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Updated: May 24, 2026
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Understanding older patients' self-management abilities: functional loss, self-management, and well-being
J M Cramm1, J M Hartgerink, E W Steyerberg
1Institute of Health Policy and Management (iBMG), Erasmus University, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, The Netherlands. cramm@bmg.eur.nl
Summary
Older adults
Area of Science:
- Gerontology and Public Health
Background:
- Understanding self-management is crucial for older adults' well-being.
- Hospital admission can impact older individuals' functioning and self-care.
Purpose of the Study:
- To enhance understanding of self-management abilities in older individuals.
- To identify factors associated with better self-management in the elderly population.
Main Methods:
- Cross-sectional pilot study involving 296 older patients (aged >65) interviewed 3 months post-hospital admission.
- Assessed social, cognitive, and physical functioning, self-management abilities, and well-being.
- Employed descriptive, correlational, and multiple regression analyses, including mediation analysis.
Main Results:
- Social, cognitive, and physical functioning were significantly correlated with self-management abilities and well-being (p ≤ 0.001).
- These functioning domains remained significant predictors of self-management abilities after controlling for background characteristics (β = 0.17–0.25; p ≤ 0.001).
- Lower levels of functioning were associated with poorer self-management skills in older adults.
Conclusions:
- Self-management abilities mediate the link between functioning (social, cognitive, physical) and well-being in older adults.
- Interventions targeting self-management may help older individuals cope with age-related functional decline.
- Improving self-management can enhance well-being and functional adaptation in aging populations.
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