Evidence map›Paper›PMID 31011083›Full record

ArticleGeriatrics (Basel, Switzerland)2018

Illness Representation and Self-Care Ability in Older Adults with Chronic Disease.

Eleanor Rivera, Colleen Corte, Alana Steffen, Holli A DeVon, Eileen G Collins, Pamela J McCabe

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. From optimistic to overwhelmed: exploring health beliefs and barriers to oral anticancer medication adherence among cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Prompts for the Future to Live Healthier: A Study of Cognition and Motivation for Healthy Behaviors.International journal of environmental research and public health · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Determinants of patient activation and its association with cardiovascular disease risk in chronic kidney disease: A cross-sectional study.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  15. Article
  16. Article
  17. Measuring Patient Activation as Part of Kidney Disease Policy: Are We There Yet?Journal of the American Society of Nephrology : JASN · 2020
    Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Eleanor RiveraDepartment of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA. sriver25@uic.edu.ORCID 0000-0002-3111-0611
Colleen CorteDepartment of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA. ccorte@uic.edu.
Alana SteffenDepartment of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA. steffena@uic.edu.
Holli A DeVonDepartment of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA. hdevon1@uic.edu.
Eileen G CollinsDepartment of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA. ecollins@uic.edu.
Pamela J McCabeDepartment of Nursing, Mayo Clinic, Rochester, MN 55905, USA. mccabe.pamela2@mayo.edu.
University of Illinois Chicago · USMayo Clinic in Arizona · US

Funding

Sigma Theta Tau International n/a
6 · The paper itself

Abstract

Chronic illness affects >50% of adults in the United States and accounts for >80% of healthcare spending. The purpose of this study was to determine whether beliefs about one's chronic disease (illness representation) are associated with self-care activation, emergency department (ED) visits, or hospitalizations. Using a cross-sectional design, we recruited older adults with heart failure, chronic obstructive pulmonary disease (COPD), and chronic kidney disease. The Revised Illness Perception Questionnaire (IPQ-R) measured perceptions about disease. The Patient Activation Measure measured self-care activation. ED visits and hospitalizations were measured by self-report. IPQ-R scores were analyzed using latent profile analysis to identify subgroups. Participants included 187 adults (mean age 65 years, 54% female, 74% Black). We found three subgroups (stable, overwhelmed, and confident). Groups did not differ demographically or by disease. The stable group (few consequences, non-fluctuating pattern) had the fewest hospitalizations. The overwhelmed group (many consequences, fluctuating pattern, high negative emotion) had high hospitalizations and low self-care ability. The confident group (high disease control, well-understood) had the highest self-care ability, but also high hospitalizations. ED visits did not differ by group. We found three subgroups that differ in their illness representation and health outcomes. Findings suggest that assessing patients' illness representations may have important implications for subgroup-specific interventions.

Indexed as

agedchronic diseasechronic kidney diseasechronic obstructive pulmonary diseaseheart failureillness representation

Identifiers

PMID31011083
PMCPMC6319205
OpenAlexW2884096436

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.