title: The relationship between older adults' self-management abilities, well-being and depression.
abstract: This study aimed to identify the relationship between self-management abilities, well-being and depression. Our study was conducted among older adults (>65 years of age) who were vulnerable to loss of function after hospital discharge. Three months after hospital admission, 296/456 patients (65 % response rate) were interviewed in their homes. The 30-item Self-Management Ability Scale was used to measure six self-management abilities: taking initiative, investing in resources for long-term benefits, taking care of a variety of resources, taking care of resource multifunctionality, being self-efficacious and having a positive frame of mind. Well-being was measured with the Social Production Function (SPF) Instrument for the Level of Well-being (SPF-IL) and Cantril's ladder. The Geriatric Depression Scale was used to assess depression. Correlation analyses showed that all self-management abilities were strong indicators for well-being (p < 0.001 for all). Regression analyses revealed that investing in resources for long-term benefits, taking care of a variety of resources, taking care of resource multifunctionality and being self-efficacious were associated with well-being. While no significant relationship was found between well-being and having a positive frame of mind or taking initiative, regression analyses revealed that these self-management abilities were related to depression. Investing in resources for long-term benefits and taking care of a variety of resources were significantly related to depression. This research showed that self-management abilities are related to well-being and depression among older adults. In addition, this study identified key self-management abilities for older adults who had recently been discharged from a hospital.
authors.affiliation: Institute of Health Policy & Management (iBMG), Erasmus University, Burgemeester Oudlaan 50, 3000 DR Rotterdam, The Netherlands.
authors.forename: J M
authors.initials: JM
authors.lastname: Cramm
authors.forename: J M
authors.initials: JM
authors.lastname: Hartgerink
authors.forename: P L
authors.initials: PL
authors.lastname: de Vreede
authors.forename: T J
authors.initials: TJ
authors.lastname: Bakker
authors.forename: E W
authors.initials: EW
authors.lastname: Steyerberg
authors.forename: J P
authors.initials: JP
authors.lastname: Mackenbach
authors.forename: A P
authors.initials: AP
authors.lastname: Nieboer