BMC Geriatrics最新文献

{"title":"Patterns and determinants of medication adherence among older adult patients with diabetes in Korea: insights from a nationwide survey.","authors":"Sunmin Lee, Kyu-Hyoung Jeong","doi":"10.1186/s12877-025-05915-8","DOIUrl":"10.1186/s12877-025-05915-8","url":null,"abstract":"<p><strong>Background: </strong>Medication adherence is crucial for managing chronic diseases, especially among the older adults who are at an increased risk of polypharmacy and nonadherence. This study aimed to evaluate the patterns of medication adherence among older adult patients with diabetes in Korea and identify the factors affecting these patterns.</p><p><strong>Methods: </strong>Using data from the 2020 Korea Healthcare Panel, we analyzed 984 patients with diabetes aged ≥ 65 years. Medication adherence was assessed in three dimensions: dosage, frequency, and timing. The independent variables included sociodemographic factors, health status, and healthcare perceptions. Latent profile analysis and logistic regression were used to identify adherence patterns and determinants.</p><p><strong>Results: </strong>The study population demonstrated high levels of medication adherence with average scores close to the 'always adherent' category across all dimensions. Two distinct adherence profiles were identified: \"Adherent\" (87.5%) and \"Non-Adherent\" (12.5%). Factors significantly influencing adherence included living alone, self-care ability, perceived stress, depression, and subjective health perception. Living alone, perceived stress, and positive health perception were correlated with higher adherence and self-care ability, and depression inversely affected medication adherence.</p><p><strong>Conclusions: </strong>Older adult patients with diabetes in Korea show a high level of medication adherence. Medication adherence is multifactorial, highlighting the significant impact of non-medication factors in the older adult population.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"366"},"PeriodicalIF":3.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a nomogram for predicting cognitive frailty in patients on cancer.","authors":"Hui Wang, Yu Xia Wu, Su Yun Dong, Yan Qian, Hai Ou Yan","doi":"10.1186/s12877-025-05731-0","DOIUrl":"10.1186/s12877-025-05731-0","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the current status of cognitive frailty in older cancer patients and construct a risk prediction model for cognitive frailty in older cancer patients.</p><p><strong>Methods: </strong>Using convenience sampling, 308 older cancer patients from four wards in the oncology department of a grade-A tertiary hospital in Jiangsu Province from November 2023 to May 2024 were selected as the research subjects, including a training set of 215 cases (70%) and a validation set of 93 cases (30%). Data were collected through a general information questionnaire, Activities of Daily Living Scale, Mini-Nutritional Assessment Scale, Geriatric Depression Rating Scale, Pittsburgh Sleep Quality Index, Fried Frailty Scale, and Mini-Mental State Examination. A prediction model was established using Logistic regression, and a visual nomogram was constructed using R software. The model's discriminative ability and calibration were evaluated using the receiver operating characteristic (ROC) curve and calibration curve, respectively, and the clinical effectiveness was assessed using the clinical decision curve (DCA).</p><p><strong>Results: </strong>The incidence of cognitive frailty in older cancer patients was 26.7%. Logistic regression analysis revealed that education level, depression, sleep disorders, and malnutrition were influencing factors for cognitive frailty (P < 0.05). The Hosmer-Leme-show test of the nomogram model showed <math> <msup><mrow><mi>χ</mi></mrow> <mn>2</mn></msup> </math> =10.342, P = 0.242. The area under the ROC curve was 0.934, with a sensitivity and specificity of 81.1% and 94.1%, respectively.</p><p><strong>Conclusions: </strong>Older cancer patients are at risk of cognitive frailty. The risk prediction model constructed in this study can conveniently and accurately predict the risk of cognitive frailty in older cancer patients, providing an important reference for clinical medical staff to conduct early assessment, screening, and intervention.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"363"},"PeriodicalIF":3.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimorbidity patterns and prevalence among geriatric patients in Japanese hospital dentistry.","authors":"Kousuke Matsumoto, Takako Tsutsui, Ryu Hashimoto, Mitsuaki Sakakura, Tetsuari Onishi, Masaya Akashi","doi":"10.1186/s12877-025-06012-6","DOIUrl":"10.1186/s12877-025-06012-6","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to determine the prevalence of multimorbidity of a hospital dental patients with high rates of aging in Japan and to identify multimorbidity patterns in older patients (aged 65 years and older) through cluster analysis. As the population ages, the number of patients with multimorbidity is rising, highlighting the need for efficient allocation of dental resources and collaboration with other healthcare professionals. However, the prevalence and patterns of multimorbidity in older dental patients have not yet been reported. Such data could support standardized approaches to systematizing dental care.</p><p><strong>Methods: </strong>A retrospective survey was conducted on 1,011 patients in the Dental and Oral Surgery Department of Acute Care Hospital from April to October 2022, examining 17 types of chronic diseases per patient. For patients aged 65 years and older, cluster analysis using the non-hierarchical k-means method was applied to identify multimorbidity patterns.</p><p><strong>Results: </strong>The prevalence of multimorbidity was 61.4% among all patients and 86.5% among those aged 65 years and older. Cluster analysis revealed five distinct multimorbidity patterns in patients aged 65 and older, each defined by specific combinations of chronic diseases. Additionally, low independence in daily activities and high nursing care needs were associated with two particular multimorbidity patterns: a combination of stroke, digestive disease, hypertension, neurological disease, and a combination of cardiovascular disease, digestive disease, and metabolic disease.</p><p><strong>Conclusions: </strong>This study identified the prevalence and specific patterns of multimorbidity among older hospital dental patients, providing essential insights for dental professionals to enhance service provision and manage complex multimorbidity cases.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"362"},"PeriodicalIF":3.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stepping through fear: analysing postural control in elderly women during transitional locomotor tasks.","authors":"Justyna Michalska, Anna Kamieniarz-Olczak, Grzegorz Juras, Kajetan J Słomka","doi":"10.1186/s12877-025-06024-2","DOIUrl":"10.1186/s12877-025-06024-2","url":null,"abstract":"<p><strong>Background: </strong>Fear of falling (FoF) is prevalent among older adults, particularly women, and is a known factor increasing fall risk during movement. FoF may naturally arise after the first fall incident as well as long before the first fall occurs. This study examined how FoF intensity affects static balance and transitional locomotor tasks in 81 healthy women aged 60 and older.</p><p><strong>Methods: </strong>Participants were divided into LOW, MODERATE, and HIGH FoF groups based on their Falls Efficacy Scale-International (FES-I) scores. Static balance was measured by center of pressure velocity (vCOP), while transitional tasks were assessed through transit time (TT), double support period (DSP), and stability times (S1-the time needed to destabilize the body before taking a step and S2- the time required to stabilize the position after taking a step) under unimpeded transition on a flat surface, obstacle clearance, step-up, and step-down conditions.</p><p><strong>Results: </strong>The findings showed no significant differences in static balance (vCOP) across FoF groups. However, the HIGH FoF group took longer to complete transitional tasks, with significantly increased TT, DSP, and S1 compared to the MODERATE group, particularly during obstacle clearance and step-up/down movements. This suggests that individuals with higher FoF take a more cautious approach, prioritizing stability over speed. No significant differences in S2 were found, indicating that FoF does not affect balance recovery after a step.</p><p><strong>Conclusion: </strong>The study concludes that while FoF does not impair static balance, it significantly impacts movement initiation and execution in transitional tasks. Prolonged preparation time (S1) in the HIGH FoF group highlights the role of fear in delaying movement. These findings are important for designing interventions to reduce FoF and prevent falls in older adults.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"360"},"PeriodicalIF":3.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of sleep quality on physical function in Chinese older inpatient.","authors":"Xinmiao Chang, Ying Yuan, Jiling Liao, Qi Zhou, Wenbin Wu","doi":"10.1186/s12877-025-06019-z","DOIUrl":"10.1186/s12877-025-06019-z","url":null,"abstract":"<p><strong>Background: </strong>Sleep disorders and physical dysfunction are prevalent in the elderly, particularly among hospitalized individuals, yet the relationship between the two remains unclear. Given China's rapidly aging population, understanding how sleep quality relates to physical function is crucial for informing healthcare practices. This study aims to analyze the relationship between sleep quality and physical function indicators in older patients admitted to internal wards.</p><p><strong>Methods: </strong>In this cross-sectional study, the patients admitted in geriatric department were included. Sleep quality was assessed with 8 items Athens Insomnia Scale (AIS-8). Physical function was evaluated from 3 domains: mobility evaluated by Short Physical Performance Battery (SPPB) and gait speed, muscle strength evaluated by grip and chair rises test, balance performance assessed by Timed Up-and-Go test (TUGT). Logistic regression was applied for statistical analyses, adjusting for confounders.</p><p><strong>Results: </strong>A total of 545 old patients (≥ 60 years) were included. Those with poor sleep quality (AIS-8 ≥ 6) exhibited a higher likelihood of physical dysfunction, the odds ratio (95% confidence interval) was 1.892 (1.037-3.453) for low gait speed, 1.810 (1.110-2.952) for low grip strength, 2.491 (1.496-4.147) for impaired TUGT. Sleep quality components, particularly maintenance and daytime dysfunction, were linked to physical function indicators. Stratified by age, poor sleep quality was associated with a higher incidence of low grip strength and impaired TUGT in participants ≥ 75 years old. But the association wasn't seen in patients < 75 years. Stratified by gender, a significant association of sleep quality with impaired TUGT in female population was observed but not for the male population.</p><p><strong>Conclusions: </strong>Poor sleep quality was associated with reduced physical function, especially in with advancing ageand in women. Targeted interventions to enhance sleep in the elderly may contribute to maintaining physical function and improve the quality of life of such patients.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"356"},"PeriodicalIF":3.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A monocentric prospective study investigating digital engagement among geriatric hospital patients.","authors":"Julia Göbel, Anna Kordowski, Jennifer Kasper, Martin Willkomm, Christian Sina","doi":"10.1186/s12877-025-05953-2","DOIUrl":"10.1186/s12877-025-05953-2","url":null,"abstract":"<p><strong>Background: </strong>The aging of society drives a rising demand for geriatric healthcare due to increased care needs and extended hospital stays in old age. Despite strained social security systems, ensuring high-quality medical care requires innovative solutions. Digitalization could be one of them, however older people, who are less digitally active, may not fully recognize its benefits. This study aims to assess digital participation among geriatric hospital patients and their views on continuous vital sign monitoring using wearables.</p><p><strong>Methods: </strong>The survey was conducted at the geriatric hospital \"Krankenhaus Rotes Kreuz Lübeck - Geriatriezentrum\" to assess the digital participation of higher frailty patients requiring increased care. The questioning occurred between February 13th and March 10th, 2023. The questionnaire included demographic questions, questions about digital participation and digital skills, opinions on continuous monitoring, and a reflection on the impact of the coronavirus pandemic on internet use.</p><p><strong>Results: </strong>Of the 201 consecutively admitted patients, 52 were excluded from participation in the study based on the inclusion/exclusion criteria, mostly due to illness. Of the remaining 149 invited patients, 66 (44.2%) agreed to be interviewed, mostly females (76%) with an average age of 81.2 years (SD = 7.1). As a result, 68.2% of participants reported online activity, whereby females and those with low education or high age (p = 0.027) were offline more often. On average, 1-2 internet-enabled devices were used. Continuous vital sign monitoring was favoured by 32 participants and 61 expressed no concerns.</p><p><strong>Conclusion: </strong>Our findings align with previous studies involving participants of comparable age, indicating comparable results, apart from disease-related participation restrictions. However, the significant proportion of patients who did not want to participate (55.7%) and the analysis of the reasons for nonparticipation suggest that the actual number of geriatric patients who do not engage online is higher. While this does not necessarily imply a complete rejection of digital products by this demographic, it highlights the need for greater emphasis on usability, feasibility, and clarification in future endeavors.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"361"},"PeriodicalIF":3.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in physical activity and sedentary behaviour following geriatric rehabilitation in older adults with stroke.","authors":"Jules J M Kraaijkamp, Marieke Geerars, Niels H Chavannes, Wilco P Achterberg, Eléonore F van Dam van Isselt, Michiel Punt","doi":"10.1186/s12877-025-06007-3","DOIUrl":"10.1186/s12877-025-06007-3","url":null,"abstract":"<p><strong>Background: </strong>Older adults recovering from stroke engage in low levels of physical activity and spend long periods in sedentary behaviour. Sedentary behaviour during geriatric rehabilitation is still poorly understood. The aims of this study were to quantify physical activity, sedentary behaviour and accompanying patterns of change during geriatric rehabilitation.</p><p><strong>Methods: </strong>Older adults (≥ 70 years) recovering from stroke in geriatric rehabilitation were included in this prospective cohort study. Patients wore an inertial measurement unit (IMU) on the ankle for 48 h, with data collected between 7am and 11 pm. Variables related to physical activity, sedentary behaviour and patterns of sedentary behaviour were calculated and analysed. Extracted principal components on admission and discharge were plotted in order to assess the individual degree of change.</p><p><strong>Results: </strong>In total, 53 patients with sufficient accelerometer wear time were included. The degree of change in physical activity and sedentary behaviour components was extremely diverse. Except for step count (P = 0.01), no significant changes were observed in any variable related to physical activity, sedentary behaviour or patterns of sedentary behaviour between admission and discharge.</p><p><strong>Conclusions: </strong>Older adults recovering from stroke during geriatric rehabilitation improve their functional performance, but show little change in physical activity, sedentary behaviour or patterns of sedentary behaviour. The degree of change in physical activity and sedentary behaviour was highly diverse.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"357"},"PeriodicalIF":3.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a comprehensive malnutrition prediction model for the elderly in nursing homes.","authors":"Yan Wu, Wei Tan, Wenlong Yi, Yujuan Chen","doi":"10.1186/s12877-025-05863-3","DOIUrl":"10.1186/s12877-025-05863-3","url":null,"abstract":"<p><strong>Purpose: </strong>Malnutrition among elderly nursing home residents represents a critical public health challenge, particularly in rapidly aging societies such as China. This study aimed to develop and validate a predictive model for malnutrition risk tailored to this vulnerable population.</p><p><strong>Methods: </strong>We analyzed clinical data from 1,023 elderly individuals (aged ≥ 65 years) across 26: nursing homes in Wuhan, China (March-October 2023). Participants were randomly divided into model-building (70%, n = 716) and internal validation cohorts (30%, n = 307). LASSO regression and logistic regression identified key predictors, and a nomogram was constructed. Model performance was assessed via AUC, calibration curves, and decision curve analysis (DCA).</p><p><strong>Results: </strong>The malnutrition incidence was 46.37%. Five predictors were significant: feeding method (OR = 2.89, 95% CI: 1.75-4.76), dental status (OR = 0.56, 95% CI: 0.37-0.86), physical inactivity (OR = 1.75, 95% CI: 1.09-2.80), Barthel Index (OR = 0.96 per 10-point decrease), and anemia (OR = 1.91, 95% CI: 1.10-3.30). The model showed excellent discrimination (AUC = 0.90, 95% CI: 0.85-0.94) and calibration (mean absolute error = 0.026). DCA indicated clinical utility across threshold probabilities (2-97%).</p><p><strong>Conclusion: </strong>This nomogram provides a robust tool for malnutrition risk stratification in nursing homes. Future studies should validate its generalizability across diverse populations and regions.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"354"},"PeriodicalIF":3.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Restraint reduction in general hospital care by preventive patient involvement: a pilot study.","authors":"Silvia Thomann, Isabelle Barbezat, Karin Thomas, Sandra Siegrist-Dreier, Chantal Britt, Sabine Molls, Sabine Hahn, Dirk Richter, Kai-Uwe Schmitt","doi":"10.1186/s12877-025-06015-3","DOIUrl":"10.1186/s12877-025-06015-3","url":null,"abstract":"<p><strong>Background: </strong>For general hospital settings, effective restraint reduction strategies are lacking. Patient involvement is proven to be useful in restraint reduction in mental healthcare and in long-term care settings. Since such an approach has never been investigated in a general hospital setting, we investigated whether and how patient involvement regarding restraint reduction is feasible in such a setting.</p><p><strong>Methods: </strong>A pilot study following a participatory action research design was conducted. Qualitative and quantitative approaches were applied to develop and pilot an intervention to reduce restraint by preventive involvement of patients (aged 65+) in Switzerland. The intervention entailed reflecting on the potential risk of restraint use together with the patient within 24 h of admission and jointly defining possible prevention measures. The intervention was piloted for one month on one ward. Data collection for the qualitative evaluation included interviews with eight patients, five nurses, two ward managers and one clinical nurse specialist. These data were analysed by means of content analysis. Data collection for the quantitative evaluation consisted of a survey of nurses and an extraction of data from the electronic patient files. These data were descriptively analysed.</p><p><strong>Results: </strong>The evaluation comprised the files of 177 patients (pre to post pilot). It was found that that prevalence of restraint was lower during the pilot phase than before (4.8% vs. 10.2%), although a similar number of patients were found to be at a potential risk of restraint use (51.6% vs. 53.3%). In addition, considerably more patients with a potential restraint risk had restraint prevention measures documented (53.1% vs. 10.2%). From the perspective of the nursing staff, feasibility and acceptability of the intervention was not provided. The intervention was considered to be too time-consuming and the target group too unspecific.</p><p><strong>Conclusions: </strong>The proactive and structured involvement of patients (aged 65+) in the prevention of restraint use might be an approach to reduce restraint use in a general hospital. Patients were positive about being addressed on the topic during the nursing admission interview. However, the effort was regarded to be high. Limiting the intervention to electively admitted patients should be considered to lower the burden.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"358"},"PeriodicalIF":3.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study of the deconstruction and construction of self-efficacy in internet use among older people.","authors":"Xinchao Tian, Shihuan Mi","doi":"10.1186/s12877-025-05892-y","DOIUrl":"10.1186/s12877-025-05892-y","url":null,"abstract":"<p><p>Internet use is related to self-efficacy among older people. This study used a grounded theory research method to explore the construction of self-efficacy in the experience of Internet use among older people through in-depth interviews. Based on continuous comparative analysis, we concluded that use of the Internet by older people brought about the \"abnormal\" in their perception. They experienced deconstruction of the \"abnormal\" and construction of the \"normal\" in terms of the self-efficacy story line for Internet use. The core categories of these experiences included curiosity, confusion, fear, comparison, reflection, and empowerment. Taken together, these aspects reflected the process of reconstructing older people' s self-efficacy. This reconstruction could not be separated from situational conditions, goal orientation, and functional induction, and also formed a system for seeking self-meaning, preventing vulnerability, and maintaining dignity. These findings provide a basis for policy recommendations and interventions to develop social support networks for older people.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"355"},"PeriodicalIF":3.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}