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Determinants of physical health in frail older people: the importance of self-efficacy

Determinants of physical health in frail older people: the importance of self-efficacy,10.1191/0269215506cr946oa,Clinical Rehabilitation,Caroline M St

Determinants of physical health in frail older people: the importance of self-efficacy   (Citations: 10)
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Objective: There is continued uncertainty regarding the strength of association between performance-based and self-report measures of physical functioning, and of their relationship to self-efficacy and health-related quality of life (HRQoL). This study assessed the inter-relationships between such measures, and the predictors of ‘physical’ aspects of HRQoL in frail older patients.Design: We used statistical models to determine the predictors of ‘physical’ HRQoL, according to the physical component summary score and the physical functioning domain of the 36-item short form (SF-36) questionnaire.Setting: Patients were recruited from hospitals in Australia and New Zealand and followed up in their homes.Subjects: Two hundred and forty-three frail older patients.Main measures: Physical functioning was assessed using three performance-based measures (Timed Up and Go Test, gait speed and the Berg Balance Scale) and five self-report measures, including the modified falls self-efficacy scale, at three and six months after registration.Results: A moderate association (r=0.48=0.55) was found between each of the performance-based and self-report measures, including the SF-36 physical component summary score. Multiple linear regression analyses showed that the performance-based measures and falls self-efficacy predicted 33% of the SF-36 physical component summary score. Falls self-efficacy was the single highest predictor of both the SF-36 physical component summary score and SF-36 physical functioning domain. A curvilinear relationship was found between the SF-36 physical functioning domain and two variables: falls self-efficacy and the Berg Balance Scale.Conclusions: Although performance-based and self-report measures provide complementary but distinct measures of physical function, psychosocial factors such as self-efficacy have a strong influence on the HRQoL of frail older people.
Journal: Clinical Rehabilitation - CLIN REHABIL , vol. 20, no. 4, pp. 357-366, 2006
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    • ...Self-efficacy predicted QOL in people with arthritis or in frail elderly [1, 4]...
    • ...The strength of association between these psychosocial factors and QOL may be diverse in various populations of elderly, being influenced by sociodemographic factors, concomitant diseases, functional status and health-promoting behaviours [4]...
    • ...Selfefficacy strongly predicted QOL measured with the 36-item short form (SF-36) questionnaire in frail older people [4]...

    Tomasz Kostkaet al. Relationship of quality of life to dispositional optimism, health locu...

    • ...This positive outcome was possibly influenced by the choice of exercising in sitting position, which eased the training for subjects with low self-efficacy, exacerbated by severe mobility restrictions and limited cognitive level (Stretton, Latham, Carter, Lee, & Anderson, 2006)...

    Massimo Venturelliet al. Positive Effects of Physical Training in Activity of Daily Living–Depe...

    • ...While the effects of domain-specific self-efficacy beliefs on behavior change and control have been well validated since Bandura's (1977) introduction of the construct, more recent studies have shown self-efficacy to be associated with recovery from depression (Steunenberg, Beekman, Deeg, Bremmer, & Kerkhof, 2007), managing interpersonal relationships and instrumental daily activities (Seeman, Unger, McAvay, & Mendes de Leon, 1999), falls self-efficacy and physical functioning (Stretton, Latham, Carter, Lee, & Anderson, 2006), volunteering and depression avoidance (Govindan & Helmes, 2000), pain management (Krein, Heisler, Pette, Butchart, & Kerr, 2007; Turner, Ersek, & Kemp, 2005), physical activity level (Turner et al, 2005) and the maintenance of self-care health behaviors (Callaghan, 2005; Clark & Dodge, 1999; Stretton et al, 2006)...

    Elsa Marzialiet al. The role of coping humor in the physical and mental health of older ad...

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