Self-efficacy, resilience and healthy ageing among older people who have an acute hospital admission: A cross-sectional study.
Sarah E Remm, Elizabeth Halcomb, Kath Peters and 2 others
PMID 37605462WHAT IT FOUND
Among older people discharged home after an acute hospital admission, higher self-efficacy and resilience were linked to better healthy ageing.
More co-morbidities were linked to worse healthy ageing. This does not show that raising self-efficacy improves outcomes.
Key findings
01Higher self-efficacy and resilience were positively associated with healthy ageing.
02After adjustment, more co-morbidities were associated with lower healthy ageing, while higher resilience and self-efficacy were associated with higher healthy ageing.
03Lower self-efficacy and resilience were associated with more problems in daily activities, mobility, physical activity, mood and energy.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs
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What it does not show
The study was cross-sectional, so it cannot show that self-efficacy or resilience caused better healthy ageing. It included only people discharged home and excluded those discharged to residential aged care, supported accommodation or who were terminally ill. It required adequate English and sufficient cognition, so it may not apply to patients with communication or cognitive barriers. Some potential participants were missed because of hospital distance and COVID-19 ward access. The sample came from three hospitals in one local health district, and the authors say local characteristics matter when applying these results elsewhere. Healthy ageing was measured with general older-person tools, not disease-specific tools. The adjusted model explained 0.243 of the variation, so many factors were not accounted for. Some item associations were weak or borderline, such as lack of energy (p=0.1) and ADL deficits with resilience (p=0.07).
Declared interests
This study was supported by the Hazlett Family Foundation Postgraduate Research Scholarship. The authors declared no potential conflicts of interest.
The easy way to misread this
Do not conclude that improving self-efficacy or resilience will improve healthy ageing or function. This was a cross-sectional association study and did not test an intervention.