The relationship between older adults’ self-management abilities, well-being and depression

Abstract

This study aimed to identify the relationship between self-management abilities, well-being and depression. Our study was conducted among older adults (>65 years of age) who were vulnerable to loss of function after hospital discharge. Three months after hospital admission, 296/456 patients (65 % response rate) were interviewed in their homes. The 30-item Self-Management Ability Scale was used to measure six self-management abilities: taking initiative, investing in resources for long-term benefits, taking care of a variety of resources, taking care of resource multifunctionality, being self-efficacious and having a positive frame of mind. Well-being was measured with the Social Production Function (SPF) Instrument for the Level of Well-being (SPF-IL) and Cantril’s ladder. The Geriatric Depression Scale was used to assess depression. Correlation analyses showed that all self-management abilities were strong indicators for well-being ( p < 0.001 for all). Regression analyses revealed that investing in resources for long-term benefits, taking care of a variety of resources, taking care of resource multifunctionality and being self-efficacious were associated with well-being. While no significant relationship was found between well-being and having a positive frame of mind or taking initiative, regression analyses revealed that these self-management abilities were related to depression. Investing in resources for long-term benefits and taking care of a variety of resources were significantly related to depression. This research showed that self-management abilities are related to well-being and depression among older adults. In addition, this study identified key self-management abilities for older adults who had recently been discharged from a hospital.

Relational coordination between community health nurses and other professionals in delivering care to community-dwelling frail people

“…Self‐management abilities are expected to mediate the negative effect of declines in functioning on wellbeing, thus becoming particularly important in the face of loss of function (Cramm et al . ,b). This effort calls for health promotion, enhancing patients' self‐management of disabilities and chronic conditions and encouraging their engagement in social and physical activities (US Department of Health & Human Services , Cramm & Nieboer , Cramm et al .…”

The relationship between self-management abilities, quality of chronic care delivery, and wellbeing among patients with chronic obstructive pulmonary disease in The Netherlands

“…The SPF-IL has been proven to be a reliable instrument for the assessment of wellbeing 31–35. This scale measures levels of physical (comfort, stimulation) and social (behavioral confirmation, affection, status) wellbeing.…”

Evaluatie Zichtbare Schakels Rotterdam

“…4 Dit vergt echter ondersteuning bij het zelf beter omgaan met beperkingen en chronische aandoeningen en aanmoediging om sociaal en fysiek actief te blijven. [5][6][7] Bovendien vragen de meervoudige behoeften van kwetsbare mensen om een aanpak die verder gaat dan de traditionele, acute zorgverlening. [8][9][10][11] De echelonnering van preventieve zorg, eerstelijnszorg en tweedelijnszorg past niet bij complexere vragen waarbij ondersteuning van professionals uit verschillende disciplines tegelijk nodig is.…”