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Self-efficacy and multiple illness representations in older adults: A multilevel approach

机译：老年人的自我效能感和多种疾病表现：一种多层次方法

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Objectives: The Common-Sense Model assumes that individuals form subjective representations about their illnesses, which in turn guide cognitive and behavioural responses. This assumption is complicated in individuals with multimorbidity, and it is an open question to which degree illness-specific and person-level factors determine the representations of specific illnesses. This study examines the structure and interrelations of illness representations in multimorbidity employing a hierarchical framework based on Cognitive Theory. Methods: Multiple illness representations were assessed in 305 people aged 65 and older using two Brief Illness Perception Questionnaires. Multilevel modelling was used to explore the relations between illness representations and to explain how two illness-specific representations - personal control and treatment control - were determined by a person-level factor, self-efficacy. Results: Self-efficacy had significant main (B = 0.29; p  0.01 for personal control; B = 0.19; p  0.05 for treatment control) and interaction effects (B = 0.38; p  0.01 personal control on self-efficacy × timeline; B = −0.31; p  0.05 treatment control on self-efficacy × coherence). Conclusions: This study suggests that illness-specific representations of older people with multimorbidity are a product of both illness-specific and person-level factors, such as self-efficacy. Strengthening individual self-efficacy may improve illness controllability regardless and on top of illness-specific information.View full textDownload full textKeywordsillness representations, multiple illnesses, self-regulation model, cognitive theory, self-efficacy, multilevel modellingRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/08870446.2010.541908
机译：目标：常识模型假设个人形成有关其疾病的主观表征，从而指导认知和行为反应。这种假设对于患有多种疾病的人来说很复杂，这是一个开放的问题，具体取决于疾病的具体程度和个人水平的因素决定了具体疾病的表征。本研究采用基于认知理论的分层框架，研究了多发病率中疾病表征的结构和相互关系。方法：使用两个简短疾病知觉问卷对305名65岁及65岁以上的人群进行多种疾病表现评估。多级建模被用来探索疾病表征之间的关系，并解释如何由一个人水平的因素，自我效能感来确定两种疾病特定的表征-个人控制和治疗控制。结果：自我效能感有重要的主要（B = 0.29；个人控制的p <0.01； B = 0.19；治疗控制的p <0.05 ）和互动效果（B = 0.38； p = 0.01对自我效能感的个人控制–时间轴； B = 0.31； p = <0.05自我控制能力的治疗控制-（连贯性）。结论：这项研究表明，患有多种疾病的老年人的疾病特异性表征是疾病特异性和个体水平因素（例如自我效能感）的产物。增强个人自我效能感可能会改善疾病的可控性，无论它是否与疾病相关的特定信息均如此。查看全文下载全文关键词疾病代表，多种疾病，自我调节模型，认知理论，自我效能感，多层次建模相关的var addthis_config = {ui_cobrand：“泰勒和弗朗西斯在线”，services_compact：“ citeulike，netvibes，twitter，technorati，delicious，linkedin，facebook，stumbleupon，digg，google，更多”，发布号：“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/08870446.2010.541908

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