Self-Efficacy and Health Behavior Among Older Adults

Grembowski, David; Patrick, Donald L.; Diehr, Paula; Durham, Mary; Beresford, Shirley A.A.; Kay, Erica S.; Hecht, Julia

doi:10.2307/2137237

Cited by 343 publications

(218 citation statements)

References 26 publications

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“…Studies of self-efficacy, defined as the personal judgment about one's performance abilities, have found that elders tend to minimize their abilities, resulting in lower self-efficacy and lower physical performance (Grembowski et al, 1993;Clark, 1996). Low self-efficacy has been linked to declines in self-reported disability (Seeman et al, 1999;Rejeski et al, 2001), and has been found to be a predictor of depressive symptoms in older adults (Davis-Berman, 1990).…”

Section: Discussionmentioning

confidence: 99%

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The impact of chronic low back pain on older adults: A comparative study of patients and controls

Rudy

Weiner

Lieber

et al. 2007

Pain

214

179

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Chronic low back pain (CLBP) is one of the most common, poorly understood, and potentially disabling chronic pain conditions from which older adults suffer. Many older adults remain quite functional despite CLBP, and because age-related comorbidities often exist independently of pain (e.g., medical illnesses, sleep disturbance, mobility difficulty), the unique impact of CLBP is unknown. We conducted this research to identify the multidimensional factors that distinguish independent community dwelling older adults with CLBP from those that are pain-free. Three hundred twenty cognitively intact participants (162 with ≥ moderate pain for ≥ 3 months, and 158 pain-free) underwent comprehensive assessment of pain severity, medical comorbidity (illnesses, body mass index, medications), severity of degenerative disc and facet disease, lumbar flexion, psychological constructs (self-efficacy, mood, overall mental health), and self-reported as well as performance-based physical function. Significant differences were ascertained for all 22 measures. Discriminant function analysis revealed that eight measures uniquely maximized the separation between the two groups (self-reported function with the Functional Status Index and the SF-36, performance-based function with repetitive trunk rotation and functional reach, mood with the Geriatric Depression Scale, comorbidity with the Cumulative Illness Rating Scale and BMI, and severity of degenerative disc disease). These results should help to guide investigators that perform studies of CLBP in older adults and practitioners that want an easily adaptable battery for use in clinical settings.

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Section: Discussionmentioning

confidence: 99%

“…Self-Efficacy is a strong predictor of disability in chronic pain patients in general and in those with CLBP in particular (Grembowski et al, 1993;Clark, 1996). This construct was assessed in two ways.…”

Section: Psychosocial Constructs and Measures-mentioning

confidence: 99%

The impact of chronic low back pain on older adults: A comparative study of patients and controls

Rudy

Weiner

Lieber

et al. 2007

Pain

214

179

View full text Add to dashboard Cite

show abstract

“…Researchers have reported similar findings examining the relationship between self-efficacy and dietary fat intake (Anderson-Bill, Winett, & Wojcik, 2011;Armitage & Conner, 1999;Chang et al, 2008;Grembowski et al, 1993;Povey et al, 2000;Scholz, Ochsner, Hornung, & Knoll, 2013;Schwarzer & Renner, 2000;Smith & Owen, 1992;Watters & Satia, 2009). Significant negative correlations between self-efficacy and fat intake ranged from -.18 to -.37 (Anderson-Bill et al, 2011;Armitage & Conner, 1999;Povey et al, 2000).…”

Section: Perceived Self-efficacy and Dfimentioning

confidence: 70%

“…If individuals think that they are capable in managing their dietary fat intake, then they may consume less dietary fat. In support, researchers have found an inverse relationship between perceived self-efficacy and dietary fat intake (AbuSabha & Achterberg, 1997;Armitage & Conner, 1999;Grembowski et al, 1993;Nothwehr, 2004;Povey, Conner, Sparks, James, & Shepherd, 2000;Watters & Satia, 2009). In Pender and colleagues' (2002) revised HPM, perceived self-efficacy directly and indirectly (through commitment to a plan of action) influenced the behavior outcome.…”

Section: Behavior-specific Cognitions and Affectmentioning

confidence: 92%

“…Self-efficacy can influence one's ability to manage dietary fat intake (AbuSabha & Achterberg, 1997; Armitage & Conner, 1999;Grembowski et al, 1993;Nothwehr, 2004;Povey et al, 2000;Watters & Satia, 2009). Therefore, perceived self-efficacy related to managing dietary fat intake, a behavioral-specific cognitions and affect factor in the theoretical framework, was measured in this study.…”

Section: Descriptionmentioning

confidence: 99%

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