Thesis
Examining the Moderating Effect of Self-Determination in the Association between Patient Activation and Engagement in Health-Promoting Activities
Washington State University
Master of Science (MS), Washington State University
07/2024
DOI:
https://doi.org/10.7273/000007081
Abstract
Objective. Engagement in activities that promote overall brain health and well-being is often a key step in reducing risks to cognitive health in older adults. Patient activation, an indicator of health self-management, has been associated with healthier lifestyles and is a target of programs aimed at improving the health outcomes of older adults. This study examined the moderating effect of the psychological needs of autonomy, competence, and relatedness that can
help enhance intrinsic motivation, in the relationship between patient activation and health behaviors. Method. Participants were community-living, cognitively normal older adults (age 65+) with subjective cognitive concerns who were enrolled in a lifestyle intervention. The data examined were from participants’ baseline visits in which they completed neuropsychological testing and self-report questionnaires. Moderation analyses were conducted using Hayes’ PROCESS macro for SPSS. Results. Results revealed a significant moderating effect of autonomy and competence. This effect showed that while there was no significant association between patient activation and healthy activity engagement at higher levels of autonomy and competence, there was a significant positive relationship at lower levels. Although results did not show a significant moderating effect of relatedness, it was found to be a significant predictor of healthy activity engagement. Conclusions. Findings suggest that patient activation has a significant impact on healthy behaviors for individuals who have a low baseline of autonomy or competence and no significant impact on those who are high in either of these factors. Future studies might examine other individual characteristics to elucidate potential means to facilitate health-related behavior change in older populations.
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Details
- Title
- Examining the Moderating Effect of Self-Determination in the Association between Patient Activation and Engagement in Health-Promoting Activities
- Creators
- Samina Rahman
- Contributors
- Maureen Schmitter-Edgecombe (Chair)Carrie Cuttler (Committee Member)Naomi Chaytor (Committee Member)
- Awarding Institution
- Washington State University
- Academic Unit
- Department of Psychology
- Theses and Dissertations
- Master of Science (MS), Washington State University
- Publisher
- Washington State University
- Number of pages
- 48
- Identifiers
- 99901152438601842
- Language
- English
- Resource Type
- Thesis