Self-efficacy, physical decline, and change in functioning in community-living elders: A prospective study
Self-efficacy, physical decline, and change in functioning in community-living elders: A prospective study
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DOI：
10.1093/geronb/51b.4.s183
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发表时间：
1996-07-01
影响因子：
6.2
通讯作者：
Tinetti, ME
中科院分区：
文献类型：
--
作者：
deLeon, CFM;Seeman, TE;Tinetti, ME
这项研究考察了高自我效能感是否对居住在社区的老年人的功能状态下降具有保护作用。数据来自1103名年龄大于或等于72岁的受试者的样本，他们在家庭内活动，并在基线和18个月后接受家庭评估，以获得有关社会人口、心理社会和健康状况变量的信息，包括身体表现测试。功能状态以SIR基本自理任务(ADL)为基础。使用OLS回归，在控制了社会人口和健康相关变量后，较低的自我效能感与功能状态的下降略有关联。根据假设，自我效能感和身体表现变化之间存在显著的交互作用，这表明低自我效能感对那些在后续行动中身体表现下降的老年人的功能下降具有特别的预测作用。这些发现支持了在体能下降的情况下，自我效能感对机能衰退的缓冲作用。
This study examines whether high self-efficacy is protective against a decline in functional status in community-residing elderly persons. Data came from a sample of 1,103 subjects aged greater than or equal to 72 years who were ambulatory within the household and who received in-home assessments at baseline and 18 months later to obtain information on sociodemographic, psychosocial, and health status variables, including physical performance tests. Functional status was based on sir basic self-care tasks (ADLs). Using OLS regression, lower self-efficacy was marginally related to decline in functional status, after controlling for sociodemographic and health-related variables. As hypothesized, there was a significant interaction effect between self-efficacy and change in physical performance, suggesting that low self-efficacy was particularly predictive of functional decline among older individuals who showed a decline in physical performance at follow-up. These findings provide support for the buffering effect of self-efficacy on functional decline in the face of diminished physical capacity.