobile e-learning with mentoring support for home care workers: a controlled study. BMC Geriatrics. 2021; 21: 1-10.
  • 2. World Health Organization. (2021). Global status report on the public health response to dementia. Available from: https:// www.who.int/publications/i/item/9789240033245. Accessed 25 December 2023.
  • 3. Sun Y. Happiness and mental health of older adults: multiple mediation analysis. Front Psychol. 2023; 14: 1108678.
  • 4. Smith L, Jacob L, López-Sánchez GF, et al. Anxiety symptoms and mild cognitive impairment among community-dwelling older adults from low- and middle-income countries. J Affect Disord. 2021; 291: 57-64.
  • 5. Rice H, Howard R, Huntley, J. Professional caregivers’ knowledge, beliefs and attitudes about awareness in advanced dementia: a systematic review of qualitative studies. Int Psychogeriatr. 2019; 31: 1599-1609.
  • 6. Li YT, Bai JX, He JM, et al. The mediating role of attitudes towards dementia on the relationship between dementia knowledge and behaviors towards persons with dementia: a cross-sectional study. J Multidiscip Healthc. 2023; 16: 4213-4225.
  • 7. Leone C, Winterton R, Blackberry I. Media discourses on the socio-spatial rights of older people living with dementia and their carers. Dementia. 2023; 22: 161-179.
  • 8. Oliveira D, Knight H, Jones KA, et al. Motivation and willingness to increase physical activity for dementia risk reduction: Cross- Sectional UK survey with people aged 50 and over. Aging Ment Healt. 2022; 26: 1899-1908.
  • 9. Akyol MA, Şentürk SG, Söylemez BA, et al. Assessment of Dementia Knowledge Scale for the Nursing Profession and the General Population: Cross-Cultural Adaptation and Psychometric Validation. Dement Geriatr Cogn Disord. 2021; 50: 170-177.
  • 10. Oyinlola O. Addressing the challenges of dementia care in Nigeria: A call for a comprehensive national strategy. Public Health Challenges. 2024; 3: e186.
  • 11. Farrow M, Fair H, Klekociuk SZ, et al. Educating the masses to address a global public health priority: The Preventing Dementia Massive Open Online Course (MOOC). Plos one. 2022; 17: e0267205.
  • 12. Bartlett L, Bindoff A, Doherty K, et al. An online, public health framework supporting behaviour change to reduce dementia risk: interim results from the ISLAND study linking ageing and neurodegenerative disease. BMC Public Health. 2023; 23: 1886.
  • 13. Sunaryo SRA, Saifullah AD, Mulyani S. Knowledge and attitudes toward people with dementia among nursing students in Yogyakarta, Indonesia. Belitung Nursing Journal. 2020; 6: 196- 202.
  • 14. Li H, Zhang J, Wang L. Effect of dementia prevention beliefs on health promoting lifestyle in Chinese adults. Chinese General Practice. 2023; 26: 1584.
  • 15. Parveen S, Mehra A, Kumar K. et al. Knowledge and attitude of caregivers of people with dementia. Geriatr Gerontol Intern. 2022; 22: 19-25.
  • 16. Kjelvik G, Rokstad AMM, Stuebs, J, et al. Public knowledge about dementia risk reduction in Norway. BMC Public Health. 2022; 22: 2046.
  • 17. Zhao W, Jones C, Wu ML, et al. Healthcare professionals' dementia knowledge and attitudes towards dementia care and family carers' perceptions of dementia care in China: An integrative review. J Clin Nurs. 2022; 31: 1753-1775.
  • 18. Ebert AR, Kulibert D, McFadden SH. Effects of dementia knowledge and dementia fear on comfort with people having dementia: Implications for dementia-friendly communities. Dementia. 2020; 19: 2542-2554.
  • 19. Vrijsen J, Matulessij TF, Joxhorst T, et al. Knowledge, health beliefs and attitudes towards dementia and dementia risk reduction among the Dutch general population: A cross-sectional study. BMC Public Health. 2021; 21: 1-11.
  • 20. Van Patten R, Tremont G. Public knowledge of late-life cognitive decline and dementia in an international sample. Dementia. 2020; 19: 1758-1776.
  • 21. Akyol MA, Şentürk SG, Söylemez BA, et al. Assessment of Dementia Knowledge Scale for the Nursing Profession and the General Population: Cross-Cultural Adaptation and Psychometric Validation. Dement Geriatr Cogn Disord. 2021; 50: 170-177.
  • 22. Akyol MA, Küçükgüçlü Ö, Akpınar Söylemez B, et al. Translationand Psychometric Evaluation of the Turkish Version of theMotivation to Change Lifestyle for Dementia Risk ReductionScale (T-MOCHAD-10). The European Journal of Psychiatry.2022; 36: 252-259.
  • 23. Aslan GK, İşleyen EK, Kartal, A. Nursing students' knowledgeand attitudes about dementia: A cross-sectional study. Nurse EducPract. 2023; 72: 103800.
  • 24. Akyol MA, Güney S, Özgül E, et al. What does the public reallyknow about dementia? A community‐based cross‐sectionalsurvey in Türkiye. Public Health Nursing. 2024; 41: 1322-1330.
  • 25. Aldharman S, Alayed F, Aljohani B, et al. An assessment ofdementia knowledge and its associated factors among healthcollege students in Saudi Arabia. Cureus. 2023; 15.
  • 26. Choi WH, Seo YM. Determinants of intention toward dementia-preventive behaviors among middle-aged Korean adults. Int JAging Hum Dev. 2022; 95: 57-71.
  • 27. Öz D, Yıldırım Z, Kıyı İ, et al. Senior moments are never-endingtimes when you are old (are they?): first step of Turquoise Project.Noro Psikiyatr Ars. 2022; 59: S10-S16.
  • 28. Spittel S, Kraus E, Maier A. Dementia awareness challenges inSub-Saharan Africa: a cross-sectional survey conducted amongschool students in Ghana. Am J Alzheimers Dis Other Demen.2021; 36: 15333175211055315.
  • 29. Zheng YB, Shi L, Gong YM, et al. Public awareness and knowledgeof factors associated with dementia in China. BMC Public Health.2020; 1567.
  • 30. Wu J, Leong SM, Che SL, et al. Comparisons of dementiaknowledge and attitudes among the youth and older adults:Insights from the construal level theory perspective. Int J EnvironRes Public Health. 2022; 19: 1928.
  • 31. Bruinsma J, Heger I, Loukas VS, et al. Public Perspectives onLifestyle-Related Behavior Change for Dementia Risk Reduction:An Exploratory Qualitative Study in The Netherlands. J Alzheimer's Dis. (Preprint).2023; 95: 1635-1642.
  • 32. Sindi S, Kåreholt I, Ngandu T, et al. Sex differences in dementiaand response to a lifestyle intervention: Evidence from Nordicpopulation‐based studies and a prevention trial. Alzheimer'sDement. 2021; 17: 1166-1178.
  • 33. Geraets AF, Leist AK. Sex/gender and socioeconomic differencesin modifiable risk factors for dementia. Sci Rep 2023; 13: 80.
  • 34. Samuel LJ, Szanton SL, Wolff JL, et al. Socioeconomic disparitiesin six-year incident dementia in a nationally representative cohortof US older adults: an examination of financial resources. BMCGeriatr. 2020; 20: 1-9.
  • 35. Beydoun MA, Beydoun HA, Banerjee S, et al. Pathways explainingracial/ethnic and socio-economic disparities in incident all-causedementia among older US adults across income groups. TranslPsychiatry. 2022; 12: 478.
  • 36. Rosenberg A, Coley N, Soulier A, et al. Experiences of dementiaand attitude towards prevention: a qualitative study among olderadults participating in a prevention trial. BMC Geriatr. 2020; 20:1-12.
  • 37. Şener M, Küçükgüçlü Ö, Akyol MA. Does having a family memberwith dementia affect health beliefs about changing lifestyle andhealth behaviour for dementia risk reduction?. Psychogeriatrics.2024; 24: 868-875.
  • 38. Rostamzadeh A, Stapels J, Genske A, et al. Health literacy inindividuals at risk for Alzheimer’s dementia: A systematic review. JPrev Alzheimers Dis. 2020; 7: 47-55.
  • 39. Kim S, Sargent-Cox K, Cherbuin N, et al. Development of themotivation to change lifestyle and health behaviours for dementiarisk reduction scale. Dement Geriatr Cogn Dis Extra. 2014; 4:172-183.

The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults

Yıl 2025, Cilt: 8 Sayı: 2, 139 - 149, 30.08.2025

Öz

Aim: This study was conducted to determine the relationship between the level of knowledge about dementia and motivation to change lifestyle to reduce the risk of dementia in adults.
Materials and Methods: The descriptive and cross-sectional study was conducted between January and August 2024 in cities within Türkiye. The sample group consisted of 750 adults. Data were collected using the introductory information form, dementia knowledge scale, and motivation to change lifestyle for dementia risk reduction.
Results: The mean total score of the Dementia Knowledge Scale was 29.69±4.50, and the mean total score of the motivation to change lifestyle for dementia risk reduction was 31.86±5.71. A moderate, positive, and significant relationship was determined between the dementia knowledge scale and the motivation to change lifestyle for dementia risk reduction. In the study, it was determined that age, gender, education level, income status, received dementia training, history of dementia in family members, and caregiving status of individuals with dementia were important variables affecting their motivation to change lifestyle to reduce the risk of dementia.
Conclusion: According to the study, the dementia knowledge level of adult individuals was high, and their motivation to change their lifestyles to reduce the risk of dementia was moderate. As the participants’ level of knowledge about dementia increases, their motivation to change their lifestyle to reduce the risk of dementia also increases. In this regard, it is recommended to conduct multidisciplinary studies under the leadership of nurses to encourage adults to adopt protective behavioral changes for the prevention of dementia.

Etik Beyan

For the study, ethics committee approval was received from the social and human sciences research ethics committee of a state university, dated 20.06.2023 and numbered 2023-581.

Kaynakça

  • 1. Su HF, Koo M, Lee WL, et al. A dementia care training using mobile e-learning with mentoring support for home care workers: a controlled study. BMC Geriatrics. 2021; 21: 1-10.
  • 2. World Health Organization. (2021). Global status report on the public health response to dementia. Available from: https:// www.who.int/publications/i/item/9789240033245. Accessed 25 December 2023.
  • 3. Sun Y. Happiness and mental health of older adults: multiple mediation analysis. Front Psychol. 2023; 14: 1108678.
  • 4. Smith L, Jacob L, López-Sánchez GF, et al. Anxiety symptoms and mild cognitive impairment among community-dwelling older adults from low- and middle-income countries. J Affect Disord. 2021; 291: 57-64.
  • 5. Rice H, Howard R, Huntley, J. Professional caregivers’ knowledge, beliefs and attitudes about awareness in advanced dementia: a systematic review of qualitative studies. Int Psychogeriatr. 2019; 31: 1599-1609.
  • 6. Li YT, Bai JX, He JM, et al. The mediating role of attitudes towards dementia on the relationship between dementia knowledge and behaviors towards persons with dementia: a cross-sectional study. J Multidiscip Healthc. 2023; 16: 4213-4225.
  • 7. Leone C, Winterton R, Blackberry I. Media discourses on the socio-spatial rights of older people living with dementia and their carers. Dementia. 2023; 22: 161-179.
  • 8. Oliveira D, Knight H, Jones KA, et al. Motivation and willingness to increase physical activity for dementia risk reduction: Cross- Sectional UK survey with people aged 50 and over. Aging Ment Healt. 2022; 26: 1899-1908.
  • 9. Akyol MA, Şentürk SG, Söylemez BA, et al. Assessment of Dementia Knowledge Scale for the Nursing Profession and the General Population: Cross-Cultural Adaptation and Psychometric Validation. Dement Geriatr Cogn Disord. 2021; 50: 170-177.
  • 10. Oyinlola O. Addressing the challenges of dementia care in Nigeria: A call for a comprehensive national strategy. Public Health Challenges. 2024; 3: e186.
  • 11. Farrow M, Fair H, Klekociuk SZ, et al. Educating the masses to address a global public health priority: The Preventing Dementia Massive Open Online Course (MOOC). Plos one. 2022; 17: e0267205.
  • 12. Bartlett L, Bindoff A, Doherty K, et al. An online, public health framework supporting behaviour change to reduce dementia risk: interim results from the ISLAND study linking ageing and neurodegenerative disease. BMC Public Health. 2023; 23: 1886.
  • 13. Sunaryo SRA, Saifullah AD, Mulyani S. Knowledge and attitudes toward people with dementia among nursing students in Yogyakarta, Indonesia. Belitung Nursing Journal. 2020; 6: 196- 202.
  • 14. Li H, Zhang J, Wang L. Effect of dementia prevention beliefs on health promoting lifestyle in Chinese adults. Chinese General Practice. 2023; 26: 1584.
  • 15. Parveen S, Mehra A, Kumar K. et al. Knowledge and attitude of caregivers of people with dementia. Geriatr Gerontol Intern. 2022; 22: 19-25.
  • 16. Kjelvik G, Rokstad AMM, Stuebs, J, et al. Public knowledge about dementia risk reduction in Norway. BMC Public Health. 2022; 22: 2046.
  • 17. Zhao W, Jones C, Wu ML, et al. Healthcare professionals' dementia knowledge and attitudes towards dementia care and family carers' perceptions of dementia care in China: An integrative review. J Clin Nurs. 2022; 31: 1753-1775.
  • 18. Ebert AR, Kulibert D, McFadden SH. Effects of dementia knowledge and dementia fear on comfort with people having dementia: Implications for dementia-friendly communities. Dementia. 2020; 19: 2542-2554.
  • 19. Vrijsen J, Matulessij TF, Joxhorst T, et al. Knowledge, health beliefs and attitudes towards dementia and dementia risk reduction among the Dutch general population: A cross-sectional study. BMC Public Health. 2021; 21: 1-11.
  • 20. Van Patten R, Tremont G. Public knowledge of late-life cognitive decline and dementia in an international sample. Dementia. 2020; 19: 1758-1776.
  • 21. Akyol MA, Şentürk SG, Söylemez BA, et al. Assessment of Dementia Knowledge Scale for the Nursing Profession and the General Population: Cross-Cultural Adaptation and Psychometric Validation. Dement Geriatr Cogn Disord. 2021; 50: 170-177.
  • 22. Akyol MA, Küçükgüçlü Ö, Akpınar Söylemez B, et al. Translationand Psychometric Evaluation of the Turkish Version of theMotivation to Change Lifestyle for Dementia Risk ReductionScale (T-MOCHAD-10). The European Journal of Psychiatry.2022; 36: 252-259.
  • 23. Aslan GK, İşleyen EK, Kartal, A. Nursing students' knowledgeand attitudes about dementia: A cross-sectional study. Nurse EducPract. 2023; 72: 103800.
  • 24. Akyol MA, Güney S, Özgül E, et al. What does the public reallyknow about dementia? A community‐based cross‐sectionalsurvey in Türkiye. Public Health Nursing. 2024; 41: 1322-1330.
  • 25. Aldharman S, Alayed F, Aljohani B, et al. An assessment ofdementia knowledge and its associated factors among healthcollege students in Saudi Arabia. Cureus. 2023; 15.
  • 26. Choi WH, Seo YM. Determinants of intention toward dementia-preventive behaviors among middle-aged Korean adults. Int JAging Hum Dev. 2022; 95: 57-71.
  • 27. Öz D, Yıldırım Z, Kıyı İ, et al. Senior moments are never-endingtimes when you are old (are they?): first step of Turquoise Project.Noro Psikiyatr Ars. 2022; 59: S10-S16.
  • 28. Spittel S, Kraus E, Maier A. Dementia awareness challenges inSub-Saharan Africa: a cross-sectional survey conducted amongschool students in Ghana. Am J Alzheimers Dis Other Demen.2021; 36: 15333175211055315.
  • 29. Zheng YB, Shi L, Gong YM, et al. Public awareness and knowledgeof factors associated with dementia in China. BMC Public Health.2020; 1567.
  • 30. Wu J, Leong SM, Che SL, et al. Comparisons of dementiaknowledge and attitudes among the youth and older adults:Insights from the construal level theory perspective. Int J EnvironRes Public Health. 2022; 19: 1928.
  • 31. Bruinsma J, Heger I, Loukas VS, et al. Public Perspectives onLifestyle-Related Behavior Change for Dementia Risk Reduction:An Exploratory Qualitative Study in The Netherlands. J Alzheimer's Dis. (Preprint).2023; 95: 1635-1642.
  • 32. Sindi S, Kåreholt I, Ngandu T, et al. Sex differences in dementiaand response to a lifestyle intervention: Evidence from Nordicpopulation‐based studies and a prevention trial. Alzheimer'sDement. 2021; 17: 1166-1178.
  • 33. Geraets AF, Leist AK. Sex/gender and socioeconomic differencesin modifiable risk factors for dementia. Sci Rep 2023; 13: 80.
  • 34. Samuel LJ, Szanton SL, Wolff JL, et al. Socioeconomic disparitiesin six-year incident dementia in a nationally representative cohortof US older adults: an examination of financial resources. BMCGeriatr. 2020; 20: 1-9.
  • 35. Beydoun MA, Beydoun HA, Banerjee S, et al. Pathways explainingracial/ethnic and socio-economic disparities in incident all-causedementia among older US adults across income groups. TranslPsychiatry. 2022; 12: 478.
  • 36. Rosenberg A, Coley N, Soulier A, et al. Experiences of dementiaand attitude towards prevention: a qualitative study among olderadults participating in a prevention trial. BMC Geriatr. 2020; 20:1-12.
  • 37. Şener M, Küçükgüçlü Ö, Akyol MA. Does having a family memberwith dementia affect health beliefs about changing lifestyle andhealth behaviour for dementia risk reduction?. Psychogeriatrics.2024; 24: 868-875.
  • 38. Rostamzadeh A, Stapels J, Genske A, et al. Health literacy inindividuals at risk for Alzheimer’s dementia: A systematic review. JPrev Alzheimers Dis. 2020; 7: 47-55.
  • 39. Kim S, Sargent-Cox K, Cherbuin N, et al. Development of themotivation to change lifestyle and health behaviours for dementiarisk reduction scale. Dement Geriatr Cogn Dis Extra. 2014; 4:172-183.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Geriatri ve Gerontoloji
Bölüm Araştırma Makalesi
Yazarlar

Mükerrem Kabataş Yıldız 0000-0002-7598-162X

Gülnaz Ata 0000-0002-5130-2610

Yayımlanma Tarihi 30 Ağustos 2025
Gönderilme Tarihi 30 Kasım 2024
Kabul Tarihi 12 Şubat 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 8 Sayı: 2

Kaynak Göster

APA Kabataş Yıldız, M., & Ata, G. (2025). The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults. Geriatrik Bilimler Dergisi, 8(2), 139-149.
AMA Kabataş Yıldız M, Ata G. The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults. GBD. Ağustos 2025;8(2):139-149.
Chicago Kabataş Yıldız, Mükerrem, ve Gülnaz Ata. “The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults”. Geriatrik Bilimler Dergisi 8, sy. 2 (Ağustos 2025): 139-49.
EndNote Kabataş Yıldız M, Ata G (01 Ağustos 2025) The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults. Geriatrik Bilimler Dergisi 8 2 139–149.
IEEE M. Kabataş Yıldız ve G. Ata, “The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults”, GBD, c. 8, sy. 2, ss. 139–149, 2025.
ISNAD Kabataş Yıldız, Mükerrem - Ata, Gülnaz. “The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults”. Geriatrik Bilimler Dergisi 8/2 (Ağustos2025), 139-149.
JAMA Kabataş Yıldız M, Ata G. The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults. GBD. 2025;8:139–149.
MLA Kabataş Yıldız, Mükerrem ve Gülnaz Ata. “The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults”. Geriatrik Bilimler Dergisi, c. 8, sy. 2, 2025, ss. 139-4.
Vancouver Kabataş Yıldız M, Ata G. The Relationship of Dementia-Related Knowledge Level with Motivation to Change Lifestyle: an Evaluation for Adults. GBD. 2025;8(2):139-4.

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