TY - JOUR
T1 - High coping self-efficacy associated with lower odds of pre-frailty/frailty in older adults with chronic disease
AU - Hladek, Melissa D.
AU - Gill, Jessica
AU - Bandeen-Roche, Karen
AU - Walston, Jeremy
AU - Allen, Jerilyn K.
AU - Hinkle, Janice L.
AU - Lorig, Kate
AU - Szanton, Sarah L.
N1 - Funding Information:
This work was supported by: (1) National Institute of Health Pre-doctoral Fellowship, Clinical and Translational Science Award (4TL1TR001078-04), (2) Dr. Scholl Foundation Fellowship, (3) National Institute of Health, National Institute of Nursing Research Pre-doctoral Fellowship, Interdisciplinary Cardiovascular Health Research (T32NR012704), (4) National Institute of Health, National Institute of Nursing Research Intramural Research Program and (5) Johns Hopkins University Provost’s Post-Doctoral Fellowship. The authors would like to thank Dr. Gayle Page, Svetlana Bautista and Christine Leyden for their contributions.
Publisher Copyright:
© 2019 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2020/12
Y1 - 2020/12
N2 - Objectives: Frailty affects an estimated 15% of community dwelling older adults. Few studies look at psychosocial variables like self-efficacy (confidence to perform well at a particular task or life domain) in relation to frailty. The purpose of this study was to evaluate associations between pre-frailty/frailty and self-efficacy. Methods: This cross-sectional study enrolled community dwelling older adults 65 and older (N = 146) with at least one chronic condition. Scales included: 5-item FRAIL scale (including measures of Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight); coping self-efficacy used to measure confidence in one’s ability to problem solve, emotionally regulate and ask for support when problems in life occur; illness intrusiveness; patient health questionnaire to assess depressive symptoms; financial strain; life events count; social support; heart rate; tobacco use and body mass index. Logistic regression was used for model development. Results: Roughly half (49.3%) of the participants were frail/pre-frail. High coping self-efficacy was associated with a 92% decreased odds of pre-frailty/frailty after adjustment for age, sex, race, co-morbidities, heart rate, a life events count, and body mass index. This relationship remained significant when illness intrusiveness and depression scores were added to the model (OR: 0.10; p-value = 0.014). Increases in age, co-morbidities, heart rate and body mass index were also significantly associated with higher adjusted odds of pre-frailty/frailty. Conclusions: High coping self-efficacy was associated with greater odds of a robust state. Further consideration should be given to coping self-efficacy in frailty research and intervention development.
AB - Objectives: Frailty affects an estimated 15% of community dwelling older adults. Few studies look at psychosocial variables like self-efficacy (confidence to perform well at a particular task or life domain) in relation to frailty. The purpose of this study was to evaluate associations between pre-frailty/frailty and self-efficacy. Methods: This cross-sectional study enrolled community dwelling older adults 65 and older (N = 146) with at least one chronic condition. Scales included: 5-item FRAIL scale (including measures of Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight); coping self-efficacy used to measure confidence in one’s ability to problem solve, emotionally regulate and ask for support when problems in life occur; illness intrusiveness; patient health questionnaire to assess depressive symptoms; financial strain; life events count; social support; heart rate; tobacco use and body mass index. Logistic regression was used for model development. Results: Roughly half (49.3%) of the participants were frail/pre-frail. High coping self-efficacy was associated with a 92% decreased odds of pre-frailty/frailty after adjustment for age, sex, race, co-morbidities, heart rate, a life events count, and body mass index. This relationship remained significant when illness intrusiveness and depression scores were added to the model (OR: 0.10; p-value = 0.014). Increases in age, co-morbidities, heart rate and body mass index were also significantly associated with higher adjusted odds of pre-frailty/frailty. Conclusions: High coping self-efficacy was associated with greater odds of a robust state. Further consideration should be given to coping self-efficacy in frailty research and intervention development.
KW - Frailty
KW - chronic disease
KW - coping self-efficacy
KW - healthy aging
KW - older adults
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U2 - 10.1080/13607863.2019.1639136
DO - 10.1080/13607863.2019.1639136
M3 - Article
C2 - 31290680
AN - SCOPUS:85068806607
SN - 1360-7863
VL - 24
SP - 1956
EP - 1962
JO - Aging and Mental Health
JF - Aging and Mental Health
IS - 12
ER -