The influence of social support on self-care is mediated by self-efficacy and depression in chronic illness : Key findings from the ‘SODALITY’ observational study
Iovino, Paolo, Nolan, Amy, De Maria, Maddalena, Ausili, Davide, Matarese, Maria, Vellone, Ercole and Riegel, Barbara. (2023). The influence of social support on self-care is mediated by self-efficacy and depression in chronic illness : Key findings from the ‘SODALITY’ observational study. Aging and Mental Health. 27(4), pp. 820-828. https://doi.org/10.1080/13607863.2022.2056877
|Authors||Iovino, Paolo, Nolan, Amy, De Maria, Maddalena, Ausili, Davide, Matarese, Maria, Vellone, Ercole and Riegel, Barbara|
Objectives: Family is a major source of support for older chronically-ill patients and known to be associated with better self-care. Depression and self-care self-efficacy are associated with healthy behaviors and thus may serve as mechanisms by which family support influences self-care.
We explored depression and self-care self-efficacy as mediators of the relationship between perceived family support and self-care.
Methods: Five hundred forty-one older adults with multiple chronic illnesses were recruited from outpatients and community settings. Three structural equation models (SEM) were fit on cross-sectional data. We measured perceived family support (subscale of the Multidimensional Scale of Perceived Social Support, scores range 1-7), depression (Patient Health Questionnaire, scores range 0-27), selfcare self-efficacy (Self-Care Self Efficacy Scale, standardized scores range 0-100), and self-care maintenance, monitoring, and management (Self-care of Chronic Illness Inventory, standardized scores range 0-100).
Results: Participants (mean age = 76.6±7.3 yrs) were predominantly females (55.6%). In the full sample, depression and self-care self-efficacy mediated the relationship between perceived family support and self-care; in the gender-stratified SEM, men’s depression was no longer a significant mediator. Depression and self-care self-efficacy were significant mediators of the relation between perceived family support and self-care.
Conclusion: In older chronically-ill patients, interventions addressing perceived family support may facilitate a rapid improvement in self-care self-efficacy and a decrease in depressive symptoms, particularly among women.
|Keywords||gender; self-care; self-efficacy; social support; depression|
|Journal||Aging and Mental Health|
|Journal citation||27 (4), pp. 820-828|
|Digital Object Identifier (DOI)||https://doi.org/10.1080/13607863.2022.2056877|
|Funder||Centre of Excellence for Nursing Scholarship (CECRI)|
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File Access Level
|Online||13 Apr 2022|
|Publication process dates|
|Accepted||17 Mar 2022|
|Deposited||14 Mar 2023|
|Grant ID||Grant number 2.15.11|
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