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Quality of Life Research
Published in: Quality of Life Research 1/2013

Open Access 01-02-2013

Understanding older patients’ self-management abilities: functional loss, self-management, and well-being

Authors: J. M. Cramm, J. M. Hartgerink, E. W. Steyerberg, T. J. Bakker, J. P. Mackenbach, A. P. Nieboer

Published in: Quality of Life Research | Issue 1/2013

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Abstract

Purpose

This study aimed to increase our understanding of self-management abilities and identify better self-managers among older individuals.

Methods

Our cross-sectional research was based on a pilot study of older people who had recently been admitted to a hospital. In the pilot study, all patients (>65 years of age) who were admitted to the Vlietland hospital between June and October 2010 were asked to participate, which led to the inclusion of 456 older patients at baseline. A total of 296 patients (65% response rate) were interviewed in their homes 3 months after admission. Measures included social, cognitive, and physical functioning, self-management abilities, and well-being. We used descriptive, correlations, and multiple regression analyses. In addition, we evaluated the mediation effect of self-management abilities on well-being.

Results

Social, cognitive, and physical functioning significantly correlated with self-management abilities and well-being (all p ≤ 0.001). After controlling for background characteristics, multiple regression analysis indicated that social, cognitive, and physical functioning still related to self-management abilities (β = 0.17–0.25; all p ≤ 0.001). Older people with low levels of social, cognitive, and physical functioning were worse self-managers than were those with higher levels of functioning.

Conclusions

Self-management abilities mediate the relationship between social, cognitive, and physical functioning and well-being. Interventions to improve self-management abilities may help older people better deal with function losses as they age further.
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Metadata
Title
Understanding older patients’ self-management abilities: functional loss, self-management, and well-being
Authors
J. M. Cramm
J. M. Hartgerink
E. W. Steyerberg
T. J. Bakker
J. P. Mackenbach
A. P. Nieboer
Publication date
01-02-2013
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 1/2013
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0131-9

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