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Quality of Life Research

, Volume 22, Issue 1, pp 85–92

First Online: 17 February 2012Accepted: 02 February 2012DOI: 10.1007-s11136-012-0131-9

Cite this article as: Cramm, J.M., Hartgerink, J.M., Steyerberg, E.W. et al. Qual Life Res 2013 22: 85. doi:10.1007-s11136-012-0131-9

Abstract

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

MethodsOur 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.

ResultsSocial, 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.

ConclusionsSelf-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.

KeywordsAbilities Quality of life Self-management Well-being Older people Functioning  Download fulltext PDF



Autor: J. M. Cramm - J. M. Hartgerink - E. W. Steyerberg - T. J. Bakker - J. P. Mackenbach - A. P. Nieboer

Fuente: https://link.springer.com/







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