| |
| |
| |
Centre for Policy on Ageing | |
 | |
|
| The meaning and significance of self-management among socioeconomically vulnerable older adults | | Author(s) | Daniel O Clark, Richard M Frankel, David L Morgan |
| Journal title | Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 63B, no 5, September 2008 |
| Pages | pp S312-S319 |
| Source | http://www.geron.org |
| Keywords | Self care capacity ; Health [elderly] ; Preventative medicine ; Poor elderly ; Qualitative Studies ; United States of America. |
| Annotation | Improved understanding of the role of social context in expectations regarding ageing, and awareness of priorities for self-management could lead to improvement in self-management support and thus chronic care outcomes were this study's main findings. It was conducted using in-depth interviews in patients' homes, guided by identity theory. Analyses included reviewing audiotapes, creating and comparing field notes, coding transcripts, and identifying themes based on case summaries. Participants were 23 older vulnerable adults with incomes at or below 200% of the federal poverty level and no private insurance, and 12 older adults with private health insurance. The vulnerable sample had lower educational attainment and lower health literacy than the privately insured sample. Keeping doctor visits and taking prescription medication largely defined self-management for the vulnerable sample, but were just two of a number of roles noted by the privately insured group, who expressed health promotion as the key to healthy ageing. The vulnerable interviewees relayed few examples of healthy ageing and did not have expectations for healthful ageing. In contrast, the privately insured interviewees gave examples and had expectations of living long and healthfully into old age. (RH). |
| Accession Number | CPA-081009219 A |
| Classmark | CA: CC: LK2: F:W6: 3DP: 7T |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|
|