Primary care clinician expectations regarding aging.

Department of Family Medicine, Oregon Rural Practice-Based Research Network, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA.
The Gerontologist (Impact Factor: 2.48). 03/2011; 51(6):856-66. DOI: 10.1093/geront/gnr017
Source: PubMed

ABSTRACT Expectations regarding aging (ERA) in community-dwelling older adults are associated with personal health behaviors and health resource usage. Clinicians' age expectations likely influence patients' expectations and care delivery patterns; yet, limited research has explored clinicians' age expectations. The Expectations Regarding Aging Survey (ERA-12) was used to assess (a) age expectations in a sample of primary care clinicians practicing in the United States and (b) clinician characteristics associated with ERA-12 scores.
 This study was a cross-sectional survey of primary care clinicians affiliated with 5 practice-based research networks, October 2008 to June 2009. A total of 374 of the 1,510 distributed surveys were returned (24.8% response rate); 357 analyzed. Mean respondent age was 48.6 years (SD = 11.6; range 23-87 years); 88.0% physicians, 96.0% family medicine, 94.9% White, and 61.9% male.
Female clinicians reported higher ERA-12 scores; clinicians' age expectations decreased with greater years in practice. Among the clinicians, higher ERA-12 scores were associated with higher clinician ratings of the importance of and personal skill in administering preventive counseling and the importance of delivering preventive services. Agreement with individual ERA-12 items varied widely.
Unrealistically high or low ERA could negatively influence the quality of care provided to patients and patients' own age expectations. Research should examine the etiology of clinicians' age expectations and their association with older adult diagnoses and treatment. Medical education must incorporate strategies to promote clinician attitudes that facilitate successful patient aging.

  • Clinical Nursing Research 02/2013; 22(1):30-5. DOI:10.1177/1054773812459632 · 0.87 Impact Factor
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    ABSTRACT: The purpose of the current study was to identify expectations regarding aging and health-promoting behaviors and to examine whether expectation regarding aging was associated with health-promoting behaviors among community-residing Korean adults. Data were collected from 233 adults dwelling in the community of Daegu and Kyungpook province. The influence of expectations regarding on health-promoting behaviors was analyzed through hierarchical multiple regression controlling for sociodemographic variables. As a result, the mean score of expectations regarding aging was significantly lower in 40s and 50s than 20s and 30s. The participants had the lowest expectations regarding aging in terms of physical health domain and the highest expectations in terms of mental health domain. No significant differences were found in health-promoting behaviors among different age groups. After controlling for sociodemographic variables, expectations regarding aging were independently associated with health-promoting behaviors in adults in 20s~30s but not in those in 40s~50s. The findings suggest the need for encouraging Korean adults to strive for having positive and active perspective on aging and for getting higher expectations regarding aging, in particular, for 20s and 30s, as a health-promoting strategy.
    01/2014; 25(1). DOI:10.7465/jkdi.2014.25.1.77
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    ABSTRACT: PURPOSE: To examine the level of and factors influencing expectations regarding aging (ERA) among older Chinese adults, and to determine whether leisure-time exercise mediates the association between ERA and functional health status. METHODS: A population-based, cross-sectional design was utilized in this study. A total of 550 participants completed the face-to-face interview via a questionnaire addressing ERA, physical health conditions, personality and psychological factors, leisure-time exercise, and functional health status. RESULTS: More than four fifths of the older adults felt that having more aches and pains (88.0%), lower levels of energy (82.7%), and being forgetful (82.5%) were an accepted part of aging, and 74.7% of participants reported it to be true that "being depressed is normal for older adults." The regression model showed that depression and self-mastery were factors that influence ERA among older Chinese adults (β = -0.26, p = .000; β = 0.15, p = .000). The Instrument Activity of Daily Life and World Health Organization Disability Assessment scores were not associated with ERA. Leisure-time exercise mediated the relationship between ERA and functional health status. CONCLUSIONS: Older adults generally consider body function decline to be an expected part of aging. Personality and psychological factors, rather than physical health conditions, were the factors that were considered to be most influential on ERA among Chinese older adults. These findings suggest that community interventions taking into account leisure-time exercise could be influential in improving the ERA and functional health status of older adults. CLINICAL RELEVANCE: For community nurses and other primary care providers, the findings of the present study may facilitate the subsequent design of community-based participatory intervention to improve ERA, as well as potentially improve the functional health status of older adults.
    Journal of Nursing Scholarship 05/2013; DOI:10.1111/jnu.12036 · 1.77 Impact Factor

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