The relationship of co-morbidities and self-efficacy in regimen management

2.50
Hdl Handle:
http://hdl.handle.net/10755/308072
Category:
Abstract
Type:
Presentation
Title:
The relationship of co-morbidities and self-efficacy in regimen management
Author(s):
Dunbar-Jacob, Jacqueline; Burke, Lora E.; Bender, Catherine M.; Sereika, Susan M.; Stilley, Carol; Brown, Charlotte; Lingler, Jennifer; Erlen, Judith A.; McCall, Maura K.
Lead Author STTI Affiliation:
Non-member
Author Details:
Jacqueline Dunbar-Jacob, PhD, RN, FAAN, dunbar@pitt.edu; Lora E. Burke, PhD, MPH, RN, FAAN; Catherine M. Bender, PhD, RN, FAAN; Susan M. Sereika, PhD; Carol Stilley, PhD, RN; Charlotte Brown, PhD; Jennifer Lingler, PhD, CRNP; Judith A. Erlen, PhD, RN, FAAN; Maura K. McCall, MSN, RN
Abstract:

Session presented on: Monday, November 18, 2013

Translation of interventions may be influenced by individual or populations characteristics.  In our program project grant we are examining factors which will impact the translation of behavioral interventions.  One factor is the complexity of care the patient is managing reflected in the number of co-morbidities the patient has.  This presentation examines the relationship of co-morbidities and self-efficacy across four populations and the potential mediating relationship of quality of life, depression, and number of medications prescribed.  The sample consisted of 462 persons participating in one of four studies examining behavioral interventions to improve adherence or management of medications.  The populations consisted of caregivers of adults with cognitive decline (3M), adults with diabetes, hypertension, and hyperlipidemia (HABIT), adults with diabetes and depression (CONCORDANCE), and adults with obesity (SELF).  The sample was 70.3% white, 69.2% female, with an average age of 59 years and an average of 15 years of formal education.  Data across the studies suggested there was a low but significant negative relationship between the number of co-morbidities and self-efficacy (r=-0.224, p<.001).  For the two diabetes studies, quality of life mediated the relationship, (HABIT physical function SF36, EST=-0.076, p<.001 and CONCORDANCE mental health SF36, EST=0.191, p<.010).  Depression (BDI) mediated the relationship in HABIT (EST -0.052, p<.019) and number of medications mediated the relationship in CONCORDANCE (EST=-0.100, p<.009).  No other mediational effects were found.  Efforts to boost self-efficacy are an integral component of many behavioral interventions.  Our data suggest that persons with greater numbers of co-morbidities are likely to have lower self-efficacy.  The question arises as to whether different self-efficacy enhancing strategies would be more effective for persons with few or many co-morbidities.  The finding that quality of life, reflected in SF36 component scores, impacts this relationship among diabetes patients but not among caregivers or otherwise healthy obese needs further investigation.
Keywords:
co-morbid conditions; self-efficacy; health related quality of life
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe relationship of co-morbidities and self-efficacy in regimen managementen_GB
dc.contributor.authorDunbar-Jacob, Jacquelineen_GB
dc.contributor.authorBurke, Lora E.en_GB
dc.contributor.authorBender, Catherine M.en_GB
dc.contributor.authorSereika, Susan M.en_GB
dc.contributor.authorStilley, Carolen_GB
dc.contributor.authorBrown, Charlotteen_GB
dc.contributor.authorLingler, Jenniferen_GB
dc.contributor.authorErlen, Judith A.en_GB
dc.contributor.authorMcCall, Maura K.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJacqueline Dunbar-Jacob, PhD, RN, FAAN, dunbar@pitt.edu; Lora E. Burke, PhD, MPH, RN, FAAN; Catherine M. Bender, PhD, RN, FAAN; Susan M. Sereika, PhD; Carol Stilley, PhD, RN; Charlotte Brown, PhD; Jennifer Lingler, PhD, CRNP; Judith A. Erlen, PhD, RN, FAAN; Maura K. McCall, MSN, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308072-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Translation of interventions may be influenced by individual or populations characteristics.  In our program project grant we are examining factors which will impact the translation of behavioral interventions.  One factor is the complexity of care the patient is managing reflected in the number of co-morbidities the patient has.  This presentation examines the relationship of co-morbidities and self-efficacy across four populations and the potential mediating relationship of quality of life, depression, and number of medications prescribed.  The sample consisted of 462 persons participating in one of four studies examining behavioral interventions to improve adherence or management of medications.  The populations consisted of caregivers of adults with cognitive decline (3M), adults with diabetes, hypertension, and hyperlipidemia (HABIT), adults with diabetes and depression (CONCORDANCE), and adults with obesity (SELF).  The sample was 70.3% white, 69.2% female, with an average age of 59 years and an average of 15 years of formal education.  Data across the studies suggested there was a low but significant negative relationship between the number of co-morbidities and self-efficacy (r=-0.224, p<.001).  For the two diabetes studies, quality of life mediated the relationship, (HABIT physical function SF36, EST=-0.076, p<.001 and CONCORDANCE mental health SF36, EST=0.191, p<.010).  Depression (BDI) mediated the relationship in HABIT (EST -0.052, p<.019) and number of medications mediated the relationship in CONCORDANCE (EST=-0.100, p<.009).  No other mediational effects were found.  Efforts to boost self-efficacy are an integral component of many behavioral interventions.  Our data suggest that persons with greater numbers of co-morbidities are likely to have lower self-efficacy.  The question arises as to whether different self-efficacy enhancing strategies would be more effective for persons with few or many co-morbidities.  The finding that quality of life, reflected in SF36 component scores, impacts this relationship among diabetes patients but not among caregivers or otherwise healthy obese needs further investigation.en_GB
dc.subjectco-morbid conditionsen_GB
dc.subjectself-efficacyen_GB
dc.subjecthealth related quality of lifeen_GB
dc.date.available2013-12-19T17:26:30Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:30Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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