File
Authors
Tanimura, Chika School of Health Science, Tottori University Faculty of Medicine Tottori University Researchers KAKEN Search Researchers
Matsumoto, Hiromi Department of Rehabilitation, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare
Yoshimura, Junko School of Health Science, Tottori University Faculty of Medicine Tottori University Researchers KAKEN Search Researchers
Tokushima, Yasuko School of Health Science, Tottori University Faculty of Medicine Tottori University Researchers KAKEN Search Researchers
Yamamoto, Yoko School of Health Science, Tottori University Faculty of Medicine Tottori University Researchers
Fujihara, Yukiko School of Health Science, Tottori University Faculty of Medicine
Miyoshi, Masayuki Division of Medical Education Department of Social Medicine, School of medicine, Tottori University Faculty of Medicine/General Center for Medical Education, Tottori University Faculty of Medicine Tottori University Researchers KAKEN Search Researchers
Hagino, Hiroshi Rehabilitation Division, Tottori University Hospital
Keywords
community-dwelling older people
healthy behavior
self-care agency
path analysis
Abstract
Background Self-care agency is an important determinant of self-care behavior. The purpose of this study was to identify the causal relationship between self-care agency and healthy behavior, and to construct a conceptual model of healthy behavior among older people living in a rural community.

Methods This study was conducted as a cross-sectional survey at the Hino, a town in western Tottori Prefecture, Japan. Participants who were enrolled in the Good Ageing and Intervention against Nursing Care and Activity Decline (GAINA) study from 2014 to 2018 (467 new participants) were initially investigated. Of 398 participants aged ≥ 65 years, 5 were excluded due to missing data, and thus 393 were analyzed. Nurse researchers conducted face-to-face interviews with participants to check the accuracy of data obtained from a self-administered questionnaire, which included demographic information, physical condition (comorbidities, knee pain, low back pain, and locomotive syndrome), healthy behavior, and self-care agency. Correlations among variables were investigated by Pearson’s correlation coefficient analysis, and path analysis was performed to assess causal relationships.

Results A total of 393 persons (160 men and 233 women) were investigated, ranging in age from 65 to 92 years, with a mean age of 75.1 years (SD: 6.9 years). Path analysis revealed poor fit of a model in which pain and locomotive syndrome were factors inhibiting healthy behavior. When the model included only self-care agency, the indices of model fit were almost satisfactory (Goodness-of-fit index = 0.967, Adjusted goodness-of-fit index = 0.900, Comparative fit index = 0.951, and Root mean square error of approximation = 0.088), and the coefficient of determination (R2) was 0.38. The self-care agency items with the greatest influence on healthy behavior were the ability to “grasp the techniques/tips needed to maintain health,” and the ability to “persist with healthy behavior.”

Conclusion Self-care agency can promote healthy behavior among community-dwelling older people. Regardless of physical problems such as pain and locomotive syndrome, older people have the potential to adopt positive healthy behavior if they acquire self-care agency.
Publisher
Tottori University Medical Press
Content Type
Journal Article
Link
ISSN・ISBN
05135710
NCID
AA00892882
Journal Title
Yonago Acta Medica
Current Journal Title
Yonago Acta Medica
Volume
62
Issue
1
Start Page
137
End Page
145
Published Date
2019-03-28
Publisher-DOI
Text Version
Publisher
Rights
注があるものを除き、この著作物は日本国著作権法により保護されています。 / This work is protected under Japanese Copyright Law unless otherwise noted.
Citation
Yonago Acta Medica. 2019, 62(1), 137-145
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English