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Mahanna A, Howell BM, Worthington AK, Redmond LC, Hiratsuka VY. Fruit and vegetable intake, physical activity, and functional fitness among older adults in urban Alaska. Int J Circumpolar Health 2024; 83:2359164. [PMID: 38807560 PMCID: PMC11138220 DOI: 10.1080/22423982.2024.2359164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 05/20/2024] [Indexed: 05/30/2024] Open
Abstract
Older adults often face barriers to obtaining recommended diet, physical activity, and fitness levels. Understanding these patterns can inform effective interventions targeting health beliefs and behavior. This cross-sectional study included a multicultural sample of 58 older adults (aged 55+ years, M=71.98) living in independent senior housing in urban Southcentral Alaska. Participants completed a questionnaire and the Senior Fitness Test that assessed self-reported fruit and vegetable intake, physical activity, self-efficacy, and functional fitness. T-tests and bivariate correlation analyses were used to test six hypotheses. Results indicated that participants had low physical activity but had a mean fruit and vegetable intake that was statistically significantly higher than the hypothesized "low" score. Only 4.26% of participants met functional fitness standards for balance/agility, and 8.51% met standards for lower-body strength. However, 51.1% met standards for upper-body strength and 46.8% met standards for endurance The results also indicated that nutrition self-efficacy and exercise self-efficacy were positively related to fruit and vegetable intake and physical activity levels, respectively. Interestingly, income was not related to nutrition or activity patterns. These data complicate the picture on dietary and physical activity patterns for older adults in Alaska and offer recommendations for future health promotion activities.
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Affiliation(s)
- Allexis Mahanna
- Population Health Sciences, University of Alaska Anchorage, Anchorage, AK, USA
| | - Britteny M. Howell
- Population Health Sciences, University of Alaska Anchorage, Anchorage, AK, USA
- National Resource Center for Alaska Native Elders, University of Alaska Anchorage, Anchorage, AK, USA
| | | | - Leslie C. Redmond
- Agricultural and Food Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Vanessa Y. Hiratsuka
- National Resource Center for Alaska Native Elders, University of Alaska Anchorage, Anchorage, AK, USA
- Research, Southcentral Foundation, Anchorage, AK, USA
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Zhao Y, Pang M, Xu Y. CICARE communication model and hierarchical responsibility nursing coordination in the application research of elderly patients with chronic heart failure. Medicine (Baltimore) 2024; 103:e39293. [PMID: 39287306 DOI: 10.1097/md.0000000000039293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/19/2024] Open
Abstract
The aim of this study was to evaluate the efficacy of implementing the CICARE communication model and hierarchical responsibility nursing coordination in managing chronic heart failure among elderly patients. From June 2021 to June 2023, 120 elderly patients diagnosed with chronic heart failure were admitted to our hospital. They were divided into 2 groups according to different treatment methods: the regular group and the observation group. Both groups of patients received nursing interventions for 3 months. Before and after the intervention, we assessed the levels of cardiac function indicators (left ventricular end-diastolic diameter, left ventricular ejection fraction, and B-type natriuretic peptide levels) and exercise tolerance (6-minute walk test) in both groups of patients. The time to clinical symptom relief, self-efficacy, and quality of life scores were compared between the 2 groups of patients. Before the intervention, there were no significant differences in cardiac function indicators between the 2 groups (P > .05). However, after the intervention, both groups exhibited improvements in left ventricular end-diastolic diameter and B-type natriuretic peptide levels, with the observation group demonstrating greater reductions compared to the control group. Furthermore, both groups showed increased left ventricular ejection fraction levels, with the observation group experiencing a significantly higher improvement. Although exercise tolerance did not differ significantly between the groups before the intervention, post-intervention analysis revealed a greater increase in 6-minute walk test distance in the observation group compared to the control group (P < .05). The time to relief of breathlessness and edema did not significantly differ between the groups (P > .05). Similarly, there were no significant differences in self-efficacy and quality of life scores between the groups before the intervention (P > .05); however, post-intervention analysis showed higher self-efficacy scores in the observation group. Application of the CICARE communication model and hierarchical responsibility nursing coordination in elderly patients with chronic heart failure can effectively improve the patients' cardiac function levels and significantly enhance their exercise tolerance, self-efficacy, and quality of life.
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Affiliation(s)
- Yuhuan Zhao
- Department of Traditional Chinese Medicine, Xi'an Ninth Hospital, Xi'an, Shaan xi, China
| | - Mi Pang
- Xi'an Ninth Hospital Nursing Department, Xi'an, Shaan xi, China
| | - Yuanle Xu
- Department of Operation Room, The Second People's Hospital of Shaanxi Province Xi'an, Shaan xi, China
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Yang MC, Singh G, Sakakibara BM. Social Cognitive Predictors of Health Promotion Self-Efficacy Among Older Adults During the COVID-19 Pandemic. Am J Health Promot 2024:8901171241256703. [PMID: 38816954 DOI: 10.1177/08901171241256703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2024]
Abstract
PURPOSE To examine the relative importance of social cognitive predictors (ie, performance accomplishment, vicarious learning, verbal persuasion, affective state) on health promotion self-efficacy among older adults during COVID-19. DESIGN Cross-sectional. SETTING Data collected online from participants in British Columbia (BC), Canada. SUBJECTS Seventy-five adults (n = 75) aged ≥65 years. MEASURES Health promotion self-efficacy was measured using the Self-Rated Abilities for Health Practices Scale. Performance accomplishment was assessed using the health directed behavior subscale of the Health Education Impact Questionnaire; vicarious learning was measured using the positive social interaction subscale of the Medical Outcomes Survey - Social Support Scale (MOS-SSS); verbal persuasion was assessed using the informational support subscale from the MOS-SSS; and affective state was assessed using the depression subscale from the Depression Anxiety Stress Scale (DASS-21). ANALYSIS Multiple linear regression was used to investigate the relative importance of each social cognitive predictor on self-efficacy, after controlling for age. RESULTS Our analyses revealed statistically significant associations between self-efficacy and performance accomplishment (health-directed behavior; β = .20), verbal persuasion (informational support; β = .41), and affective state (depressive symptoms; β = -.44) at P < .05. Vicarious learning (β = -.15) did not significantly predict self-efficacy. The model was statistically significant (P < .001) explaining 43% of the self-efficacy variance. CONCLUSION Performance accomplishment experiences, verbal persuasion strategies, and affective states may be the target of interventions to modify health promotion self-efficacy among older adults, in environments that require physical and social distancing.
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Affiliation(s)
- Michelle C Yang
- Graduate Programs in Rehabilitation Sciences, University of British Columbia, Vancouver, BC, Canada
- Centre for Chronic Disease Prevention and Management, University of British Columbia, Kelowna, BC, Canada
| | - Gurkaran Singh
- Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada
| | - Brodie M Sakakibara
- Centre for Chronic Disease Prevention and Management, University of British Columbia, Kelowna, BC, Canada
- Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada
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Klein Holte YN, Bleijenberg N. Evaluating the introduction of positive health on the amount of received home care among older patients: A pre-post study. Geriatr Nurs 2024; 57:66-72. [PMID: 38555708 DOI: 10.1016/j.gerinurse.2024.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 02/27/2024] [Accepted: 03/08/2024] [Indexed: 04/02/2024]
Abstract
BACKGROUND The increasing demand for home care services can be attributed to demographic shifts. Positive Health can be defined as the capacity to adapt and promote self-reliance in social, physical, and emotional challenges. PURPOSE This study aimed to explore the influence of introducing Positive Health on the amount of home care nursing for older patients, measured in minutes per week over a six-week period. METHOD A pretest-posttest study involving 176 randomly selected patients in each group. Data was extracted from the Electronic Health Record of a large home care organization in the Netherlands. FINDINGS Post-introduction of Positive Health, the median weekly home care amount significantly decreased (176.25 minutes, IQR=111.7-287.9) compared to pre-introduction (180.67 minutes, IQR=83.8-248.7, p=0.005). Significant differences in nursing diagnoses per patient group were observed (p<0.001). DISCUSSION Further research is needed to observe the long-term impact of working with Positive Health concept on patient outcomes in home care setting.
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Affiliation(s)
- Yvanka N Klein Holte
- Sensire, Healthcare Organization, Boterstraat 2, 7051DA, Varsseveld, the Netherlands.
| | - Nienke Bleijenberg
- Reseach Center for Healthy and Sustainable Living, University of Applied Sciences, Utrecht, the Netherlands; Department General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, UMC Utrecht, University Medical Center Utrecht, Utrecht, the Netherlands
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Steward A, Hasche L. Do Internalized Age Stereotypes Mediate the Relationship Between Volunteering and Self-Efficacy for Adults 50+ Years of Age? Int J Aging Hum Dev 2024; 98:135-158. [PMID: 37337649 DOI: 10.1177/00914150231183139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2023]
Abstract
This cross-sectional study examined whether internalized age stereotypes mediate the relationship between volunteering and self-efficacy for adults 50+ years of age. A convenience sample of volunteers (n = 173) residing in the United States of America Mountain West completed a 15-min, online survey. The independent variable was number of volunteer hours per week (mean = 6.44, SD = 5.50). The dependent variable was self-efficacy measured by five, four-point items from the general self-efficacy scale (α = .83; mean = 3.57, SD = .38). The indirect effects of five internalized positive and five negative age stereotypes were tested. Results indicate that increased internalized positive, but not negative, age stereotypes partially mediated the relationship between volunteer hours and self-efficacy. Although positive age stereotypes have long been considered a form of ageism, the findings suggest that internalized positive age stereotypes may function as a form of esteem to enhance psychosocial well-being.
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Affiliation(s)
- Andrew Steward
- Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
- Graduate School of Social Work, University of Denver, Denver, CO, USA
| | - Leslie Hasche
- Graduate School of Social Work, University of Denver, Denver, CO, USA
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Furnham A, Cheng H. The Big-Five personality factors, cognitive ability, health, and social-demographic indicators as independent predictors of self-efficacy: A longitudinal study. Scand J Psychol 2024; 65:53-60. [PMID: 37525487 DOI: 10.1111/sjop.12953] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 07/13/2023] [Accepted: 07/14/2023] [Indexed: 08/02/2023]
Abstract
This study set out to examine to what extent a set of psychological, health and socio-demographic factors are associated with self-efficacy (SE) in a large sample of over 12,000 participants over a two-year period. We were interested in the correlates of self-efficacy (criterion variable) with gender, age, education and occupation, the Big-Five personality factors and cognitive ability, as well as mental and physical health (predictor variables). Regression analyses showed that four of the Big-Five personality factors (extraversion, neuroticism, conscientiousness, and openness), cognitive ability, mental and physical health, gender, education and occupation were all significant and independent predictors of self-efficacy, accounting for 23% of the variance of the outcome variable. Personality variables, particularly Neuroticism and Conscientiousness, were the most powerful predictors of SE two years later. The implications for encouraging SE in individuals are discussed.
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Affiliation(s)
| | - Helen Cheng
- Department of Psychology, University College London, London, UK
- ESRC Centre for Learning and Life Chances in Knowledge Economies and Societies, Institute of Education, University College London, London, UK
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Lee GKY, Tan MN, Gao X, Wee HL, Lai BWP, Hong CHL, Hu S. Acceptance of silver diamine fluoride use in community dwelling older adults, nursing home residents, and caregivers. J Dent 2024; 141:104819. [PMID: 38128821 DOI: 10.1016/j.jdent.2023.104819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 12/14/2023] [Accepted: 12/18/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVES To compare the level of acceptance of silver diamine fluoride (SDF) treatment between different functional groups of older adults aged 65-years-old and above. METHODS Three groups were recruited representing functionally-independent ("Community dwelling"), frail ("Nursing home"), and functionally-dependent older adults ("Caregiver": proxy respondent involved in caring for an older adult of all functional levels). Participants viewed a video on SDF and an interviewer-led questionnaire collected demographics, dental experience and perception on SDF use. RESULTS The study recruited 201 participants (100 "Community dwelling", 51 "Nursing home", 50 "Caregiver"). Overall, 73 % of participants were accepting of SDF treatment. Those in the "Community dwelling" group were most accepting (85 %), followed by the "Nursing home" group (61 %) and "Caregiver" group (60 %) (p<0.001). Participants were more accepting of SDF use on posterior (73 %) compared to anterior teeth (46 %). They were more accepting when SDF was presented as a treatment to avoid infection and pain (87 %), and general anesthesia (78 %). In a regression analysis, "Nursing home" and "Caregiver" participants were three times less likely to accept SDF (OR 0.27 [95 % CI: 0.13 to 0.60], and OR 0.27 [95 % CI: 0.12 to 0.58] respectively) compared to "Community dwelling" participants. After adjusting for other factors, only the "Caregiver" group remained significant (Adjusted OR 0.32 [95 % CI: 0.13 to 0.78]). CONCLUSIONS Older adults were accepting of SDF and this treatment modality has the potential to be a routine treatment option in dental caries management in this population. However, this was less certain among frail and functionally dependent older adults. CLINICAL SIGNIFICANCE An SDF program to manage caries is likely to be well-received by functionally-independent older adults. However, the acceptance among frail and functionally-dependent older adults were lower even though SDF is mostly likely to benefit these populations. There is a need to investigate this relatively lower levels of acceptance.
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Affiliation(s)
| | - Mei Na Tan
- National University Centre for Oral Health Singapore, National University Health System, Singapore
| | - Xiaoli Gao
- Faculty of Dentistry, National University of Singapore, Singapore; Saw Swee Hock School of Public Heath, National University of Singapore, Singapore
| | - Hwee Lin Wee
- Saw Swee Hock School of Public Heath, National University of Singapore, Singapore
| | - Bien Wen Pui Lai
- Paediatric Dentistry Unit, National Dental Centre Singapore, Singapore
| | | | - Shijia Hu
- Faculty of Dentistry, National University of Singapore, Singapore.
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Gil-Almagro F, García-Hedrera FJ, Carmona-Monge FJ, Peñacoba-Puente C. From Anxiety to Hardiness: The Role of Self-Efficacy in Spanish CCU Nurses in the COVID-19 Pandemic. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:215. [PMID: 38399503 PMCID: PMC10890432 DOI: 10.3390/medicina60020215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 01/21/2024] [Accepted: 01/23/2024] [Indexed: 02/25/2024]
Abstract
Background and Objectives: Evidence shows that throughout the COVID-19 pandemic, nurses suffered from emotional symptoms, yet in spite of this, few studies within "positive psychology" have analyzed the emergence/promotion of positive traits, such as hardiness. In this context, the present study aimed to test a model regarding the mediating role of self-efficacy between anxiety experienced at the beginning of the COVID-19 pandemic and hardiness assessed six months later among nurses in critical care units (CCU) in Spain. Materials and Methods: An observational, descriptive, prospective longitudinal study with two data collection periods: (1) from the 1 to the 21 June 2020 (final phase of the state of alarm declared in Spain on 14 March) in which socio-demographic and occupational variables, anxiety (Depression, Anxiety and Stress Scale, DASS-21), self-efficacy (General Self-Efficacy Scale, GSES) and basal resilience (Resilience Scale-14, RS-14) were assessed, and (2) a follow-up 6 months later (January-March 2021) in which hardiness (Occupational Hardiness Questionnaire, OHQ) was evaluated. To analyze the data, multivariate regressions were performed using the PROCESS macro (simple mediation, model 4). Results: A total of 131 Spanish nurses from CCUs, with a mean age of 40.54 years (88.5% women) participated in the study. Moderate and severe levels of anxiety were observed in 19.1% of the sample. Significant and positive correlations were observed between self-efficacy, hardiness and resilience (all p < 0.001). Significant negative correlations were observed between anxiety and self-efficacy (p < 0.001), hardiness (p = 0.027) and resilience (p = 0.005). The indirect effect of anxiety on hardiness through self-efficacy was significant (Effect (SE) = -0.275 (0.100); LLCI = -0.487, ULCI = -0.097), contributing to 28% of the variance, including resilience (p = 0.015), age (p = 0.784), gender (p = 0.294) and years of experience (p = 0.652) as covariates. A total mediation was observed (non-significant anxiety-hardiness direct effect; Effect (SE) = -0.053 (0.215), t = 0.248, p = 0.804, LLCI = -0.372, ULCI = 0.479). Conclusions: The results suggest that in Spanish CCU nurses, anxiety experienced at the beginning of the COVID-19 pandemic may contribute to the development of hardiness through positive resources such as self-efficacy.
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Affiliation(s)
- Fernanda Gil-Almagro
- Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain;
- Hospital Universitario Fundación Alcorcón, 28922 Alcorcón, Spain;
| | | | | | - Cecilia Peñacoba-Puente
- Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain;
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Liu S, Fan X, Jiang L, Liu T. A cross-sectional study on the moderating effect of self-efficacy on the relationship between sociodemographic variables and nutrition literacy among older adults in rural areas of North Sichuan. Front Nutr 2024; 10:1335008. [PMID: 38260079 PMCID: PMC10800664 DOI: 10.3389/fnut.2023.1335008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 12/18/2023] [Indexed: 01/24/2024] Open
Abstract
Objective The purpose of this study is to examine the moderating role of self-efficacy among rural elderly individuals in northern Sichuan Province in the relationship between certain sociodemographic variables and nutritional literacy. Methods Convenience sampling was used to select 264 elderly individuals aged 60 and above from rural communities in Cangxi County, Guangyuan City, Yilong County, Nanchong City, and Bazhou District, Bazhong City, Sichuan Province. A self-designed questionnaire, including sociodemographic variables, the General Self-Efficacy Scale (GSES), and the Nutrition Literacy Questionnaire for the Elderly (NLQ-E), was administered through face-to-face interviews using a paper-based version. The relationships between sociodemographic variables, self-efficacy, and nutritional literacy in the elderly were analyzed using SPSS 26.0 and the Process plugin to examine the relationships between variables and to test for moderation effects. Results (1) There were significant differences in nutrition literacy scores among elderly people of different ages, genders, marital statuses, educational levels, personal monthly living expenses, dental conditions, and number of chronic diseases (p < 0.05). (2) When elderly individuals have lower self-efficacy, their nutritional literacy is lower as they become older, and they have poorer nutritional literacy with a higher number of chronic diseases. Conclusion General population demographic data has a significant impact on the nutritional literacy level of elderly people in rural areas of northern Sichuan. Self-efficacy plays a moderating role in the relationship between age and nutritional literacy, as well as the relationship between the number of chronic diseases and nutritional literacy.
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Affiliation(s)
- Shasha Liu
- Department of Nursing, Jinzhou Medical University, Jinzhou, China
- Chengdu BOE Hospital, Chengdu, China
| | - Xiaomei Fan
- First Affiliated Hospital of Chengdu Medical College, Chengdu, China
| | - Li Jiang
- Chengdu BOE Hospital, Chengdu, China
| | - Tao Liu
- Department of Nursing, Jinzhou Medical University, Jinzhou, China
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Zakrzewski JJ, Davis JD, Gemelli ZT, Korthauer LE. Understanding Health Beliefs and Health Behaviors in Older Adults at Risk for Alzheimer's Disease. J Alzheimers Dis 2024; 99:1093-1104. [PMID: 38759001 DOI: 10.3233/jad-230977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/19/2024]
Abstract
Background There are significant public health benefits to delaying the onset of Alzheimer's disease (AD) in individuals at risk. However, adherence to brain healthy behaviors is low. The Health Belief Model proposes that specific beliefs are mediators of behavior change. Objective To characterize health belief measures from the Science of Behavior Change Research Network (SBCRN) in an older adult population and associations between health beliefs, AD risk, and current health behaviors. Methods A total of 172 individuals from the Rhode Island AD Prevention Registry participated. SBCRN health belief measures included assessments of future time perspective, self-efficacy, deferment of gratification, and consideration of future consequences. Outcome measures included individual AD risk index score, dementia risk awareness, and lifestyle behaviors including physical, cognitive, and social activity. Results Participants who were older had higher scores for AD risk, lower future time perspective, and lower generalized self-efficacy (all at p < 0.001). Higher generalized self-efficacy was related to increased physical activity (p < 0.010). Higher future time perspective (p < 0.001) and generalized self-efficacy (p = 0.48) were associated with lower AD risk score. Subjective cognitive decline (SCD) was associated with lower self-efficacy, ability to delay gratification, and a less expansive future time perspective. Conclusions Greater self-efficacy and perceived future time remaining were associated with lower AD risk and greater engagement in physical activity. SCD was associated with health beliefs that may negatively affect engagement in positive brain health behaviors. Assessment of and psychoeducation about these intrapersonal health belief constructs may be important targets for behavioral interventions to reduce AD risk.
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Affiliation(s)
- Jessica J Zakrzewski
- Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA
| | - Jennifer D Davis
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA
- Department of Psychiatry, Rhode Island Hospital, Providence, RI, USA
| | - Zachary T Gemelli
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA
| | - Laura E Korthauer
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA
- Department of Psychiatry, Rhode Island Hospital, Providence, RI, USA
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Remm SE, Halcomb E, Peters K, Hatcher D, Frost SA. Self-efficacy, resilience and healthy ageing among older people who have an acute hospital admission: A cross-sectional study. Nurs Open 2023; 10:7168-7177. [PMID: 37605462 PMCID: PMC10563429 DOI: 10.1002/nop2.1960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 06/02/2023] [Accepted: 07/27/2023] [Indexed: 08/23/2023] Open
Abstract
AIM To examine the associations between self-efficacy, resilience and healthy ageing among older people who have an acute hospital admission. DESIGN A cross-sectional study. METHODS Survey and medical record data were collected from older people on discharge from hospital. The survey measured self-efficacy with the 6-item General Self-Efficacy scale (GSE-6), resilience with the Brief Resilience Scale (BRS), and healthy ageing with the Selfie Ageing Index (SAI). Medical record data included potential confounders: co-morbidities, frailty items, previous falls and previous admission in the last 28 days. Multi-linear regression and Spearman's rank correlation coefficient were used to examine the independent associations between self-efficacy, resilience and healthy ageing. RESULTS Responses were received from 143 older people (mean age 79). After adjusting for potential confounders, co-morbidities (ß = -0.08, p = 0.001) remained negatively associated with healthy ageing, while self-efficacy (ß = 0.03, p = 0.005) and resilience (ß = 0.05, p < 0.001) remained positively associated with healthy ageing (R2 = 0.243). Positive correlations were found between self-efficacy (ρ = 0.33, p < 0.01), resilience (ρ = 0.38, p < 0.001) and healthy ageing. Positive correlations were also found between self-efficacy and resilience (ρ = 0.38, p < 0.01). Those with lower self-efficacy and resilience were more likely to report reduced activities of daily living, mobility, physical activity and mood. CONCLUSION Findings indicate that while the number of co-morbidities have negative consequences for healthy ageing among older people who are hospitalised, the promotion of self-efficacy and resilience can potentially contribute to healthy ageing within the physical and psychological domains. IMPLICATIONS FOR PATIENT CARE Nurses can promote self-efficacy, which can potentially increase resilience and help to improve self-management of chronic conditions, functional ability in daily activities, mobility and physical activity and reduce both anxiety and depressive symptoms. PATIENT CONTRIBUTION Participant feedback throughout the data collection process assisted in the evaluation of study methods and data interpretation. This included processes such as assessing selected tools and clarifying the meanings of healthy ageing factors.
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Affiliation(s)
- Sarah E. Remm
- School of Nursing and MidwiferyWestern Sydney UniversitySydneyNew South WalesAustralia
| | - Elizabeth Halcomb
- School of Nursing and MidwiferyWestern Sydney UniversitySydneyNew South WalesAustralia
- School of NursingUniversity of WollongongWollongongNew South WalesAustralia
| | - Kath Peters
- School of Nursing and MidwiferyWestern Sydney UniversitySydneyNew South WalesAustralia
| | - Deborah Hatcher
- School of Nursing and MidwiferyWestern Sydney UniversitySydneyNew South WalesAustralia
| | - Steven A. Frost
- School of NursingUniversity of WollongongWollongongNew South WalesAustralia
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Huang H, Ding Y, Liang Y, Wan X, Peng Q, Zhang Y, Kong D, Chen C. The association between perfectionism and academic procrastination among undergraduate nursing students: The role of self-efficacy and resilience. Nurs Open 2023; 10:6758-6768. [PMID: 37464544 PMCID: PMC10495727 DOI: 10.1002/nop2.1922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 03/08/2023] [Accepted: 06/05/2023] [Indexed: 07/20/2023] Open
Abstract
AIMS This study aimed to investigate the associations between perfectionism and undergraduate nursing students' academic procrastination, the mediating effects of self-efficacy and the moderating role of resilience. DESIGN A cross-sectional survey. METHODS The survey was conducted from March to May 2022 with a sample of 587 undergraduate nursing students in two undergraduate universities in China. A descriptive statistical approach, Pearson's correlation analysis and the Hayes' PROCESS Macro model 4 and 14 were used to analyse the available data. RESULTS Adaptive perfectionism and maladaptive perfectionism negatively and positively predicted academic procrastination in nursing undergraduates, respectively. Self-efficacy played a partially mediating role in the association between adaptive perfectionism and academic procrastination. Furthermore, resilience played a moderating role in the association between adaptive perfectionism and academic procrastination. CONCLUSIONS Maladaptive perfectionism and low levels of resilience and self-efficacy may increase the risk of academic procrastination among nursing undergraduates. Nursing educators can take measures to decrease the risk of academic procrastination among nursing undergraduate students by guiding them to cultivate adaptive perfectionism tendencies and improve their self-efficacy and resilience. IMPACT The findings of this study can be used to develop targeted coping and prevention measures for nursing educators to reduce the incidence of academic procrastination among nursing undergraduates. PATIENT OR PUBLIC CONTRIBUTION Five hundred eighty-seven undergraduate nursing students from two undergraduate universities participated in the study and responded to questions on perfectionism and academic procrastination, etc.
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Affiliation(s)
- Haitao Huang
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Yueming Ding
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Yipei Liang
- School of BusinessHenan UniversityKaifengChina
| | - Xiao Wan
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Qianwen Peng
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Yiming Zhang
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Deren Kong
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Chaoran Chen
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
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13
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Dehghani M, Kazemi A, Heidari Z, Mohammadi F. The relationship between women's breastfeeding empowerment and conformity to feminine norms. BMC Pregnancy Childbirth 2023; 23:287. [PMID: 37098471 PMCID: PMC10131328 DOI: 10.1186/s12884-023-05628-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 04/20/2023] [Indexed: 04/27/2023] Open
Abstract
BACKGROUND Women empowerment is effective in successful breastfeeding. Hence,identifying the relationship between psychosocial factors, such as acceptance of feminine norms, and empowerment can be beneficial in designing interventions.. Therefore, this study aimed to determine the relationship between breastfeeding empowerment and conformity to feminine norms. METHODS This cross-sectional study was conducted on 288 primiparous mothers in the postpartum period using validated questionnaires of conformity to gender norms and breastfeeding empowerment in the following domains: "sufficient knowledge and skills for breastfeeding," "a sense of breastfeeding competence," "conscious belief in the value of breastfeeding," "overcoming breastfeeding problems," "negotiation and obtaining family support" and "self-efficacy in breastfeeding" which were completed through the self-report method. Data were analyzed using the multivariate linear regression test. RESULTS The mean score of 'conformity to feminine norms' and 'breastfeeding empowerment' were 142.39 and 144.14, respectively. The score of breastfeeding empowerment was positively related to conformity to feminine norms (p = 0.003). Among the dimensions of breastfeeding empowerment, 'mothers' adequate knowledge and skills for breastfeeding' (p = 0.001), 'belief in the value of breastfeeding' (p = 0.008), and 'negotiation and obtaining family support' (p = 0.01) were positively related to conformity to feminine norms. CONCLUSIONS The results indicate a positive relationship between the level of conformity to feminine norms and breastfeeding empowerment. Accordingly, it is recommended that supporting breastfeeding as a valuable role of women be considered in programs designed to improve breastfeeding empowerment.
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Affiliation(s)
- Maryam Dehghani
- Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ashraf Kazemi
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zeinab Heidari
- Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fatemeh Mohammadi
- Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
- Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Hezar Jerib Street, Isfahan, 8174673461, Iran.
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14
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Imeri H, Holmes E, Desselle S, Rosenthal M, Barnard M. A survey study of adults with chronic conditions: Examining the correlation between patient activation and health locus of control. Chronic Illn 2023; 19:118-131. [PMID: 36638782 DOI: 10.1177/17423953211067431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
OBJECTIVES This study aimed to examine (1) the association between patient activation (PA), health locus of control (HLOC), sociodemographic and clinical factors, and (2) the effect of HLOC dimensions, sociodemographic and clinical factors on PA. METHODS Three hundred U.S. adults, with at least one chronic condition (CC) were recruited through Amazon Mechanical Turk and completed an online survey which included sociodemographic questions, the Patient Activation Measure® - 10, and the Multidimensional Locus of Control (MHLC) - Form B. Statistical analyses, including descriptive, correlation, and multiple linear regression, were conducted using IBM SPSS v25. RESULTS Of the 300 participants, more than half were male (66.3%), White (70.7%), with at least a college degree (76.0%), and employed full-time (79.0%). The average PA score was 68.8 ± 14.5. Multiple linear regression indicated that participants who reported they were Black, retired, with a greater number of CCs, and with higher scores in Chance MHLC had higher PA, while participants with higher scores in Internal MHLC, were unemployed and reported to have been affected by COVID-19-related worry or fear to manage their CC, had lower PA. DISCUSSION HLOC dimensions should be addressed concurrently with PA for patients with CCs, thus adding to a more patient-centered clinical approach.
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Affiliation(s)
- Hyllore Imeri
- 8083University of Mississippi, Department of Pharmacy Administration, University, MS, United States
| | - Erin Holmes
- 8083University of Mississippi, Department of Pharmacy Administration, University, MS, United States
| | - Shane Desselle
- 59431Touro University California, Department of Pharmacy, Vallejo, CA, United States
| | - Meagen Rosenthal
- 8083University of Mississippi, Department of Pharmacy Administration, University, MS, United States
| | - Marie Barnard
- 8083University of Mississippi, Department of Pharmacy Administration, University, MS, United States
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15
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Wu X, Li J, Zhang C, Zhou X, Dong X, Cao H, Duan Y, Wang S, Liu M, Zhang Q, Xie J. The effects of modified problem-solving therapy on depression, coping, and self-efficacy in elderly nursing home residents. Front Psychol 2023; 13:1030104. [PMID: 36687964 PMCID: PMC9853555 DOI: 10.3389/fpsyg.2022.1030104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Accepted: 12/15/2022] [Indexed: 01/07/2023] Open
Abstract
Background With the increasing trend of aging, the mental health problems of the elderly require urgent attention. Depression is a common psychological problem of the elderly, which affects their quality of life and physical health. Problem-solving therapy can effectively improve depression in the elderly, but there are few studies on problem-solving therapy for depression in the elderly in China. The purpose of this study was to evaluate the effects of modified problem-solving therapy (MPST) on depression, coping and self-efficacy in elderly nursing home residents. Methods This study was a randomized controlled trial. A total of 60 older adults from two nursing homes were recruited to participate in this study and randomly assigned to the intervention group (MPST) or the control group (usual care). The intervention lasted 8 weeks, and information on depression, coping skills, and self-efficacy was collected before the intervention, immediately after the intervention, and 3 months after the intervention. Repeated measures ANOVA was used to compare changes at multiple time points between the two groups. If the interaction effect (group * time) was significant, independent samples t-test was used to compare the differences in outcome indicators between groups at post-intervention and 3 months post-intervention. Results Compared to the control group, depression scores in the intervention group were significantly lower at the end of the intervention and remained significantly lower than the control group 3 months post-intervention (p < 0.05). Negative coping and self-efficacy in the intervention group also improved significantly at the end of the intervention, and 3 months post-intervention, while positive coping in the two groups did not differ significantly at 3 months post-intervention. Conclusion The findings of this study suggest that MPST could be beneficial in reducing depressive symptoms and enhancing positive coping and self-efficacy levels in older adults in nursing homes.
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Affiliation(s)
- Xiaoqi Wu
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China,Xiangya Nursing School, Central South University, Changsha, China
| | - Jie Li
- Xiangya Nursing School, Central South University, Changsha, China
| | - Chun Zhang
- Xiangya Nursing School, Central South University, Changsha, China
| | - Xing Zhou
- Xiangya Nursing School, Central South University, Changsha, China
| | - Xiaoqian Dong
- Xiangya Nursing School, Central South University, Changsha, China
| | - Huan Cao
- Xiangya Nursing School, Central South University, Changsha, China
| | - Yinglong Duan
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Sha Wang
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Min Liu
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Qiuxiang Zhang
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Jianfei Xie
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China,*Correspondence: Jianfei Xie, ✉
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16
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Relationship between Empowerment and Functioning and Disability in Older Japanese Patients: A Covariance Structure Analysis. Healthcare (Basel) 2022; 11:healthcare11010044. [PMID: 36611504 PMCID: PMC9818652 DOI: 10.3390/healthcare11010044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 12/15/2022] [Accepted: 12/21/2022] [Indexed: 12/28/2022] Open
Abstract
In the present study, 151 Japanese older adults aged over 65 years and admitted to recovery-phase rehabilitation facilities were enrolled to investigate the relationship between empowerment and contextual factors, functioning and disability, with structural equation modeling (SEM). The analysis included 151 patients aged 81.75 ± 7.15 years, including 54 males (35.76%) and 97 females (64.24%). The results of the SEM analysis showed that role presence (β = 0.45, p < 0.01) and family structure (β = 0.18, p = 0.02) significantly impacted empowerment. In addition, the results showed that patient empowerment positively impacted physical activity (β = 0.25, p < 0.01) and psychosomatic functions and abilities (β = 0.36, p < 0.01). Furthermore, the goodness-of-fit of the model hypothesized in this study was shown to have explanatory power. This study showed that empowerment contributed to the prevention of physical inactivity and confinement among Japanese older patients. In other words, the study provided evidence for the importance of empowerment-based program planning in the practice of person-centered care aimed at promoting the health and discharge of older patients in Japan.
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17
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Lea A, Collett J, Cribb L, Zheng Z, Podugu PSDV. A Cross-Sectional Study of Factors associated with Psychosocial Wellbeing Among Older Tai Chi Practitioners. Eur J Integr Med 2022. [DOI: 10.1016/j.eujim.2022.102214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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18
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Inci FH, Bakan G. The Relationship between Self-Efficacy of Older Patients and Caregiver Burden in Turkey. SOCIAL WORK IN PUBLIC HEALTH 2022; 37:796-804. [PMID: 36227763 DOI: 10.1080/19371918.2022.2134250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Many factors affect the caregiver burden. However, there is no clear information about whether older patients' self-efficacy levels affect the caregiver burden. This study was carried out to determine the relationship between the self-efficacy of older patients and the caregiver burden in Turkey. This cross-sectional and correlational study was conducted at a university hospital with a sample of patients and their family caregivers. The population of the study consisted of 163 older patients and their caregivers. Data were collected using the demographic data form, Self-Efficacy Scale, and Burden Interview. The self-efficacy of older patients was found to be the strongest predictor of the caregiver burden. Other significant predictors of the caregiver burden were the caregiver's degree of kinship with the patient, marital status of the caregiver, and the patient's duration of illness. This study determined that the predictor variables explained 28% of the total variance. The addition of applications that increase patient self-efficacy to the scope of the programs aimed at reducing the caregiver burden will increase the effectiveness of the programs.
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Affiliation(s)
- Fadime Hatice Inci
- Public Health Nursing Department, Pamukkale University Faculty of Health Sciences, Denizli, Turkey
| | - Gülcan Bakan
- Internal Medicine Nursing Department, Pamukkale University Faculty of Health Sciences, Denizli, Turkey
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19
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Li X, Yang K, An Y, Liu M, Yan C, Huang R. General self-efficacy and frailty in hospitalized older patients: The mediating effect of loneliness. Geriatr Nurs 2022; 48:315-319. [PMID: 36356532 DOI: 10.1016/j.gerinurse.2022.10.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 10/24/2022] [Accepted: 10/26/2022] [Indexed: 11/09/2022]
Abstract
This study aimed to explore the relationship between general self-efficacy and frailty in hospitalized older adults with chronic diseases, and to examine the mediating role of loneliness. A total of 327 hospitalized older patients aged 60 years or above with chronic diseases were recruited. Cross-sectional data on the patients' general self-efficacy, frailty and loneliness were collected using questionnaires. The PROCESS macro of the bias correction bootstrapping method was used to test the mediation model. The results showed that the significant mediating role of loneliness between general self-efficacy and frailty (B = -0.735, 95% CI [-0.923, -0.564]) explained 42.4% of the total effect of general self-efficacy on frailty. These findings highlighted the importance of loneliness in older patients with chronic diseases in hospital, especially those with low general self-efficacy.
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Affiliation(s)
- Xuejia Li
- School of Nursing, Dali University, Dali, Yunnan, China
| | - Kaiqing Yang
- School of Nursing, Dali University, Dali, Yunnan, China; Department of Hospital Unions, Dali Bai Autonomous Prefecture People's Hospital, Dali, Yunnan, China.
| | - Yangxin An
- Department of Geriatrics, Dali Bai Autonomous Prefecture People's Hospital, Dali, Yunnan, China
| | - Min Liu
- School of Nursing, Dali University, Dali, Yunnan, China
| | - Chunyan Yan
- School of Nursing, Dali University, Dali, Yunnan, China
| | - Rong Huang
- School of Nursing, Dali University, Dali, Yunnan, China
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20
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Boehlen FH, Kusch MKP, Reich P, Wurmbach VS, Seidling HM, Wild B. [Experiences of older multimorbid persons during the COVID-19 pandemic: a qualitative study]. Z Gerontol Geriatr 2022; 55:216-222. [PMID: 35384511 PMCID: PMC8984670 DOI: 10.1007/s00391-022-02055-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 03/08/2022] [Indexed: 11/24/2022]
Abstract
BACKGROUND/OBJECTIVE The COVID-19 pandemic and the accompanying preventive measures have shaped social life in unexpected ways. Because older persons with multiple chronic conditions have a high risk of a severe medical outcome, it has been strongly recommended that social contacts be curtailed in order to minimize risks of infection. While this appears to be alarming from a psychosocial point of view, it has been shown that older persons exhibit a high degree of equanimity and a good ability to cope with the crisis. The aim of the study was to describe the attitudes of multimorbid older people to the pandemic, their social contacts and their experiences with medical care. MATERIAL AND METHODS This cross-sectional qualitative survey was based on 21 semi-structured short interviews of older patients with multiple chronic conditions during inpatient health care, at 4 different points in time: July 2020, September 2020, November 2020 and January 2021. The data were analyzed by qualitative content analysis. RESULTS The statements of 21 participants (aged 58-88 years) were assessed. Over the course of the COVID-19 pandemic it became apparent that participants experienced the pandemic differently, both from an individual perspective and over time. While high infection rates were accompanied by serious concerns about health, periods of moderate infection risk were dominated by worry about social changes. In older persons there was a great sense of acceptance of the preventive measures. CONCLUSION Our study exemplarily illustrates the attitudes and concerns of older persons who suffer from multiple chronic conditions over the course of the pandemic. Our data show that older persons reacted with equanimity to the novel medical and social circumstances.
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Affiliation(s)
- F H Boehlen
- Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland.
| | - M K P Kusch
- Abteilung Klinische Pharmakologie und Pharmakoepidemiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
- Kooperationseinheit Klinische Pharmazie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
| | - P Reich
- Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland
| | - V S Wurmbach
- Abteilung Klinische Pharmakologie und Pharmakoepidemiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
- Kooperationseinheit Klinische Pharmazie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
| | - H M Seidling
- Abteilung Klinische Pharmakologie und Pharmakoepidemiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
- Kooperationseinheit Klinische Pharmazie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
| | - B Wild
- Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland
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21
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Okoye EC, Onwuakagba IU, Akile CC, Okonkwo UP, Akosile CO, Mgbeojedo UG, Oyewumi TJ, Kubeyinje OS. Social Support, General Self-Efficacy, Fear of Falling, and Physical Activity Among Older Adults in a Middle-Income Country. Gerontol Geriatr Med 2022; 8:23337214221097750. [PMID: 35478850 PMCID: PMC9036325 DOI: 10.1177/23337214221097750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 04/06/2022] [Accepted: 04/11/2022] [Indexed: 11/28/2022] Open
Abstract
Objectives: To investigate the levels and interrelationships between fear of falling (FOF), physical activity (PA), social support (SS), and general self-efficacy (GSE) among older adults in a Nigerian community. Methods: This was a cross-sectional survey involving 100 older adults (65.0% females; mean age = 74.25 ± 8.01 years) consecutively recruited from Nnewi community. Participants’ FOF, PA, GSE, and SS were assessed using standardized questionnaires. Data were analyzed using descriptive statistics, Spearman rank order correlation, and structural equation modeling at a 0.05 level of significance. Results: The participants’ mean FOF, PA, GSE, and SS scores were 15.22 ± 7.43 (fearful), 114.76 ± 90.18 (low), 21.64 ± 8.25 (low) and 5.72 ± 1.19 (high) respectively. There were significant correlations between each pair of FOF, PA, GSE, and SS scores of the participants (p < .05). FOF and GSE were significant predictors of PA while GSE and SS were significant predictors of FOF. Conclusion: FOF and SS were high while PA and GSE were low in this sample of Nigerian older adults. Significant correlations existed between FOF, SS, GSE, and PA, with FOF and GSE being predictors of PA while GSE and SS significantly predicted FOF. Measures should be geared towards reducing FOF and improving PA, GSE, and SS in this group.
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Affiliation(s)
- Emmanuel C Okoye
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria
| | - Ifeoma U Onwuakagba
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria
| | - Cynthia C Akile
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria
| | - Uchenna P Okonkwo
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria
| | - Christopher O Akosile
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria
| | - Ukamaka G Mgbeojedo
- Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, University of Nigeria, Enugu, Nigeria
| | - Taiwo J Oyewumi
- Department of Physiotherapy, University of Benin Teaching Hospital, Benin City, Nigeria
| | - Oluwaseun S Kubeyinje
- Department of Physiotherapy, University of Benin Teaching Hospital, Benin City, Nigeria
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22
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Remm S, Halcomb E, Hatcher D, Frost SA, Peters K. Understanding relationships between general self-efficacy and the healthy ageing of older people: An integrative review. J Clin Nurs 2021; 32:1587-1598. [PMID: 34716612 DOI: 10.1111/jocn.16104] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Revised: 09/27/2021] [Accepted: 10/12/2021] [Indexed: 12/29/2022]
Abstract
AIMS AND OBJECTIVES The aim of this integrative review was to investigate current literature exploring relationships between general self-efficacy and the healthy ageing of older people. BACKGROUND Enhancing the health and well-being of older adults, while mitigating consequences of illness and frailty are important priorities in healthy ageing. General self-efficacy is closely associated with human behaviour and has been linked with improved health and well-being. DESIGN An integrative review using the five-stage method described by Whittemore and Knafl (Journal of Advanced Nursing, 2005, 52, 546). METHODS Academic databases CINAHL, MEDLINE and APA PsycInfo were searched between 2010 and 2020 for original, peer-reviewed papers, published in English that investigated general self-efficacy and factors associated with the healthy ageing of older people. Included papers were critically appraised using the Appraisal tool for Cross-Sectional Studies (AXIS tool) and Critical Appraisal Skills Programme, and underwent data abstraction and synthesis via a constant comparative method. This review was also evaluated using the PRISMA checklist. RESULTS Twenty-one papers were included in this review. Two main themes emerged. The first highlights positive relationships between general self-efficacy and health and ageing perceptions, with subsequent influence on health behaviours. The second includes two sub-themes, which explores general self-efficacy's role in maintaining well-being through its effects on psychological health and overcoming physical decline through adaption to changing physical and health conditions. CONCLUSIONS Promoting general self-efficacy has potential benefits for the healthy ageing of older people through positive effects on ageing and health perceptions, health behaviours, psychological health and overcoming physical decline. RELEVANCE TO CLINICAL PRACTICE Understanding how general self-efficacy facilitates healthy ageing can guide nursing practices that reduce or mitigate consequences of illness and physical decline on the health and well-being of older people. Strategies aimed at increasing older people's general self-efficacy can help to facilitate subsequent positive effects on factors that promote healthy ageing.
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Affiliation(s)
- Sarah Remm
- School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia
| | - Elizabeth Halcomb
- Primary Health Care Nursing, School of Nursing, University of Wollongong, Wollongong, NSW, Australia
| | - Deborah Hatcher
- School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia
| | - Steve A Frost
- Centre for Applied Nursing Research, Ingham Institute of Applied Medical Research, South Western Sydney Local Health District (SWSLHD) and Western Sydney University, Liverpool BC, NSW, Australia
| | - Kath Peters
- School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia
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23
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Whitehall L, Górska S, Rush R, Singh Roy A, Irvine Fitzpatrick L, Forsyth K. Psychometric Evaluation of the Making it CLEAR Questionnaire: A Resilience Measure for Older Adults. Innov Aging 2021; 5:igab030. [PMID: 34676306 PMCID: PMC8528023 DOI: 10.1093/geroni/igab030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Indexed: 12/02/2022] Open
Abstract
Background and Objectives Previous efforts to develop a resilience measure for older adults have
largely failed to consider the environmental influences on their resilience,
and have primarily concentrated on the resilience of community-dwelling
older adults. Our objective was to validate a new multidimensional measure
of resilience, the Making it CLEAR (MiC) questionnaire, for use with older
adults at the point of discharge from hospital. Research Design and Methods This study tested the structure, validity, and reliability of the MiC
questionnaire. The questionnaire consists of 34 items, which assess the
“individual determinants of resilience” (IDoR) and the
“environmental determinants of resilience” (EDoR) across 2
subscales. 416 adults aged 66–102 years participated. Exploratory
factor analysis, item analysis, and linear regression were undertaken. Results The IDoR subscale contained six factors which were labeled
“Self-efficacy,” “Values,” “Interpersonal
skills,” “Life orientation,” “Self-care
ability,” and “Process skills.” The EDoR subscale
contained five factors related to “Person–environment
fit,” “Friends,” “Material assets,”
“Habits,” and “Family.” Both subscales demonstrated
acceptable convergent validity and internal consistency, while individual
items showed acceptable levels of discrimination and difficulty. Discussion and Implications The study provides evidence supporting the validity and quality of the MiC
questionnaire. The results suggest that the MiC questionnaire could be used
to identify the resilience needs of older adults at the point of hospital
discharge. However, future research should identify which items of the MiC
questionnaire are associated with hospital readmission, in order to develop
an easily applicable screening tool for clinical practice.
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Affiliation(s)
- Lucy Whitehall
- School of Health Sciences, Queen Margaret University, Edinburgh, UK
| | - Sylwia Górska
- School of Health Sciences, Queen Margaret University, Edinburgh, UK
| | - Robert Rush
- School of Health Sciences, Queen Margaret University, Edinburgh, UK
| | - Anusua Singh Roy
- School of Health Sciences, Queen Margaret University, Edinburgh, UK
| | | | - Kirsty Forsyth
- School of Health Sciences, Queen Margaret University, Edinburgh, UK
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24
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Toyama M, Fuller HR. Longitudinal Associations Between Perceived Control and Health for American and Japanese Aging Adults. THE GERONTOLOGIST 2021; 61:917-929. [PMID: 33128556 DOI: 10.1093/geront/gnaa135] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Research suggests longitudinal and reciprocal relationships between perceived control over life circumstances and health for Western populations; yet, such associations have not been fully understood for non-Western populations. The present study addresses cultural differences in these associations for American and Japanese aging adults. RESEARCH DESIGN AND METHODS For respondents aged 40 and older at 2 waves (Time 1 [T1] and Time 2 [T2]) of Midlife in the United States (N = 4,455) and Midlife in Japan (N = 827), cross-lagged path models were analyzed for T1 perceived control predicting change in each health measure (i.e., self-rated health, number of chronic health conditions, and functional limitations) from T1 to T2; and the matched T1 health measure predicting change in perceived control from T1 and T2. In these analyses, the effects of T1 age, T1 perceived control, and each T1 health measure were compared cross-nationally. RESULTS A cross-national difference emerged in that T1 perceived control predicted change in chronic health conditions only for Americans. Similar tendencies were found between the 2 nationalities for T1 perceived control predicting changes in self-rated health and functional limitations. Reciprocal relationships between perceived control and health measures were found for Americans, but neither age nor any of the T1 health measures predicted change in perceived control for the Japanese respondents. DISCUSSION AND IMPLICATIONS The findings suggest cultural differences and similarities between the 2 nationalities, which have implications for potential health benefits of enhancing perceived control among American and Japanese aging adults. Building on these findings, the present study also indicates future directions of research.
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Affiliation(s)
- Masahiro Toyama
- Division of Natural Sciences & Mathematics, University of the Ozarks, Clarksville, Arkansas
| | - Heather R Fuller
- Department of Human Development and Family Science, North Dakota State University, Fargo
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