Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Department of Care and Participation of people with chronic conditions, Netherlands Institute for Health Services Research (Nivel), PO Box 1568, BN, 3500, Utrecht, The Netherlands.
BMC Geriatr. 2021 Oct 11;21(1):539. doi: 10.1186/s12877-021-02482-6.
This study aimed to examine associations between self-management abilities and digital participation among community-dwelling older adults with chronic conditions in the Netherlands.
The study utilized a cross-sectional design. Community-dwelling older adults were sampled from a Dutch nationwide panel study performed in October and November of 2019. We selected all adults of 65 years and above who had one or more chronic diseases (n = 1,656). Self-management was measured by six abilities (e.g., investing in resources for long-term benefits and taking care of a variety of resources), whereas digital participation was estimated with the frequency of four social internet uses (e.g., using social network websites and calling digitally).
When predicting self-management abilities from digital participation, hierarchical multiple regression analysis determined statistically significant and positive relationships, in particular for e-mailing (β = 0.21; p < .001) and meeting new people online (β = 0.07; p < .05). Correlation analyses showed that highest associations were found between internet usage and the self-management abilities 'taking initiative' (r = .23; p < .001) and 'being self-efficacious' (r = .21; p < .001). Moreover, the study confirmed that higher age (β = -0.13; p < .001) and increased severity of disability (β = -0.12; p < .01) negatively impact abilities for self-management.
These findings suggest that internet usage and self-management abilities are positively related in the older adult population. Further research should be undertaken to examine the links between self-management abilities and digital participation more closely.
本研究旨在探讨荷兰社区居住的慢性病老年患者自我管理能力与数字参与之间的关联。
本研究采用横断面设计。从 2019 年 10 月至 11 月在荷兰全国性的一项面板研究中抽取社区居住的老年患者作为样本。我们选择了所有年龄在 65 岁及以上、患有一种或多种慢性病的成年人（n=1656）。自我管理通过六项能力来衡量（例如，为长期利益投资资源和照顾各种资源），而数字参与则通过四项社会互联网使用频率来评估（例如，使用社交网络网站和数字化通话）。
当从数字参与预测自我管理能力时，分层多元回归分析确定了具有统计学意义的正相关关系，特别是对于电子邮件（β=0.21；p<.001）和在线结识新朋友（β=0.07；p<.05）。相关分析显示，互联网使用与自我管理能力中的“主动”（r=0.23；p<.001）和“自我效能”（r=0.21；p<.001）之间存在最高的关联。此外，研究还证实，年龄较高（β=-0.13；p<.001）和残疾程度增加（β=-0.12；p<.01）会对自我管理能力产生负面影响。
这些发现表明，互联网使用和自我管理能力在老年人群中呈正相关。应进一步开展研究，更密切地探讨自我管理能力和数字参与之间的联系。
