How to understand and improve older people’s self-management of wellbeing

Steverink, Nardi; Lindenberg, Siegwart; Slaets, Joris P. J.

doi:10.1007/s10433-005-0012-y

Cited by 124 publications

(173 citation statements)

References 71 publications

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“…It comprises elements of the Guided Care model that has shown to be feasible and acceptable for patients and caregivers (Boyd et al 2007). In contrast to interventions with a resource-based approach that aim to achieve and maintain overall well-being by stimulating self-management abilities (Steverink et al 2005), the current problem-oriented approach fits more closely to the available knowledge and expertise in general practices. We found that the [G]OLD home visitation programme is indeed feasible for GPs and PNs, and also acceptable for older people.…”

Section: Discussionmentioning

confidence: 99%

Development of a home visitation programme for the early detection of health problems in potentially frail community-dwelling older people by general practices

Stijnen

Jansen²,

Vrijhoef

et al. 2012

Eur J Ageing

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The integration within existing health care systems of preventive initiatives to maintain independent living among older people is increasingly emphasized. This article describes the development and refinement of the [G]OLD home visitation programme: an eight-step programme, including a comprehensive geriatric assessment, for the early detection of health and well-being problems among older people (C75 years) by general practices. A single group post-test study using a mixed model design is performed to evaluate (a) the feasibility of the home visitation programme in general practice, (b) the practical usefulness of the geriatric assessment instrument, and (c) programme implementation with respect to reinventions introduced by general practitioners (GPs) and practice nurses (PNs). Within 3 months time, 22 PNs of 18 participating general practices visited 240 community-dwelling older people (mean age = 82.0 years; SD 4.2) who had not been in contact with their general practice for more than 6 months. Mean time investment of the programme per older person was 118.1 min (SD 27.0) for GPs and PNs combined. Evaluation meetings revealed that GPs and PNs considered the home visitation programme to be feasible in daily practice. They judged the geriatric assessment to be useful, although minor adjustments are needed (e.g., layout, substitution of tests). PNs often failed to register follow-up actions for detected problems in a care and treatment plan. Future training for PNs should address this issue. No reinventions were introduced that threatened fidelity of implementation. The findings are used to improve the home visitation programme before its evaluation in a large-scale controlled trial.

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Section: Discussionmentioning

confidence: 99%

Development of a home visitation programme for the early detection of health problems in potentially frail community-dwelling older people by general practices

Stijnen

Jansen²,

Vrijhoef

et al. 2012

Eur J Ageing

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“…Eur J Ageing (2008) 5:181-190 183 This scale is based on the conceptualization of self-management ability as proposed by the self-management of well-being theory (see ''Introduction''). It contains 30 items, covering all aspects of the theoretical idea of subabilities linked to well-being needs (for details see Steverink et al 2005). The phrasing of all items and details on the sub-abilities can be found in Schuurmans et al (2005).…”

Section: Measures/instrumentsmentioning

confidence: 99%

“…Thus, overall self-management ability is defined as a generative capacity (consisting of several sub-abilities) to take care of one's own important resources, i.e., resources that contribute to well-being. Note that this conceptualization of SMA explicitly deals with functional behaviours and cognitions (i.e., abilities) that are linked to basic needs, the fulfilment of which is fundamental for well-being (i.e., comfort, affection-see Steverink et al 2005 for a detailed explanation of this idea).…”

Section: Introductionmentioning

confidence: 99%

Do good self-managers have less physical and social resource deficits and more well-being in later life?

Steverink

Lindenberg

2008

Eur J Ageing

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Proactive self-management is likely to be part of resource maintenance and well-being in later life, but empirical evidence is scarce. Therefore, we investigated (a) whether self-management ability (SMA) is associated with lower resource deficits, and (b) whether it is related directly and indirectly to life satisfaction (LS), positive affect (PA) and negative affect (NA). Regression and mediational analyses (N = 439, aged 65 years and older), showed that SMA related to resource deficits, and had direct associations with the three well-being indicators. Indirect associations-via lower resource deficits-were found for LS, whereas the association between SMA and PA was mostly a direct one, being mediated only to a small extent by physical resource deficits. The association between SMA and NA was mediated only by social resource deficits. It is concluded that better SMA seems to matter to resource maintenance and well-being, but future research needs to unravel the differential findings for physical and social resource deficits and for the separate well-being indicators.

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“…Self-efficacy is een cognitieve vaardigheid en wordt gedefinieerd als "het geloof in eigen kunnen". 16 Zonder deze zelfmanagementvaardigheid komen mensen niet snel tot actie. Een hoge mate van self-efficacy alleen is echter niet voldoende.…”

Section: Inleidingunclassified

Eenzaamheid en zelfmanagementvaardigheden bij visueel beperkte ouderen

Alma

Mei

Feitsma

et al. 2013

Tijdschr Gerontol Geriatr

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Loneliness and self-management abilities in the visually impaired elderlyObjectives: To describe the degree of loneliness among the visually impaired elderly and to make a comparison with a matched reference group of the normally sighted elderly. In addition, we examined self-management abilities (SMAs) as determinants of loneliness among the visually impaired elderly. Methods: In a cross-sectional study, 173 visually impaired elderly persons completed telephone interviews. Loneliness and SMAs were assessed with the Loneliness Scale of De Jong Gierveld and the SMAS-30, respectively. Results: The prevalence of loneliness among the visually impaired elderly was higher compared to the reference group (50% vs 29%; pG.001). Multivariate hierarchical regression analysis showed that the SMA self-efficacy, partner status, and self-esteem were determinants of loneliness. Severity and duration of visual impairment had no effect on loneliness. Discussion: The relationship between SMAs (i.e., self-efficacy) and loneliness is promising, since SMAs can be learned through training. Consequently, selfmanagement training may reduce feelings of loneliness. An adapted version of this paper was published

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How to understand and improve older people’s self-management of wellbeing

Cited by 124 publications

References 71 publications

Development of a home visitation programme for the early detection of health problems in potentially frail community-dwelling older people by general practices

Development of a home visitation programme for the early detection of health problems in potentially frail community-dwelling older people by general practices

Do good self-managers have less physical and social resource deficits and more well-being in later life?

Eenzaamheid en zelfmanagementvaardigheden bij visueel beperkte ouderen

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