The General Self-Efficacy of Older Adults Receiving Care: A Systematic Review and Meta-Analysis.
Analysis—meta-analysis
Analysis—systematic review
Autonomy and self-efficacy
Home- and community-based care and services
Hospital/ambulatory care
Nursing homes
Rehabilitation
Journal
The Gerontologist
ISSN: 1758-5341
Titre abrégé: Gerontologist
Pays: United States
ID NLM: 0375327
Informations de publication
Date de publication:
13 08 2021
13 08 2021
Historique:
received:
12
11
2019
pubmed:
7
5
2020
medline:
18
9
2021
entrez:
7
5
2020
Statut:
ppublish
Résumé
General self-efficacy (GSE) encourages health-promoting behaviors in older adults. It is unsurprising then that older adults receiving health care services are reported to have a greater risk of low GSE than older adults who are not. Despite this, there is currently limited evidence investigating whether the effect differs based on the environment in which care is received. This review aims to determine whether the GSE of older adults is affected by the receipt of health care services and whether GSE varies based on the setting in which care is received. In accordance with PRISMA guidelines (PROSPERO registration number CRD42018092191), a systematic search was undertaken across 7 databases. Standardized mean differences (SMD) and mean General Self-Efficacy Scale scores, with 95% confidence intervals (CI), were pooled for meta-analysis. A total of 40 studies were identified, they consisted of 33 population cohorts that were included in the meta-analysis. Older adults receiving health care services were found to be at greater risk of having lower GSE than those who do not (SMD = -0.62; 95% CI: -0.96 to -0.27, p < .0001). Following identification of sources of heterogeneity, older adults receiving acute inpatient care were more likely to have lower GSE than those receiving care in other health care settings. Older adults receiving inpatient care have a greater risk of lower GSE, and consequently, poorer health-promoting behaviors. Further research is recommended that focuses on the GSE of older adults and health outcomes following discharge from inpatient care.
Sections du résumé
BACKGROUND AND OBJECTIVES
General self-efficacy (GSE) encourages health-promoting behaviors in older adults. It is unsurprising then that older adults receiving health care services are reported to have a greater risk of low GSE than older adults who are not. Despite this, there is currently limited evidence investigating whether the effect differs based on the environment in which care is received. This review aims to determine whether the GSE of older adults is affected by the receipt of health care services and whether GSE varies based on the setting in which care is received.
RESEARCH DESIGN AND METHODS
In accordance with PRISMA guidelines (PROSPERO registration number CRD42018092191), a systematic search was undertaken across 7 databases. Standardized mean differences (SMD) and mean General Self-Efficacy Scale scores, with 95% confidence intervals (CI), were pooled for meta-analysis.
RESULTS
A total of 40 studies were identified, they consisted of 33 population cohorts that were included in the meta-analysis. Older adults receiving health care services were found to be at greater risk of having lower GSE than those who do not (SMD = -0.62; 95% CI: -0.96 to -0.27, p < .0001). Following identification of sources of heterogeneity, older adults receiving acute inpatient care were more likely to have lower GSE than those receiving care in other health care settings.
DISCUSSION AND IMPLICATIONS
Older adults receiving inpatient care have a greater risk of lower GSE, and consequently, poorer health-promoting behaviors. Further research is recommended that focuses on the GSE of older adults and health outcomes following discharge from inpatient care.
Identifiants
pubmed: 32373938
pii: 5830934
doi: 10.1093/geront/gnaa036
pmc: PMC8361502
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e302-e317Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America.
Références
Glob Health Action. 2014 Oct 31;7:25314
pubmed: 25363363
J Craniomaxillofac Surg. 2011 Mar;39(2):91-2
pubmed: 21145753
Int J Epidemiol. 2008 Oct;37(5):1158-60
pubmed: 18832388
Science. 1986 Sep 19;233(4770):1271-6
pubmed: 3749877
J Adv Nurs. 1994 Oct;20(4):597-604
pubmed: 7822592
J Nurs Res. 2013 Sep;21(3):162-9
pubmed: 23958605
J Psychosom Res. 2017 Dec;103:1-8
pubmed: 29167034
J Adv Nurs. 2014 Apr;70(4):744-55
pubmed: 23919385
Clin Interv Aging. 2017 Feb 08;12:305-314
pubmed: 28223788
Disabil Rehabil. 2012;34(3):196-201
pubmed: 21958377
BMC Fam Pract. 2017 Mar 20;18(1):40
pubmed: 28320330
J Nurs Res. 2013 Dec;21(4):279-88
pubmed: 24241277
Sci Rep. 2014 Jul 04;4:5569
pubmed: 24993798
J Pain Symptom Manage. 2016 May;51(5):807-15
pubmed: 26880253
Clin Rehabil. 2009 Jun;23(6):522-33
pubmed: 19403556
J BUON. 2012 Oct-Dec;17(4):785-90
pubmed: 23335542
J Am Med Dir Assoc. 2019 Feb;20(2):218-220.e2
pubmed: 30446475
J Affect Disord. 2016 Dec;206:252-255
pubmed: 27513631
Aging Ment Health. 2020 May;24(5):828-836
pubmed: 30596461
J Pain Symptom Manage. 2019 Jun;57(6):1051-1061.e1
pubmed: 30802635
HERD. 2008 Spring;1(3):61-125
pubmed: 21161908
Psychooncology. 2013 May;22(5):1089-95
pubmed: 22615047
Educ Gerontol. 2015 Mar;41(3):182-192
pubmed: 25489122
J Gerontol Nurs. 2014 Apr;40(4):18-24
pubmed: 24568145
Clin Rheumatol. 2015 Oct;34(10):1761-7
pubmed: 25190365
Am J Hosp Palliat Care. 2010 Dec;27(8):518-25
pubmed: 20834031
Res Synth Methods. 2010 Apr;1(2):112-25
pubmed: 26061377
Neuropsychol Rehabil. 2019 Oct;29(9):1426-1438
pubmed: 29299953
Res Gerontol Nurs. 2013 Oct;6(4):242-52
pubmed: 23938158
PLoS Med. 2015 Oct 06;12(10):e1001885
pubmed: 26440803
Support Care Cancer. 2008 Dec;16(12):1317-22
pubmed: 18392861
J Aging Phys Act. 2017 Jan;25(1):32-40
pubmed: 27182068
Clin Interv Aging. 2012;7:313-20
pubmed: 22956866
BMJ Support Palliat Care. 2019 Dec;9(4):478-481
pubmed: 31068332
Psychol Health Med. 2016 Sep;21(6):735-42
pubmed: 26610604
J Appl Gerontol. 2015 Oct;34(7):906-28
pubmed: 24652877
Eur J Cardiovasc Nurs. 2016 Jun;15(4):255-61
pubmed: 25548394
Scand J Psychol. 2012 Aug;53(4):333-9
pubmed: 22680700
Eur J Psychol. 2018 Jun 19;14(2):424-443
pubmed: 30008955
Neuropsychol Rehabil. 2013;23(4):546-62
pubmed: 23656456
Eur J Cancer Care (Engl). 2010 Mar;19(2):205-11
pubmed: 19659666
PLoS One. 2018 Aug 31;13(8):e0203031
pubmed: 30169539
Qual Life Res. 2010 Apr;19(3):351-61
pubmed: 20146007
Health Qual Life Outcomes. 2016 Jan 19;14:11
pubmed: 26787226
Psychol Aging. 1987 Mar;2(1):3-8
pubmed: 3268188
J Am Med Dir Assoc. 2018 Aug;19(8):696-702
pubmed: 29804892
Int J Aging Hum Dev. 2018 Oct;87(3):289-308
pubmed: 29090583
J Gerontol Nurs. 2003 May;29(5):11-9
pubmed: 12765007
Stat Med. 2003 Jul 15;22(13):2113-26
pubmed: 12820277
Support Care Cancer. 2016 Jan;24(1):109-117
pubmed: 25953381
J Am Geriatr Soc. 2004 Feb;52(2):257-62
pubmed: 14728637
Age Ageing. 2017 May 1;46(3):359-365
pubmed: 27932357
BMJ. 2011 Oct 18;343:d5928
pubmed: 22008217
Age Ageing. 1997 Sep;26 Suppl 2:3-12
pubmed: 9464548
Int J Chron Obstruct Pulmon Dis. 2014;9:41-50
pubmed: 24379660
J Nurs Scholarsh. 2006;38(1):31-5
pubmed: 16579321
Psychol Health. 2014;29(3):350-64
pubmed: 24219510
Int J Nurs Pract. 2015 Apr;21(2):184-91
pubmed: 24698477
BMC Fam Pract. 2018 May 30;19(1):76
pubmed: 29843619
Disabil Rehabil. 2019 Jan;41(1):19-25
pubmed: 28849674
Int J Rehabil Res. 2015 Dec;38(4):333-7
pubmed: 26288119