Instruments for measuring self-management and self-care in geriatric patients – a scoping review

IntroductionWith demographic changes, prioritizing effective care for geriatric patients to maintain functionality, independence, and quality of life is crucial. Well-developed self-management or self-care abilities, which can be maintained and improved through interventions, are of the utmost impor...

Full description

Bibliographic Details
Main Authors: Rebecca Wientzek, Rosa Marie Brückner, Aline Schönenberg, Tino Prell
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1284350/full
_version_ 1827583513493241856
author Rebecca Wientzek
Rosa Marie Brückner
Aline Schönenberg
Tino Prell
Tino Prell
author_facet Rebecca Wientzek
Rosa Marie Brückner
Aline Schönenberg
Tino Prell
Tino Prell
author_sort Rebecca Wientzek
collection DOAJ
description IntroductionWith demographic changes, prioritizing effective care for geriatric patients to maintain functionality, independence, and quality of life is crucial. Well-developed self-management or self-care abilities, which can be maintained and improved through interventions, are of the utmost importance. To implement these interventions tailored and effectively, a thorough assessment of the individual’s self-management and self-care abilities is required.ObjectiveThis scoping review aimed to identify self-management and self-care instruments suitable for geriatric patients, their underlying theories and definitions of self-management and self-care, and their similarities and differences in item content.MethodsA systematic search of the PubMed and CINAHL databases was conducted to identify retrievable full-text articles published in English in the medical and nursing fields since the 1970s, which were validated on a sample with an average age of at least 70 years, used generic rather than disease-specific items, and addressed the broad range of self-management and self-care abilities.ResultsOf the 20 included articles, six instruments were identified that were based on different theories and offered varying definitions of self-management or self-care. Despite these differences, all emphasize empowered individuals taking an active role in their care. Most address actual behavior and abilities referring to lifestyle factors and (anticipated) adjustment behavior. However, crucial aspects, such as psychological factors, (instrumental) activities of daily living, and social environment are not fully addressed in these instruments, nor are the types of execution to which the items refer, such as wants, feelings, confidence, or attitudes.ConclusionTo fully understand how geriatric patients implement daily self-management or self-care, a combination of instruments covering the important factors of self-management and self-care and addressing multiple types of item execution, such as behaviors, abilities, wants, or attitudes, is recommended. This review provides the first comprehensive overview of self-management and self-care instruments suitable for geriatric patients.
first_indexed 2024-03-08T23:07:53Z
format Article
id doaj.art-d8ceb2defea84500a372471c1900e442
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-03-08T23:07:53Z
publishDate 2023-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-d8ceb2defea84500a372471c1900e4422023-12-15T10:53:57ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-12-011110.3389/fpubh.2023.12843501284350Instruments for measuring self-management and self-care in geriatric patients – a scoping reviewRebecca Wientzek0Rosa Marie Brückner1Aline Schönenberg2Tino Prell3Tino Prell4Department of Geriatrics, Halle University Hospital, Halle (Saale), GermanyDepartment of Geriatrics, Halle University Hospital, Halle (Saale), GermanyDepartment of Geriatrics, Halle University Hospital, Halle (Saale), GermanyDepartment of Geriatrics, Halle University Hospital, Halle (Saale), GermanyDepartment of Neurology, Jena University Hospital, Jena, GermanyIntroductionWith demographic changes, prioritizing effective care for geriatric patients to maintain functionality, independence, and quality of life is crucial. Well-developed self-management or self-care abilities, which can be maintained and improved through interventions, are of the utmost importance. To implement these interventions tailored and effectively, a thorough assessment of the individual’s self-management and self-care abilities is required.ObjectiveThis scoping review aimed to identify self-management and self-care instruments suitable for geriatric patients, their underlying theories and definitions of self-management and self-care, and their similarities and differences in item content.MethodsA systematic search of the PubMed and CINAHL databases was conducted to identify retrievable full-text articles published in English in the medical and nursing fields since the 1970s, which were validated on a sample with an average age of at least 70 years, used generic rather than disease-specific items, and addressed the broad range of self-management and self-care abilities.ResultsOf the 20 included articles, six instruments were identified that were based on different theories and offered varying definitions of self-management or self-care. Despite these differences, all emphasize empowered individuals taking an active role in their care. Most address actual behavior and abilities referring to lifestyle factors and (anticipated) adjustment behavior. However, crucial aspects, such as psychological factors, (instrumental) activities of daily living, and social environment are not fully addressed in these instruments, nor are the types of execution to which the items refer, such as wants, feelings, confidence, or attitudes.ConclusionTo fully understand how geriatric patients implement daily self-management or self-care, a combination of instruments covering the important factors of self-management and self-care and addressing multiple types of item execution, such as behaviors, abilities, wants, or attitudes, is recommended. This review provides the first comprehensive overview of self-management and self-care instruments suitable for geriatric patients.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1284350/fullself-managementself-careinstrumentgeriatric patientsgeriatric syndromes
spellingShingle Rebecca Wientzek
Rosa Marie Brückner
Aline Schönenberg
Tino Prell
Tino Prell
Instruments for measuring self-management and self-care in geriatric patients – a scoping review
Frontiers in Public Health
self-management
self-care
instrument
geriatric patients
geriatric syndromes
title Instruments for measuring self-management and self-care in geriatric patients – a scoping review
title_full Instruments for measuring self-management and self-care in geriatric patients – a scoping review
title_fullStr Instruments for measuring self-management and self-care in geriatric patients – a scoping review
title_full_unstemmed Instruments for measuring self-management and self-care in geriatric patients – a scoping review
title_short Instruments for measuring self-management and self-care in geriatric patients – a scoping review
title_sort instruments for measuring self management and self care in geriatric patients a scoping review
topic self-management
self-care
instrument
geriatric patients
geriatric syndromes
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1284350/full
work_keys_str_mv AT rebeccawientzek instrumentsformeasuringselfmanagementandselfcareingeriatricpatientsascopingreview
AT rosamariebruckner instrumentsformeasuringselfmanagementandselfcareingeriatricpatientsascopingreview
AT alineschonenberg instrumentsformeasuringselfmanagementandselfcareingeriatricpatientsascopingreview
AT tinoprell instrumentsformeasuringselfmanagementandselfcareingeriatricpatientsascopingreview
AT tinoprell instrumentsformeasuringselfmanagementandselfcareingeriatricpatientsascopingreview