Self-efficacy proxy predicts frailty incidence over time in non-institutionalized older adults.
behavior change
healthy aging
personal mastery
stress response
Journal
Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
revised:
22
07
2021
received:
26
02
2021
accepted:
24
07
2021
pubmed:
22
8
2021
medline:
22
12
2021
entrez:
21
8
2021
Statut:
ppublish
Résumé
Physical frailty is defined as a syndrome of decreased physiologic reserve conferring vulnerability to functional decline, mortality, and other adverse outcomes upon experiencing stressors. Self-efficacy, which is confidence in one's ability to perform well in a domain of life, is modifiable. Self-efficacy is associated with improved health behavior and decreased chronic disease burden. Its relationship to frailty is unknown. The purpose of this study was to evaluate whether a general self-efficacy proxy predicts incident frailty. A nationally representative sample of 4825 U.S. older adults aged 65 and older living in the community or non-nursing home care setting enrolled in the National Health and Aging Trends Study from 2011 to 2018 was used. Self-efficacy was dichotomized into low and high groups using the one-item self-efficacy proxy measure. The Physical Frailty Phenotype was used to categorize participants as frail and non-frail. A discrete time hazard model using data from eight rounds was used to obtain incident hazard ratios of frailty in two models. Model 1 was adjusted for age, race, sex, education, and income. Model 2 contained Model 1 covariates and added disability and comorbidities. Among people without frailty at baseline, risk of developing frailty over 7 years was increased by 41% among those with low versus high self-efficacy after adjustment for sociodemographics (P = 0.002), and by 27% after further adjustment for disability and comorbidities (P = 0.032). This study generates a rationale to further explore self-efficacy in frailty research. Self-efficacy may be a key modifiable element to incorporate into multimodal physical frailty interventions.
Sections du résumé
BACKGROUND
Physical frailty is defined as a syndrome of decreased physiologic reserve conferring vulnerability to functional decline, mortality, and other adverse outcomes upon experiencing stressors. Self-efficacy, which is confidence in one's ability to perform well in a domain of life, is modifiable. Self-efficacy is associated with improved health behavior and decreased chronic disease burden. Its relationship to frailty is unknown. The purpose of this study was to evaluate whether a general self-efficacy proxy predicts incident frailty.
METHODS
A nationally representative sample of 4825 U.S. older adults aged 65 and older living in the community or non-nursing home care setting enrolled in the National Health and Aging Trends Study from 2011 to 2018 was used. Self-efficacy was dichotomized into low and high groups using the one-item self-efficacy proxy measure. The Physical Frailty Phenotype was used to categorize participants as frail and non-frail. A discrete time hazard model using data from eight rounds was used to obtain incident hazard ratios of frailty in two models. Model 1 was adjusted for age, race, sex, education, and income. Model 2 contained Model 1 covariates and added disability and comorbidities.
RESULTS
Among people without frailty at baseline, risk of developing frailty over 7 years was increased by 41% among those with low versus high self-efficacy after adjustment for sociodemographics (P = 0.002), and by 27% after further adjustment for disability and comorbidities (P = 0.032).
CONCLUSION
This study generates a rationale to further explore self-efficacy in frailty research. Self-efficacy may be a key modifiable element to incorporate into multimodal physical frailty interventions.
Identifiants
pubmed: 34418062
doi: 10.1111/jgs.17417
pmc: PMC8648965
mid: NIHMS1732043
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
3507-3518Subventions
Organisme : NIA NIH HHS
ID : UH2UH3 AG056933-02
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG032947
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG021334
Pays : United States
Organisme : NINR NIH HHS
ID : P30 NR018093
Pays : United States
Organisme : NIA NIH HHS
ID : UH3 AG056933
Pays : United States
Organisme : NINR NIH HHS
ID : 3P30NR018093
Pays : United States
Informations de copyright
© 2021 The American Geriatrics Society.
Références
J Consult Clin Psychol. 1985 Jun;53(3):406-14
pubmed: 4008724
J Clin Epidemiol. 2003 Mar;56(3):221-9
pubmed: 12725876
J Gerontol A Biol Sci Med Sci. 2021 Jan 1;76(1):69-76
pubmed: 32147727
Diabetes Care. 2013 Jan;36(1):34-40
pubmed: 23129133
Ann Fam Med. 2012 Mar-Apr;10(2):134-41
pubmed: 22412005
J Am Med Dir Assoc. 2010 Jun;11(5):344-55
pubmed: 20511102
J Gerontol A Biol Sci Med Sci. 2017 Oct 12;72(11):1538-1546
pubmed: 28329106
Health Psychol. 2016 Nov;35(11):1178-1188
pubmed: 27280365
J Racial Ethn Health Disparities. 2017 Aug;4(4):746-757
pubmed: 27734342
J Cell Mol Med. 2009 Sep;13(9B):3103-9
pubmed: 19438806
Health Promot Pract. 2005 Apr;6(2):148-56
pubmed: 15855284
Health Commun. 2000;12(3):219-37
pubmed: 10938914
Scand J Med Sci Sports. 2018 Nov;28(11):2416-2426
pubmed: 29878445
J Pers Soc Psychol. 1990 Nov;59(5):1082-94
pubmed: 2148350
J Gerontol A Biol Sci Med Sci. 2015 Nov;70(11):1427-34
pubmed: 26297656
Health Psychol. 2007 May;26(3):375-80
pubmed: 17500625
Arch Intern Med. 2002 Nov 11;162(20):2333-41
pubmed: 12418947
J Psychol. 2005 Sep;139(5):439-57
pubmed: 16285214
J Nutr Health Aging. 2010 Mar;14(3):175-81
pubmed: 20191249
ScientificWorldJournal. 2001 Aug 08;1:323-36
pubmed: 12806071
BMC Med. 2015 Aug 11;13:185
pubmed: 26265077
BMC Med Res Methodol. 2020 Nov 4;20(1):272
pubmed: 33148184
J Clin Nurs. 2012 Feb;21(3-4):301-10
pubmed: 22175249
J Gerontol A Biol Sci Med Sci. 2021 Apr 30;76(5):901-905
pubmed: 32502234
Gen Hosp Psychiatry. 2010 Jul-Aug;32(4):345-59
pubmed: 20633738
J Gerontol A Biol Sci Med Sci. 2006 Mar;61(3):262-6
pubmed: 16567375
Aging Ment Health. 2020 Dec;24(12):1956-1962
pubmed: 31290680
J Gerontol A Biol Sci Med Sci. 2011 Sep;66(9):1013-21
pubmed: 21715647
J Geriatr Phys Ther. 2010 Apr-Jun;33(2):78-84
pubmed: 20718387
J Am Diet Assoc. 1997 Oct;97(10):1122-32
pubmed: 9336559
J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56
pubmed: 11253156
Disabil Rehabil. 2017 Sep;39(19):1897-1908
pubmed: 27558741
J Pers Soc Psychol. 1988 Sep;55(3):479-88
pubmed: 3171918
Biogerontology. 2016 Jun;17(3):567-80
pubmed: 26936444
J Am Med Dir Assoc. 2019 Oct;20(10):1230-1235.e2
pubmed: 31351859
Br J Health Psychol. 2006 Sep;11(Pt 3):421-37
pubmed: 16870053
J Am Geriatr Soc. 2018 Mar;66(3):496-502
pubmed: 29368330
Clin Rehabil. 2006 Apr;20(4):357-66
pubmed: 16719034
J Gerontol B Psychol Sci Soc Sci. 2014 Nov;69 Suppl 1:S1-7
pubmed: 25342818
J Health Soc Behav. 1993 Jun;34(2):89-104
pubmed: 8277130
J Psychosom Res. 2014 Dec;77(6):547-51
pubmed: 25311872
Gerontologist. 2011 Jun;51 Suppl 1:S33-45
pubmed: 21565817
Biometrics. 1978 Mar;34(1):57-67
pubmed: 630037
Mech Ageing Dev. 2012 Jun;133(6):456-66
pubmed: 22663935