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The Self-Evaluation Maintenance (SEM) model offers a psychological framework to understand how individuals’ self-esteem is influenced by the achievements of others, particularly those with whom they share close personal bonds. The SEM model operates when personal rather than social identity guides individuals. Central to this model is the notion that individuals have an inherent desire to preserve a favorable self-image, which is continuously shaped by interpersonal comparisons and...
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Related Experiment Video

Updated: Jan 11, 2026

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The second victim's satisfaction index model.

Mariam Al-Nasser1, Amjad Al-Nasser2

  • 1Department of General Medicine, Faculty of Medicine, Yarmouk University, Irbid, Jordan.

International Journal of Health Care Quality Assurance
|November 13, 2025
PubMed
Summary
This summary is machine-generated.

Caregiver knowledge and memory significantly boost satisfaction for those caring for Alzheimer's patients. Improving these factors can enhance lifestyle and overall well-being for family caregivers.

Keywords:
Alzheimer’s diseaseCaregiversPLS-SEMShadow patients

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Area of Science:

  • Gerontology
  • Health Psychology
  • Sociology

Background:

  • Family caregivers, termed second victims (SVs), provide crucial support to relatives with chronic conditions like Alzheimer's.
  • Understanding SV satisfaction is vital for developing effective support systems.

Purpose of the Study:

  • To propose and validate a new customer satisfaction model tailored for second victims (SVs).
  • To identify key factors influencing SV satisfaction, specifically focusing on Alzheimer's caregivers.

Main Methods:

  • Adapted the American Customer Satisfaction Model, incorporating knowledge, empathy, memory, and lifestyle as predictors.
  • Utilized partial least squares structural equation modeling (PLS-SEM) for analysis.
  • Collected data from 154 Alzheimer's caregivers over three months.

Main Results:

  • Caregiver knowledge and memory positively and significantly impact SV satisfaction.
  • Memory and lifestyle were found to influence empathy, suggesting a link between personal reflection, routines, and emotional connection.
  • Findings highlight the importance of cognitive resources and caregiving competence.

Conclusions:

  • The study provides a validated model for understanding and improving SV satisfaction.
  • Identified factors (knowledge, memory, empathy, lifestyle) offer a framework for targeted caregiver interventions.
  • Results can increase caregiver awareness, improve lifestyle, and enhance satisfaction in Alzheimer's caregiving.