A cross-sectional study investigating the relationships between self-management abilities, productive patient-profession
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ORIGINAL INVESTIGATION
A cross‑sectional study investigating the relationships between self‑management abilities, productive patient‑professional interactions, and well‑being of community‑dwelling frail older people Lotte Vestjens1 · Jane Murray Cramm1 · Anna Petra Nieboer1 Accepted: 5 October 2020 © The Author(s) 2020
Abstract Worldwide, the maintenance of well-being in ageing populations with associated frailty has become increasingly important. To maintain well-being during ageing, investment in frail older people’s self-management abilities and the fostering of productive interactions with healthcare professionals may lead to higher levels of well-being. The aim of this study was to investigate the relationships between community-dwelling frail older people’s self-management abilities, productive patientprofessional interactions and well-being, while controlling for socio-demographic characteristics. This cross-sectional study included 588 community-dwelling frail older people (aged ≥ 75 years) from 15 general practitioner (GP) practices in the Netherlands. Well-being (Social Production Function Instrument for the Level of well-being short), productivity of interactions with GPs (relational coproduction instrument), and self-management abilities (Self-Management Ability Scale short) were measured during in-home face-to-face interviews by trained interviewers. Data were analysed using descriptive statistics, correlation analyses, and linear mixed-effects models. Significant relationships were detected between self-management abilities and the overall, social, and physical well-being of older people, and between productive interactions with GPs and overall and social well-being, but not physical well-being. In a time of ageing populations with associated frailty, investment in frail older people’s self-management abilities and the productivity of patient-professional interactions may be beneficial for this population’s well-being. Keywords Well-being · Self-management · Productive patient-professional interactions · Primary care · Frail older people · Cross-sectional design
Introduction Worldwide, the maintenance of ageing populations’ wellbeing has become increasingly important (Steptoe et al. 2015). Frailty, defined as the presence of problems or losses Responsible Editor: Susanne Iwarsson. * Lotte Vestjens [email protected] Jane Murray Cramm [email protected] Anna Petra Nieboer [email protected] 1
Erasmus School of Health Policy & Management, Department of Socio‑Medical Sciences, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands
in multiple domains (physical, psychological, and social) of human functioning (Gobbens et al. 2010b), is associated with lower levels of well-being among community-dwelling older people (Andrew et al. 2012). Compared with the general population, frail older people have a compromised ability to realise and maintain well-being (Nieboer and Cramm 2018). This is due to changes and declines in available physical and social resources, and in
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