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Activation among chronically ill older adults with complex medical needs: challenges to supporting effective
Linda M Gerber1, Yolanda Barrón, Jennifer Mongoven
1Department of Public Health, Weill Cornell Medical College, New York, New York 10065, USA. LIG2002@med.cornell.edu
Abstract:
Successful chronic care ideally involves patient engagement, but little is known about chronically ill older adults' ability to self-manage their health. This study examines activation among hypertensive patients older than 65 years. Almost 60% of participants scored in the bottom half of the activation scale; only 8% scored at the highest level. Higher activation was associated with higher self-ratings of health, health literacy, and receipt of patient-centered care, shorter lengths of stay, and lower depression and hearing impairment levels. Effective self-management support for chronically ill elders will likely require varied strategies and may need to address depression, health literacy, and/or hearing impairments.
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