Healthy Behaviors, Self-Efficacy, Self-Care, and Basic Conditioning Factors in Older Adults

Increasing healthy behaviors is the major challenge facing health professionals and populations globally. The purpose of this study was to ascertain if a relationship exists between selfefficacy and health promotion behaviors in a sample of older Iranian adults. The organizing framework for the study was Pender's revised Health Promotion Model (Pender, 1996). The study participants were 102 community-dwelling old people residing in Yazd district. The results supported Pender's Health Promotion Model in which self-efficacy accounted for 58% of variance in health promotion behaviors. Health promotion behaviors were found to be correlated with level of education. Additionally, there were associations between self-efficacy and gender, marital status, and level of education. It was concluded that interventions aimed at improving self-efficacy may improve health promotion behaviors of older adults.

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Psychometric Properties of the Task Self-Efficacy Scale for Everyday Activities in Older Adults

Research and Theory for Nursing Practice ◽

10.1891/1541-6577.24.2.113 ◽

2010 ◽

Vol 24 (2) ◽

pp. 113-127 ◽

Cited By ~ 2

Author(s):

Beverly L. Roberts ◽

Mary A. Dolansky ◽

Bryan A. Weber

Keyword(s):

Older Adults ◽

Psychometric Properties ◽

Self Efficacy ◽

Self Care ◽

Daily Activities ◽

Cognitive Factors ◽

Validity And Reliability ◽

Everyday Activities ◽

Two Factors ◽

Fear Of Falls

Physical and cognitive factors contribute to independence in daily activities, but the confidence to perform an activity (self-efficacy) also contributes to it. The purpose of this study was to assess the psychometric properties of the Task Self-efficacy Scale (TSE) for confidence in performing daily activities. Validity and reliability were assessed in 278 older adults with scores on all items on the TSE for analysis. Factor analysis revealed two factors (self-care and mobility) explaining 72.42% of the variance in the items. Moderate to large correlations were found between the TSE for Self-Care and TSE for Mobility to exertion (.90 to .93, respectively) and fatigue (–.79 to –.84, respectively) associated with activities assessed in the TSE. The expected differences in TSE were found between those with and without mobility difficulties, fear of falls, and shortness of breath with activity. Cronbach’s alpha was .96.

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The Influence of Family and Friends' Basic Conditioning Factors and Self-Care Agency on Unmarried Teenage Primipara' Engagement in Contraceptive Practice

Journal of Community Health Nursing ◽

10.1207/s15327655jchn1202_3 ◽

1995 ◽

Vol 12 (2) ◽

pp. 89-100 ◽

Cited By ~ 10

Author(s):

Kudakwashe Godwill Mapanga ◽

Claire M. Andrews

Keyword(s):

Self Care ◽

Conditioning Factors ◽

Basic Conditioning Factors ◽

Contraceptive Practice ◽

Care Agency

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Effectiveness of a community-based self-care promoting program for community-dwelling older adults: a randomized controlled trial

Age and Ageing ◽

10.1093/ageing/afz095 ◽

2019 ◽

Vol 48 (6) ◽

pp. 852-858 ◽

Cited By ~ 1

Author(s):

Arkers Kwan Ching Wong ◽

Frances Kam Yuet Wong ◽

Katherine Chang

Keyword(s):

Older Adults ◽

Health Service ◽

Activities Of Daily Living ◽

Self Efficacy ◽

Daily Living ◽

Self Care ◽

Community Dwelling ◽

Control Group ◽

Community Based ◽

Community Dwelling Older Adults

AbstractBackgroundThe existing health care system tends to be focused on acute diseases or patients with high levels of need and is not ideal for meeting the challenges of an ageing population. This study introduced a community-based self-care promoting program for community-dwelling older adults, and tested its effects on maintaining health.ObjectivesTo determine whether the program can increase self-efficacy, quality of life (QoL), basic and instrumental activities of daily living, and medication adherence, while reducing health service utilization for community-dwelling older adults.MethodsResearchers randomly assigned 457 older adults to receive the intervention (n = 230) or be controls (n = 227). The intervention included assessment and education of self-care and health-promoting behaviors, co-produced care planning and self-efficacy enhancing components supported by a health-social partnership. The control group received placebo social calls. The outcomes were measured at pre-intervention (T1) and three months post-intervention (T2).ResultsAnalysis showed that the intervention group had a significantly higher score in self-efficacy (P = 0.049), activities of daily living (ADL) (P = 0.012), instrumental activities of daily living (IADL) (P = 0.021) and the physical components of QoL (P < 0.001) at T2 than at T1. The program also significantly improved the mental component of QoL (P < 0.001) and medication adherence (P < 0.001), as well as reducing the total number of health service attendances compared to the control group (P = 0.016).ConclusionThe program can help enhance the self-efficacy of community-dwelling older adults towards self-care, which may in turn enable them to maintain optimal well-being while remaining in the community.

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Investigating predictors of self‐care behavior among homebound older adults: The role of self‐efficacy, eHealth literacy, and perceived social support

Journal of Nursing Scholarship ◽

10.1111/jnu.12730 ◽

2021 ◽

Author(s):

Arkers Kwan Ching Wong ◽

Jonathan Bayuo ◽

Frances Kam Yuet Wong

Keyword(s):

Social Support ◽

Older Adults ◽

Self Efficacy ◽

Perceived Social Support ◽

Self Care ◽

Ehealth Literacy ◽

Homebound Older Adults ◽

Care Behavior

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Effects of a nurse-led telehealth self-care promotion programmes on the quality of life of community-dwelling older adults: A systematic review and meta-analysis. (Preprint)

10.2196/preprints.31912 ◽

2021 ◽

Author(s):

Arkers Kwan Ching Wong ◽

Jonathan Bayuo ◽

Frances Kam Yuet Wong ◽

Wing Shan Yuen ◽

Athena Yin Lam Lee ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Self Efficacy ◽

Hospital Admissions ◽

Meta Analysis ◽

Self Care ◽

Community Dwelling ◽

Face To Face ◽

Community Dwelling Older Adults

BACKGROUND In recent years, telehealth has become a common channel for healthcare professionals to use to promote health and provide distance care. Coronavirus disease (COVID-19) has further fostered the widespread use of this new technology, which can improve access to care while protecting the community from exposure to infection by direct personal contact, and reduce the time and cost of travelling for both healthcare users and providers. This is especially true for community-dwelling older adults who have multiple chronic diseases and require frequent hospital visits. Nurses are globally recognized as healthcare professionals who provide effective community-based care to older adults, facilitating their desire to age in place. However, to date, it is unclear whether the use of telehealth can facilitate their work of promoting self-care to community-dwelling older adults. Objective: We aimed to summarize findings from randomized controlled trials on the effect of nurse-led telehealth self-care promotion programmes compared to the usual onsite or face-to-face services on the quality of life, self-efficacy, depression, and hospital admissions among community-dwelling older adults. OBJECTIVE We aimed to summarize findings from randomized controlled trials on the effect of nurse-led telehealth self-care promotion programmes compared to the usual onsite or face-to-face services on the quality of life, self-efficacy, depression, and hospital admissions among community-dwelling older adults. METHODS A search of six major databases was undertaken of relevant studies published from May 2011 to April 2021. Standardized mean differences (SMDs) and their 95% confidence intervals were calculated from post-intervention outcomes for continuous data, while the odds ratio (ORs) was obtained for dichotomous data using the Mantel-Haenszel test. RESULTS From 1173 possible publications, 13 trials involving a total of 4097 participants were included in this meta-analysis. Compared to the control groups, the intervention groups of community-dwelling older adults significantly improved in overall quality of life (SMD=0.12; 95% CI: 0.03 to 0.20; p=.006; I2=21%), self-efficacy (SMD=0.19; 95% CI: 0.08 to 0.30; p=.0005; I2=0%), and depression level (SMD=-0.22; 95% CI: -0.36 to -0.08; p=.003; I2=89%). CONCLUSIONS This meta-analysis suggests that employing telehealth in nurse-led self-care promotion programmes may have a positive impact on older adults, although more studies are needed to strengthen the evidence base, particularly regarding organization and delivery. CLINICALTRIAL International Prospective Register of Systematic Reviews (PROSPERO) CRD42021257299; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=257299.

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