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Motivational factors mediate the association of general self-efficacy and performance outcomes in acutely hospitalised older patients
- Source :
- Reichardt, L A, Aarden, J J, van Seben, R, van der Schaaf, M, Engelbert, R H H, van der Esch, M, Twisk, J W R, Bosch, J A, Buurman, B M & Hospital-ADL study group 2020, ' Motivational factors mediate the association of general self-efficacy and performance outcomes in acutely hospitalised older patients ', Age and Ageing, vol. 49, no. 5, pp. 837-842 . https://doi.org/10.1093/ageing/afaa076, Age and ageing, 49(5), 837-842. Oxford University Press, Age and Ageing, 49(5), 837-842. Oxford University Press, Age and Ageing
- Publication Year :
- 2020
-
Abstract
- Objectives To study (i) the association of general self-efficacy (GSE) on the course of subjective (i.e. basic and instrumental activities of daily living (ADLs and IADLs) and objective physical performance outcomes (short physical performance battery (SPPB)) among older persons from discharge up to 3 months post-discharge and (ii) the extent to whether motivational factors such as depressive symptoms, apathy and fatigue mediate this association. Methods Prospective multi-centre cohort of acutely hospitalised patients aged ≥70 (Hospital-ADL study). Structural equation modelling was used to analyse the structural relationships. Results The analytic sample included 236 acutely hospitalised patients. GSE had a significant total effect on the course of subjective and objective performance outcomes (ADLs: β = −0.21, P Conclusions Motivational factors and GSE are both associated with subjective and objective performance outcomes. However, the relationship between GSE and subjective and objective performance outcomes was highly mediated by motivational factors. Taken together, this suggests that GSE is important to being physically active but not sufficient to becoming more physical active in acutely hospitalised older patients; motivation is important to improving both subjective and objective performance.
- Subjects :
- Gerontology
Aging
Mediation (statistics)
Activities of daily living
Apathy
Aftercare
Structural equation modeling
AcademicSubjects/MED00280
03 medical and health sciences
0302 clinical medicine
Older patients
Humans
Medicine
Prospective Studies
030212 general & internal medicine
Association (psychology)
Aged
Aged, 80 and over
Self-efficacy
Motivation
business.industry
Depressive symptoms
General Medicine
Patient Discharge
Self Efficacy
Structural equation modelling
Cohort
Geriatrics and Gerontology
medicine.symptom
Older people
business
human activities
030217 neurology & neurosurgery
Research Paper
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Database :
- OpenAIRE
- Journal :
- Reichardt, L A, Aarden, J J, van Seben, R, van der Schaaf, M, Engelbert, R H H, van der Esch, M, Twisk, J W R, Bosch, J A, Buurman, B M & Hospital-ADL study group 2020, ' Motivational factors mediate the association of general self-efficacy and performance outcomes in acutely hospitalised older patients ', Age and Ageing, vol. 49, no. 5, pp. 837-842 . https://doi.org/10.1093/ageing/afaa076, Age and ageing, 49(5), 837-842. Oxford University Press, Age and Ageing, 49(5), 837-842. Oxford University Press, Age and Ageing
- Accession number :
- edsair.doi.dedup.....622b813e1594dc11d48c179f5b81cb03