Older Adult and Family Caregiver Perspectives on Engagement in Primary Care

Hirschman, Karen B.; Rivera, Eleanor; Sefcik, Justine S.; McCauley, Kathleen M.; Hanlon, Alexandra L.; Pauly, Mark V.; Press, Matthew J.; Naylor, Mary D.

doi:10.3928/00989134-20221003-02

Cited by 2 publications

(1 citation statement)

References 19 publications

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“… 57 Furthermore, most older adults also agree that maintaining positive interactions and communication with caregivers and expressing their feelings in a timely manner can help to obtain more emotional support and daily care. 58 , 59 This may be a potential reason why gender differences in self-concealment among older adults are not significant.…”

Section: Discussionmentioning

confidence: 99%

Reliability and Validity of Self-Concealment Scale in Chinese Older Adults

Fan,

Shi,

et al. 2023

PRBM

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Background Individuals who initiate the concealment of their adverse or distressing thoughts from others can trigger off negative psychological experiences and social isolation, and lead to poorer health. Therefore, this study aimed to analyze the psychometric properties of the Self-Concealment Scale (SCS) in Chinese older adults. Methods A questionnaire was administered to 1085 elderly people using convenience sampling and snowball sampling. Scales used included the SCS, Distress Disclosure Index (DDI), Revised Cheek and Buss Shyness Scale (RCBS), Social Interaction Anxiety Scale (SIAS), Social Phobia Scale (SPS), UCLA Loneliness Scale (ULS-8), and Kessler Psychological Distress Scale (K10). Results The SCS consisted of 10 items with a one-dimensional structure, explaining 55.66% of the variance. The factor loading values for each item ranged from 0.68 to 0.75, and the covariance ranged from 0.46 to 0.57. Confirmatory factor analysis showed good model fit (χ2/df=2.829, RMSEA=0.057, CFI=0.981, IFI=0.981, TLI=0.974, PNFI=0.712, PGFI=0.719). The criterion-related validity test found that the SCS was significantly and positively correlated with the RCBS, SIAS, SPS, ULS-8, K10, depression, and anxiety; and the SCS was significantly and negatively correlated with the DDI. The Cronbach’s α coefficient value for the scale was 0.923; the split-half reliability coefficient value was 0.923. In addition, the SCS had cross-gender consistency. Conclusion The SCS has good reliability and validity in older adults and can be used as a valid tool to assess self-concealment among older people.

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Section: Discussionmentioning

confidence: 99%

Reliability and Validity of Self-Concealment Scale in Chinese Older Adults

Fan,

Shi,

et al. 2023

PRBM

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Relationships among health promotion behaviors, patient engagement, and the nurse practitioner–patient partnership

DeCelie,

Sturm

2024

J Am Assoc Nurse Pract

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Background: Individuals adopting health promotion behaviors benefit from improved health and reduced risk of chronic diseases. Patient engagement and a strong provider–patient partnership may play a role in health promotion. Purpose: This study examined the relationships between patient engagement, the nurse practitioner–patient partnership and health promotion behaviors among adults in a primary care setting. Methodology: A descriptive correlational study using convenience sampling to recruit 85 participants from a nurse practitioner primary care practice. Participants completed questionnaires measuring health promotion behaviors (Health Promoting Lifestyle Profile II), the quality of the nurse practitioner–patient partnership (Patient Reactions Assessment), and a person's capacity to engage in their health care (Person Engagement Index). Results: Moderate to strong correlations were found among the main study variables. Multiple regression analysis found a person's capacity to engage in health care significantly predicted health promotion behaviors (R 2 = 0.362, p < .001) and explained 36.2% of the variance in health promotion behaviors. Conclusions: Patient engagement is a significant predictor of health promotion behaviors. The interactive care model can serve as a framework for nurse practitioners to build partnerships and facilitate patient engagement. Nurse practitioners can serve as a coach, navigator, collaborator, and trusted health care partner with their patients. Implications: Nurse practitioners in primary care may need to restructure the health care encounter to allow for adequate time to communicate, listen, educate, and enlist patients in the shared decision-making process. Nurse practitioners can provide the support patients need to engage in their health care as they accept greater responsibility for their health.

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Older Adult and Family Caregiver Perspectives on Engagement in Primary Care

Cited by 2 publications

References 19 publications

Reliability and Validity of Self-Concealment Scale in Chinese Older Adults

Reliability and Validity of Self-Concealment Scale in Chinese Older Adults

Relationships among health promotion behaviors, patient engagement, and the nurse practitioner–patient partnership

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