Evidence map›Paper›PMID 36609212›Full record

ArticleBMC geriatrics2023

How do individual, social, environmental, and resilience factors shape self-reported health among community-dwelling older adults: a qualitative case study.

Carly Whitmore, Maureen Markle-Reid, Carrie McAiney, Kathryn Fisher, Jenny Ploeg

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Carly WhitmoreSchool of Nursing, McMaster University, 1280 Main Street W., Hamilton, ON, L8S 4K1, Canada. whitmorc@mcmaster.ca.ORCID 0000-0002-3974-4854
Maureen Markle-ReidSchool of Nursing, McMaster University, 1280 Main Street W., Hamilton, ON, L8S 4K1, Canada.ORCID 0000-0002-4019-7077
Carrie McAineySchool of Public Health Sciences, University of Waterloo & Schlegel-University of Waterloo, Research Institute for Aging, 200 University Ave W., Waterloo, ON, N2L 3G1, Canada.ORCID 0000-0002-7864-344X
Kathryn FisherSchool of Nursing, McMaster University, 1280 Main Street W., Hamilton, ON, L8S 4K1, Canada.ORCID 0000-0003-2260-8634
Jenny PloegSchool of Nursing, McMaster University, 1280 Main Street W., Hamilton, ON, L8S 4K1, Canada.ORCID 0000-0001-8168-8449
McMaster University · CAUniversity of Waterloo · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile older adults are living longer, they often face health challenges, including living with multiple chronic conditions. How older adults respond and adapt to the challenges of multimorbidity to maintain health and wellness is of increasing research interest. Self-reported health, emerging as an important measure of health status, has broad clinical and research applications, and has been described as a predictor of future morbidity and mortality. However, there is limited understanding of how individual, social, and environmental factors, including those related to multimorbidity resilience, influence self-reported health among community-dwelling older adults (≥ 65 years).

methodsInformed by the Lifecourse Model of Multimorbidity Resilience, this explanatory case study research explored older adults' perceptions of how these factors influence self-reported health. Data were generated through semi-structured telephone interviews with community-dwelling older adults.

resultsFifteen older adults participated in this study. Four key themes, specific to how these older adults describe individual, social, environmental, and multimorbidity resilience factors as shaping their self-reported health, were identified: 1) health is a responsibility - "What I have to do"; 2) health is doing what you want to do despite health-related limitations - "I do what I want to do"; 3) the application and activation of personal strengths - "The way you think", and; 4) through comparison and learning from others - "Looking around at other people". These themes, while distinct, were found to be highly interconnected with recurring concepts such as independence, control, and psychological health and well-being, demonstrating the nuance and complexity of self-reported health.

conclusionsFindings from this study advance understanding of the factors that influence assessments of health among community-dwelling older adults. Self-reported health remains a highly predictive measure of future morbidity and mortality in this population, however, there is a need for future research to contribute additional understanding in order to shape policy and practice.

Indexed as

Health StatusIndependent LivingAgedHumansMental HealthMultimorbidityQualitative ResearchSelf ReportCase studyCommunityDefinitions of healthOlder adultsSelf-reported health

Identifiers

PMID36609212
PMCPMC9816521
OpenAlexW4313640305

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.