Limits...
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 assisted living facilities; model fit: Satorra-Bentler χ2 (N = 55; df = 4) =5.29; P = .26; CFI = .97; RMSEA = .08; SRMR = .04(using F1ML). Parameter estimates are from the standardized solution; endogenous variables were controlled for sex, mental status, ADLs, education, and economic sufficiency.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3139897&req=5

fig3: Test results for the support-efficacy model with centenarians residing in assisted living facilities; model fit: Satorra-Bentler χ2 (N = 55; df = 4) =5.29; P = .26; CFI = .97; RMSEA = .08; SRMR = .04(using F1ML). Parameter estimates are from the standardized solution; endogenous variables were controlled for sex, mental status, ADLs, education, and economic sufficiency.

Mentions: In the base model, significant predictors of physical health and self-efficacy were found; no predictors were found for mental health. Physical health was predicted by social resources (β = .34; P ≤ .003) and self-efficacy by social provisions (β = .58; P ≤ .02). Based on these results we tested a model deleting the path of social provisions predicting physical health, social resources predicting self-efficacy, and the predictors of mental health except controls. This model fit the data adequately: MLR χ2 (5, N = 55) = 8.93; P = .11; CFI = .91; RMSEA = .12; SRMR = .06. However, in addition to the higher value for RMSEA, one of the modification indices looked promising for the regression of mental health on self-efficacy, so we tested a model including this path. This model fit the data well: MLR χ2 (4, N = 55) = 5.29, P = .26, CFI = .97; RMSEA = .08; SRMR = .04. The nested model chi-square test was significant (Δχ2 = 6.90, 1 df, P = .01). We selected the latter model over the former because the Chi-square and the CFI, RMSEA, and SRMR indices suggested that it was the better fitting model than the nested model with more degrees of freedom (see Figure 3). In addition, we conducted the tests of indirect effects from social provisions to both physical and mental health. The indirect effect on physical health was not significant (P = .18), whereas the indirect effect from social provisions on mental health through self-efficacy reached significance for a hypothesized effect (P = .05; one-tailed test).


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 assisted living facilities; model fit: Satorra-Bentler χ2 (N = 55; df = 4) =5.29; P = .26; CFI = .97; RMSEA = .08; SRMR = .04(using F1ML). Parameter estimates are from the standardized solution; endogenous variables were controlled for sex, mental status, ADLs, education, and economic sufficiency.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3139897&req=5

fig3: Test results for the support-efficacy model with centenarians residing in assisted living facilities; model fit: Satorra-Bentler χ2 (N = 55; df = 4) =5.29; P = .26; CFI = .97; RMSEA = .08; SRMR = .04(using F1ML). Parameter estimates are from the standardized solution; endogenous variables were controlled for sex, mental status, ADLs, education, and economic sufficiency.
Mentions: In the base model, significant predictors of physical health and self-efficacy were found; no predictors were found for mental health. Physical health was predicted by social resources (β = .34; P ≤ .003) and self-efficacy by social provisions (β = .58; P ≤ .02). Based on these results we tested a model deleting the path of social provisions predicting physical health, social resources predicting self-efficacy, and the predictors of mental health except controls. This model fit the data adequately: MLR χ2 (5, N = 55) = 8.93; P = .11; CFI = .91; RMSEA = .12; SRMR = .06. However, in addition to the higher value for RMSEA, one of the modification indices looked promising for the regression of mental health on self-efficacy, so we tested a model including this path. This model fit the data well: MLR χ2 (4, N = 55) = 5.29, P = .26, CFI = .97; RMSEA = .08; SRMR = .04. The nested model chi-square test was significant (Δχ2 = 6.90, 1 df, P = .01). We selected the latter model over the former because the Chi-square and the CFI, RMSEA, and SRMR indices suggested that it was the better fitting model than the nested model with more degrees of freedom (see Figure 3). In addition, we conducted the tests of indirect effects from social provisions to both physical and mental health. The indirect effect on physical health was not significant (P = .18), whereas the indirect effect from social provisions on mental health through self-efficacy reached significance for a hypothesized effect (P = .05; one-tailed test).

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.