Five factor model personality factors moderated the effects of an intervention to enhance chronic disease management self-efficacy.
Five factor model personality factors moderated the effects of an intervention to enhance chronic disease management self-efficacy.
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DOI：
10.1348/135910708x360700
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发表时间：
2009-09
影响因子：
7.9
通讯作者：
Jerant A
中科院分区：
文献类型：
--
作者：
Franks P;Chapman B;Duberstein P;Jerant A
同行主导的干预可以提高患者在管理慢性病方面的自我效能，但对其影响的调节因素或持续时间知之甚少。我们假设归因于健康(HIOH)，这是慢性病自我管理计划的一个变体，将对神经质较高而外向、开放性、宜人性和/或责任心较低的患者最有效。对参加随机对照试验的受试者(N=415)的数据进行回归分析，以探讨五因素模型(FFM)人格因素是否缓和了在受试者家中或通过电话提供的HIOH对疾病管理自我效能的影响。在1年的时间里收集了6个时间点的数据。与对照组和电话HIOH组相比，家庭HIOH组显著提高了自我效能感，这种效应在6周时达到顶峰，并在1年后完全减弱。适度分析显示，这种益处仅限于神经质较高和/或责任心、宜人性和外向较低的患者。同伴主导的提高疾病管理自我效能感的干预只有短期效果，FFM人格因素减缓了这些影响。测量慢性病患者的个性因素可能有助于将自我管理干预的目标对准那些最有可能做出反应的人。
Peer led interventions can enhance patient self-efficacy for managing chronic illnesses, but little is known regarding the moderators or duration of their effects. We hypothesized Homing in on Health (HIOH), a variant of the Chronic Disease Self-Management Program, would be most effective in patients high in neuroticism and low in extraversion, openness, agreeableness, and/or conscientiousness. Analysis of data from subjects (N = 415) enrolled in an ongoing randomized controlled trial Regression analyses were conducted to explore whether Five Factor Model (FFM) personality factors moderated the effects of HIOH, delivered in subjects’ homes or via telephone, on disease management self-efficacy. Data were collected at 6 time points over the course of 1 year. Compared with control and telephone HIOH, home HIOH significantly increased self-efficacy, an effect peaking at 6 weeks and fully attenuating by 1 year. Moderation analyses revealed the benefit was confined to patients higher in neuroticism and/or lower in conscientiousness, agreeableness, and extraversion. A peer led intervention to enhance disease management self-efficacy had only short-term effects, and FFM personality factors moderated those effects. Measuring personality factors in chronically ill individuals may facilitate targeting of self-management interventions to those most likely to respond.