Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional study

AimsThis study investigated the current status of intrinsic capacity and self-management abilities and analyzed the factors influencing the self-management abilities of older adults experiencing intrinsic capacity decline.MethodsWe included a sample of 382 older adults, with an average age of 72.92 ...

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Main Authors: Qingcai Liu, Xiaoyang Li, Mingyue Hu, Yinan Zhao, Shuang Wu, Hui Feng
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Aging Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2024.1456167/full
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author Qingcai Liu
Xiaoyang Li
Mingyue Hu
Yinan Zhao
Shuang Wu
Hui Feng
author_facet Qingcai Liu
Xiaoyang Li
Mingyue Hu
Yinan Zhao
Shuang Wu
Hui Feng
author_sort Qingcai Liu
collection DOAJ
description AimsThis study investigated the current status of intrinsic capacity and self-management abilities and analyzed the factors influencing the self-management abilities of older adults experiencing intrinsic capacity decline.MethodsWe included a sample of 382 older adults, with an average age of 72.92 ± 6.81 years, exhibiting intrinsic capacity decline in 38 communities in China. Questionnaires were administered using the sociodemographic questionnaire, the intrinsic capacity questionnaire, the social support scale, the self-rated health item, the eHealth literacy scale, and the self-management ability scale. The data were analyzed using descriptive statistics, Pearson correlation coefficients, and linear regression analysis.ResultsIn this study, 43.5% of older people had impairments in three of the five dimensions of intrinsic capacity, the most significant proportion. The self-management ability score of older adults experiencing intrinsic capacity decline was 67.05 ± 12.53 out of 100. There were significant associations between age, perceived social support, and intrinsic ability composite score with self-management abilities (Age: β = −0.263; p < 0.001; social support: β = 0.291; p < 0.001; intrinsic capacity composite score: β = 0.179; p < 0.001). Higher levels of self-management ability were associated with more effective maintenance of psychological capacity, regardless of the type of older adults experiencing IC decline (all p < 0.05). For example, among older adults experiencing cognitive decline, maintaining psychological function was positively associated with self-management abilities (β = 0.294; p < 0.01).ConclusionThe highest prevalence of concurrent impairments across three dimensions of intrinsic capacity was observed among older adults experiencing diminished intrinsic capacity. Fostering self-management abilities through social support and mental health interventions may benefit people experiencing intrinsic capacity decline.
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spelling doaj-art-5ebd422129004abcbbdbdb8e058eeffe2025-08-20T01:53:26ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652024-11-011610.3389/fnagi.2024.14561671456167Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional studyQingcai Liu0Xiaoyang Li1Mingyue Hu2Yinan Zhao3Shuang Wu4Hui Feng5College of Humanities and Management, Hunan University of Chinese Medicine, Changsha, Hunan, ChinaXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaAimsThis study investigated the current status of intrinsic capacity and self-management abilities and analyzed the factors influencing the self-management abilities of older adults experiencing intrinsic capacity decline.MethodsWe included a sample of 382 older adults, with an average age of 72.92 ± 6.81 years, exhibiting intrinsic capacity decline in 38 communities in China. Questionnaires were administered using the sociodemographic questionnaire, the intrinsic capacity questionnaire, the social support scale, the self-rated health item, the eHealth literacy scale, and the self-management ability scale. The data were analyzed using descriptive statistics, Pearson correlation coefficients, and linear regression analysis.ResultsIn this study, 43.5% of older people had impairments in three of the five dimensions of intrinsic capacity, the most significant proportion. The self-management ability score of older adults experiencing intrinsic capacity decline was 67.05 ± 12.53 out of 100. There were significant associations between age, perceived social support, and intrinsic ability composite score with self-management abilities (Age: β = −0.263; p < 0.001; social support: β = 0.291; p < 0.001; intrinsic capacity composite score: β = 0.179; p < 0.001). Higher levels of self-management ability were associated with more effective maintenance of psychological capacity, regardless of the type of older adults experiencing IC decline (all p < 0.05). For example, among older adults experiencing cognitive decline, maintaining psychological function was positively associated with self-management abilities (β = 0.294; p < 0.01).ConclusionThe highest prevalence of concurrent impairments across three dimensions of intrinsic capacity was observed among older adults experiencing diminished intrinsic capacity. Fostering self-management abilities through social support and mental health interventions may benefit people experiencing intrinsic capacity decline.https://www.frontiersin.org/articles/10.3389/fnagi.2024.1456167/fullintrinsic capacityself-management abilitysocial supportolder adultsinfluence factor
spellingShingle Qingcai Liu
Xiaoyang Li
Mingyue Hu
Yinan Zhao
Shuang Wu
Hui Feng
Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional study
Frontiers in Aging Neuroscience
intrinsic capacity
self-management ability
social support
older adults
influence factor
title Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional study
title_full Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional study
title_fullStr Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional study
title_full_unstemmed Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional study
title_short Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional study
title_sort factors influencing the self management ability among older adults experiencing intrinsic capacity decline a cross sectional study
topic intrinsic capacity
self-management ability
social support
older adults
influence factor
url https://www.frontiersin.org/articles/10.3389/fnagi.2024.1456167/full
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