Self-efficacy/Competency Assessments

Self efficacy is defined as “a person’s belief about her or his ability to organize and execute courses of action to manage given situations” (Steffen et al., 2002, p. 74).  The concept, however, is dependent on the situation so that people can have high self efficacy in one situation but low self efficacy in another situation.  As such, a number of measures of self efficacy specific to caregiving have been developed.  In relation to caregiving, the concept of self efficacy is said to help explain the challenges brought about by the caregiving role (Bandura et al., 1985; Steffen et al., 2002; Zeiss et al., 1999).

Caregiving Competence

  • Measures the caregiver’s evaluation of the adequacy of their own performance in the caregiving role.
  • 4 items (4-point scale)
  • Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30(5), 583-594.

Caregiver Competence

  • Measures level of caregiver competence. Caregivers are first asked a series of questions.  The responses to these questions are then reviewed by a 3-person clinical team and assigns a rating of competence for each of the 5 domains as well as an overall rating of competence.
  • 21 items (2-point, 4-point scales)
  • Kosberg, J. I., & Cairl, R. E. (1992). Burden and competence in caregivers of Alzheimer’s Disease patients: Research and practice implications. Journal of Gerontological Social Work, 18, 85-96.

Caregiving Effectiveness

  • Measures perceptions of caregiving effectiveness.
  • 3 items (4-point scale)
  • Noelker, L. S., & Townsend, A. L. (1987). Perceived caregiving effectiveness: The impact of parental impairment, community resources, and caregiver characteristics. In T. Brubker (Ed.), Aging, Health and Family, Long Term Care. Newbury Park, CA: Sage Publications.

Revised Scale for Caregiving Self Efficacy

  • Measures caregiver self-efficacy in relation to self-care and obtaining respite, responding to disruptive patient behaviours, and controlling upsetting thoughts brought about by caregiving activities.
  • 51 items (range from 0% to 100%)
  • Zeiss, A., Gallagher-Thompson, D., Lovett, S., Rose, J., & McKibbon, C. (1999). Self-efficacy as a mediator of caregiver coping: Development and testing of an assessment model. Journal of Clinical Geropsychology, 5, 221-230.

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