Association of self-efficacy, risk attitudes, and time preferences with functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting—Results from the MobilE-TRA2 cohort
IntroductionThe functional burden of vertigo, dizziness, and balance problems (VDB) might depend on the personality traits of the patients affected. The aim of this study thus was to investigate the impact of self-efficacy, risk attitudes, and time preferences on functioning in older patients with V...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1316081/full |
| _version_ | 1797390305944666112 |
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| author | Benedict Katzenberger Benedict Katzenberger Sebastian Fuchs Sebastian Fuchs Sebastian Fuchs Lars Schwettmann Lars Schwettmann Ralf Strobl Ralf Strobl Ari Hauser Daniela Koller Eva Grill Eva Grill |
| author_facet | Benedict Katzenberger Benedict Katzenberger Sebastian Fuchs Sebastian Fuchs Sebastian Fuchs Lars Schwettmann Lars Schwettmann Ralf Strobl Ralf Strobl Ari Hauser Daniela Koller Eva Grill Eva Grill |
| author_sort | Benedict Katzenberger |
| collection | DOAJ |
| description | IntroductionThe functional burden of vertigo, dizziness, and balance problems (VDB) might depend on the personality traits of the patients affected. The aim of this study thus was to investigate the impact of self-efficacy, risk attitudes, and time preferences on functioning in older patients with VDB before and after treatment in a specialized tertiary care center.MethodsData for this study was obtained from the MobilE-TRA2 cohort study, conducted at a specialized tertiary care center in Germany. Patients aged 60 and older were assessed during their initial stay at the care center and 3 months later, using self-administered questionnaires. Self-efficacy was measured on a scale from 1 (very low) to 5 (very high). Health-related risk attitudes were inquired using an 11-point scale. Time preferences were measured by evaluating patients' willingness to postpone a reward in favor of a greater benefit on an 11-point Likert scale. Functioning was evaluated using the Dizziness Handicap Inventory, representing functional, emotional, and physical aspects of functional disability caused by VDB. Mixed-effects regression models were used to analyze the association between the selected personality traits and functioning over time. Interaction terms with time were incorporated for each personality trait, enabling the assessment of their influence on functioning 3 months following the initial observation period.ResultsAn overall of 337 patients (53% women, median age at baseline = 70 years) were included. Patients with higher self-efficacy (Beta = −3.82, 95%-CI [−6.56; −1.08]) and higher willingness to take risks (Beta = −1.31, 95%-CI [−2.31; −0.31]) reported better functioning during their initial visit at the care center. Self-efficacy significantly predicted functioning after 3 months for overall functioning (Beta = −4.21, 95%-CI [−6.57; −1.84]) and all three domains.ConclusionOur findings suggest that patients with high self-efficacy and high willingness to take risks may exhibit better coping mechanisms when faced with the challenges of VDB. Promoting self-efficacy may help patients to better manage the duties accompanying their treatment, leading to improved functioning. These insights may inform the development of personalized treatment aimed at reducing the functional burden of VDB in older patients. |
| first_indexed | 2024-03-08T23:08:54Z |
| format | Article |
| id | doaj.art-c34008d4e09a4edd8cca231052017fc5 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-08T23:08:54Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-c34008d4e09a4edd8cca231052017fc52023-12-15T09:07:13ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-12-011410.3389/fneur.2023.13160811316081Association of self-efficacy, risk attitudes, and time preferences with functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting—Results from the MobilE-TRA2 cohortBenedict Katzenberger0Benedict Katzenberger1Sebastian Fuchs2Sebastian Fuchs3Sebastian Fuchs4Lars Schwettmann5Lars Schwettmann6Ralf Strobl7Ralf Strobl8Ari Hauser9Daniela Koller10Eva Grill11Eva Grill12Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, GermanyPettenkofer School of Public Health, Munich, GermanyInstitute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, GermanyPettenkofer School of Public Health, Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, LMU University Hospital, LMU Munich, Munich, GermanyDepartment of Health Services Research, School of Medicine and Health Sciences, Carl Von Ossietzky University of Oldenburg, Oldenburg, GermanyInstitute of Health Economics and Health Care Management (IGM), Helmholtz Zentrum München (GmbH) – German Research Center for Environmental Health, Neuherberg, GermanyInstitute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, GermanyGerman Center for Vertigo and Balance Disorders, LMU University Hospital, LMU Munich, Munich, GermanyInstitute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, GermanyInstitute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, GermanyInstitute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, GermanyGerman Center for Vertigo and Balance Disorders, LMU University Hospital, LMU Munich, Munich, GermanyIntroductionThe functional burden of vertigo, dizziness, and balance problems (VDB) might depend on the personality traits of the patients affected. The aim of this study thus was to investigate the impact of self-efficacy, risk attitudes, and time preferences on functioning in older patients with VDB before and after treatment in a specialized tertiary care center.MethodsData for this study was obtained from the MobilE-TRA2 cohort study, conducted at a specialized tertiary care center in Germany. Patients aged 60 and older were assessed during their initial stay at the care center and 3 months later, using self-administered questionnaires. Self-efficacy was measured on a scale from 1 (very low) to 5 (very high). Health-related risk attitudes were inquired using an 11-point scale. Time preferences were measured by evaluating patients' willingness to postpone a reward in favor of a greater benefit on an 11-point Likert scale. Functioning was evaluated using the Dizziness Handicap Inventory, representing functional, emotional, and physical aspects of functional disability caused by VDB. Mixed-effects regression models were used to analyze the association between the selected personality traits and functioning over time. Interaction terms with time were incorporated for each personality trait, enabling the assessment of their influence on functioning 3 months following the initial observation period.ResultsAn overall of 337 patients (53% women, median age at baseline = 70 years) were included. Patients with higher self-efficacy (Beta = −3.82, 95%-CI [−6.56; −1.08]) and higher willingness to take risks (Beta = −1.31, 95%-CI [−2.31; −0.31]) reported better functioning during their initial visit at the care center. Self-efficacy significantly predicted functioning after 3 months for overall functioning (Beta = −4.21, 95%-CI [−6.57; −1.84]) and all three domains.ConclusionOur findings suggest that patients with high self-efficacy and high willingness to take risks may exhibit better coping mechanisms when faced with the challenges of VDB. Promoting self-efficacy may help patients to better manage the duties accompanying their treatment, leading to improved functioning. These insights may inform the development of personalized treatment aimed at reducing the functional burden of VDB in older patients.https://www.frontiersin.org/articles/10.3389/fneur.2023.1316081/fullvertigodizzinessbalance disordersfunctioningself-efficacyrisk attitudes |
| spellingShingle | Benedict Katzenberger Benedict Katzenberger Sebastian Fuchs Sebastian Fuchs Sebastian Fuchs Lars Schwettmann Lars Schwettmann Ralf Strobl Ralf Strobl Ari Hauser Daniela Koller Eva Grill Eva Grill Association of self-efficacy, risk attitudes, and time preferences with functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting—Results from the MobilE-TRA2 cohort Frontiers in Neurology vertigo dizziness balance disorders functioning self-efficacy risk attitudes |
| title | Association of self-efficacy, risk attitudes, and time preferences with functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting—Results from the MobilE-TRA2 cohort |
| title_full | Association of self-efficacy, risk attitudes, and time preferences with functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting—Results from the MobilE-TRA2 cohort |
| title_fullStr | Association of self-efficacy, risk attitudes, and time preferences with functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting—Results from the MobilE-TRA2 cohort |
| title_full_unstemmed | Association of self-efficacy, risk attitudes, and time preferences with functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting—Results from the MobilE-TRA2 cohort |
| title_short | Association of self-efficacy, risk attitudes, and time preferences with functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting—Results from the MobilE-TRA2 cohort |
| title_sort | association of self efficacy risk attitudes and time preferences with functioning in older patients with vertigo dizziness and balance disorders in a tertiary care setting results from the mobile tra2 cohort |
| topic | vertigo dizziness balance disorders functioning self-efficacy risk attitudes |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1316081/full |
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