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Comparing the Support-Efficacy Model among Centenarians Living in Private Homes, Assisted Living Facilities, and Nursing Homes.

Randall GK, Martin P, Macdonald M, Margrett J, Bishop AJ, Poon LW - J Aging Res (2011)

Bottom Line: The hypothesized relationships among the models' variables were unique to each of the three groups; three different models fit the data depending upon residential environment.The direct and indirect effects of social relations assessments were positive for the mental and physical health of very old adults, suggesting that participants welcomed the support.However, residential status moderated the associations between the assessments of social relations, self-efficacy, and both outcomes, physical and mental health.

View Article: PubMed Central - PubMed

Affiliation: Department of Family and Consumer Sciences, Bradley University, Peoria, IL 61625, USA.

ABSTRACT
We investigated the influence of social relations on health outcomes in very late life by examining the support-efficacy convoy model among older adults who resided in three different residential environments (centenarians in private homes, n = 126; centenarians in assisted living facilities, n = 55; centenarians in nursing homes, n = 105). For each group, path analytic models were employed to test our hypotheses; analyses controlled for sex, mental status, education, perceived economic sufficiency, and activities of daily living. The hypothesized relationships among the models' variables were unique to each of the three groups; three different models fit the data depending upon residential environment. The direct and indirect effects of social relations assessments were positive for the mental and physical health of very old adults, suggesting that participants welcomed the support. However, residential status moderated the associations between the assessments of social relations, self-efficacy, and both outcomes, physical and mental health.

No MeSH data available.


Test results for the support-efficacy model with centenarians residing in private homes; model fit: Satorra-Bentler χ2 (N = 126; df = 3) =5.14; P = .16; CFI = .97; RMSEA = .08; SRMR = .03(using F1ML). Nonsignificant paths deleted; parameter estimates are from the standardized solution. Test of Indirect Effect for Social Resources on Physical Health (.07; t = 1.93; P = .053; two-tailed). Test of Indirect Effect for Social Provisions on Physical Health (.09; t = 1.66; P = .097; two-tailed). Endogenous variables were controlled for sex, mental status, ADLs, education, and economic sufficiency.
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fig2: Test results for the support-efficacy model with centenarians residing in private homes; model fit: Satorra-Bentler χ2 (N = 126; df = 3) =5.14; P = .16; CFI = .97; RMSEA = .08; SRMR = .03(using F1ML). Nonsignificant paths deleted; parameter estimates are from the standardized solution. Test of Indirect Effect for Social Resources on Physical Health (.07; t = 1.93; P = .053; two-tailed). Test of Indirect Effect for Social Provisions on Physical Health (.09; t = 1.66; P = .097; two-tailed). Endogenous variables were controlled for sex, mental status, ADLs, education, and economic sufficiency.

Mentions: The final model (see Figure 2) depicts the most parsimonious, best fitting model to our data following the support-efficacy conceptualization for centenarians residing in private dwellings. Direct effects for social resources on physical health (β = .16; P < .05) and social provisions on mental health (β = .36; P < .05) were found in the previous model, whereas in this best-fitting model for centenarians in private homes, no direct effects for social resources on mental health or social provisions on physical health were found. However, consistent with Antonucci and colleagues [13], indirect effects operating through self-efficacy were found both for social resources (.07; P = .053; two-tailed test) and social provisions on physical health (.09; P = .097; two-tailed test), whereas no indirect effects were found for either predictor on the outcome mental health.


Comparing the Support-Efficacy Model among Centenarians Living in Private Homes, Assisted Living Facilities, and Nursing Homes.

Randall GK, Martin P, Macdonald M, Margrett J, Bishop AJ, Poon LW - J Aging Res (2011)

Test results for the support-efficacy model with centenarians residing in private homes; model fit: Satorra-Bentler χ2 (N = 126; df = 3) =5.14; P = .16; CFI = .97; RMSEA = .08; SRMR = .03(using F1ML). Nonsignificant paths deleted; parameter estimates are from the standardized solution. Test of Indirect Effect for Social Resources on Physical Health (.07; t = 1.93; P = .053; two-tailed). Test of Indirect Effect for Social Provisions on Physical Health (.09; t = 1.66; P = .097; two-tailed). Endogenous variables were controlled for sex, mental status, ADLs, education, and economic sufficiency.
© Copyright Policy - open-access
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC3139897&req=5

fig2: Test results for the support-efficacy model with centenarians residing in private homes; model fit: Satorra-Bentler χ2 (N = 126; df = 3) =5.14; P = .16; CFI = .97; RMSEA = .08; SRMR = .03(using F1ML). Nonsignificant paths deleted; parameter estimates are from the standardized solution. Test of Indirect Effect for Social Resources on Physical Health (.07; t = 1.93; P = .053; two-tailed). Test of Indirect Effect for Social Provisions on Physical Health (.09; t = 1.66; P = .097; two-tailed). Endogenous variables were controlled for sex, mental status, ADLs, education, and economic sufficiency.
Mentions: The final model (see Figure 2) depicts the most parsimonious, best fitting model to our data following the support-efficacy conceptualization for centenarians residing in private dwellings. Direct effects for social resources on physical health (β = .16; P < .05) and social provisions on mental health (β = .36; P < .05) were found in the previous model, whereas in this best-fitting model for centenarians in private homes, no direct effects for social resources on mental health or social provisions on physical health were found. However, consistent with Antonucci and colleagues [13], indirect effects operating through self-efficacy were found both for social resources (.07; P = .053; two-tailed test) and social provisions on physical health (.09; P = .097; two-tailed test), whereas no indirect effects were found for either predictor on the outcome mental health.

Bottom Line: The hypothesized relationships among the models' variables were unique to each of the three groups; three different models fit the data depending upon residential environment.The direct and indirect effects of social relations assessments were positive for the mental and physical health of very old adults, suggesting that participants welcomed the support.However, residential status moderated the associations between the assessments of social relations, self-efficacy, and both outcomes, physical and mental health.

View Article: PubMed Central - PubMed

Affiliation: Department of Family and Consumer Sciences, Bradley University, Peoria, IL 61625, USA.

ABSTRACT
We investigated the influence of social relations on health outcomes in very late life by examining the support-efficacy convoy model among older adults who resided in three different residential environments (centenarians in private homes, n = 126; centenarians in assisted living facilities, n = 55; centenarians in nursing homes, n = 105). For each group, path analytic models were employed to test our hypotheses; analyses controlled for sex, mental status, education, perceived economic sufficiency, and activities of daily living. The hypothesized relationships among the models' variables were unique to each of the three groups; three different models fit the data depending upon residential environment. The direct and indirect effects of social relations assessments were positive for the mental and physical health of very old adults, suggesting that participants welcomed the support. However, residential status moderated the associations between the assessments of social relations, self-efficacy, and both outcomes, physical and mental health.

No MeSH data available.