Evaluation of self-efficacy determinants in community-dwelling older adults with chronic musculoskeletal pain

INTRODUCTION: Self-efficacy is defined as the strength of a person’s convictions in being able to perform a given activity and obtain the expected result. It may act as a potent mediator between chronic musculoskeletal pain and how older adults cope with their disabilities. OBJECTIVE: To evaluate the determinants of self-efficacy beliefs and fear of physical exercise in community-dwelling older adults with chronic musculoskeletal pain. METHODS: This cross-sectional study recruited older adults with chronic musculoskeletal pain. Only individuals living in an urban area in southern Brazil and who reported pain for more than 3 months were included. A convenience sample was selected in a nonprobabilistic fashion. The study variables consisted of sociodemographic data; pain based on the Brief Pain Inventory and the Leeds Assessment of Neuropathic Symptoms and Signs for Patients with Chronic Pain; and self-efficacy based on the Chronic Pain Self-Efficacy Scale. Also, simple questions were created for physical exercise beliefs. For statistical analysis, absolute and relative frequency, χ2 test, and Mann-Whitney U test were used as appropriate. RESULTS: The sample consisted of 193 older adults, mostly women with low level of education. Self-efficacy was best rated by older adults living alone and by those who were classified as exclusively nociceptive pain. CONCLUSION: Despite having chronic pain, older adults with higher self-efficacy feel confident in performing their tasks and have greater ability to cope with changes related to aging and to engage in self-care.

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Impact of frailty on chronic pain, activities of daily living and physical activity in community-dwelling older adults: A cross-sectional study

Geriatrics and Gerontology International ◽

10.1111/ggi.13314 ◽

2018 ◽

Vol 18 (7) ◽

pp. 1079-1084 ◽

Cited By ~ 12

Author(s):

Tatsuya Hirase ◽

Hideki Kataoka ◽

Jiro Nakano ◽

Shigeru Inokuchi ◽

Junya Sakamoto ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Chronic Pain ◽

Activities Of Daily Living ◽

Daily Living ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

Community Dwelling Older Adults

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A cross-sectional study to investigate motivation for physical activity in a sample of Iranian community-dwelling older adults

Health Promotion Perspectives ◽

10.34172/hpp.2020.22 ◽

2020 ◽

Vol 10 (2) ◽

pp. 135-141

Author(s):

Seyed Alireza Derakhshanrad ◽

Emily Piven ◽

Bahareh Zeynalzadeh Ghoochani

Keyword(s):

Physical Activity ◽

Older Adults ◽

Cross Sectional Study ◽

Ordinal Regression ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

Convenience Sample ◽

Area Of Interest ◽

Community Dwelling Older Adults

Background: On the basis of the Social-Ecological Model, there are assumed to be three sources of motivation – intrapersonal, interpersonal, and community motivation – that prompt older adults to participate in physical activity (PA). These three motivational sources can lead to PA behavior adherence. Little empirical research exists that investigates which motivational source is more influential in older adults’ adherence to PA, thus creating an area of interest for this research. Methods: A cross-sectional study was used to investigate the relationship between levels of PA and different sources of motivation. The convenience sample of 140 community-dwelling older adults, aged 60 and greater, living in Shiraz, Iran agreed to complete self-reported questionnaires,to measure motivation and PA. Five statistical tests were used: Independent-samples t test, one way ANOVA, Pearson correlation coefficient, chi-square, and ordinal regression. Results: Ordinal regression indicated that gender (P = 0.001, CI: 0.523-2.115) and intrapersonal motivation (P < 0.001, CI: 0.038-0.126) were useful predictors of variations in the levels of PA. Compared to males, females engaged in PA with less frequency (P = 0.006). Community motivation decreased with age (r = - 0.213, P < 0.05). There were no significant relationships between age, educational level, health status, and PA (P > 0.05). Conclusion: Interpersonal and community motivation were insignificant factors for PA participation, perhaps due to non-facilitating environment. Future research should be conducted to investigate the environmental issues that hinder PA participation in older adults.

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Chronic musculoskeletal pain and falls in community-dwelling older adults: The brief pain inventory shows promising discriminative validity

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2014.21.sup7.s2 ◽

2014 ◽

Vol 21 (Sup7) ◽

pp. S2-S2 ◽

Cited By ~ 1

Author(s):

B Stubbs ◽

L Eggermont ◽

S Patchay ◽

P Schofield

Keyword(s):

Older Adults ◽

Musculoskeletal Pain ◽

Brief Pain Inventory ◽

Community Dwelling ◽

Chronic Musculoskeletal Pain ◽

Discriminative Validity ◽

Community Dwelling Older Adults

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Screening to Assessment Pathways in Evaluating Functional Cognition in Older Adults

OTJR Occupation Participation and Health ◽

10.1177/15394492211021851 ◽

2021 ◽

pp. 153944922110218

Author(s):

Timothy S. Marks ◽

Gordon M. Giles ◽

Muhammad O. Al-Heizan ◽

Dorothy F. Edwards

Keyword(s):

Older Adults ◽

Cognitive Assessment ◽

Screening Test ◽

Discriminant Validity ◽

Cross Sectional Study ◽

Community Dwelling ◽

Screening Tests ◽

Cross Sectional ◽

Convenience Sample ◽

Community Dwelling Older Adults

Identification of functional cognitive deficits can facilitate intervention to improve outcomes among older adults. We aimed to determine if impairments on screening tests of cognition are associated with deficits in performance on a more extensive functional cognitive assessment. Using a cross-sectional study design we administered the Montreal Cognitive Assessment (MoCA), the Mini-Cog, the Menu Task, and Weekly Calendar Planning Activity (WCPA) to a convenience sample of 277 community-dwelling older adults (55–93 years old). We created impaired and unimpaired groups using an established cut-off score for each screening test and compared each group on WCPA scores. The WCPA scores that demonstrated significant differences across screening measures were: Accuracy, Efficiency, Strategies, Rules, and Appointments Entered. Effect sizes for the WCPA scores Accuracy and Efficiency were large. Each screening test demonstrated discriminant validity on select WCPA scores and appear to be appropriate for use as screening tests of functional cognition.

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Association between Chronic Pain and Physical Frailty in Community-Dwelling Older Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16081330 ◽

2019 ◽

Vol 16 (8) ◽

pp. 1330 ◽

Cited By ~ 10

Author(s):

Yuki Nakai ◽

Hyuma Makizako ◽

Ryoji Kiyama ◽

Kazutoshi Tomioka ◽

Yoshiaki Taniguchi ◽

...

Keyword(s):

Older Adults ◽

Chronic Pain ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Community Dwelling ◽

Older Individuals ◽

Physical Frailty ◽

Cross Sectional ◽

Community Dwelling Older Adults

This cross-sectional study investigated the association between chronic pain and physical frailty in community-dwelling older adults. We analyzed data obtained from 323 older adults (women: 74.6%) who participated in a community-based health check survey (the Tarumizu Study, 2017). Physical frailty was defined in terms of five parameters (exhaustion, slowness, weakness, low physical activity, and weight loss). We assessed the prevalence of chronic low back and knee pain using questionnaires. Participants whose pain had lasted ≥two months were considered to have chronic pain. Among all participants, 138 (42.7%) had chronic pain, and 171 (53.0%) were categorized as having physical frailty or pre-frailty. Logistic regression analysis showed that chronic pain was significantly associated with the group combining frailty and pre-frailty (odds ratio 1.68, 95% confidence interval 1.03–2.76, p = 0.040) after adjustment for age, sex, body mass index, score on the 15-item Geriatric Depression Scale, and medications. Comparing the proportions of chronic pain among participants who responded to the sub-items, exhaustion (yes: 65.9%, no: 39.4%) demonstrated a significant association (p < 0.001). Chronic pain could be associated with the group combining frailty and pre-frailty and is particularly associated with exhaustion in community-dwelling older adults. Therefore, there is a need for early intervention and consideration of the role of exhaustion when devising interventions for physical frailty in older individuals with chronic pain.

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