Melissa D Hladek, Teresa Reimer, Jorie Casey, Manka Nkimbeng, Anna Peeler, Katie E Nelson, Janiece Taylor, Hae-Ra Han, Sarah L Szanton
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Studies with validated SE measures for the top 10 chronic medical conditions (arthritis, chronic kidney disease, chronic obstructive pulmonary disease, coronary heart disease, dementia, depression, diabetes, hypertension, hypercholesterolemia, and heart failure) in older adults were included.</p><p><strong>Results: </strong>131 articles were identified using 45 validated SE scales. Self-efficacy measurement was most robustly represented in the arthritis and cardiovascular literature with fewer studies in chronic kidney disease and dementia. The top 9 SE scales were identified and domains within each of those scales explored.</p><p><strong>Conclusions: </strong>SE measurement is a key part of self-management. Its analysis is limited by the large number of SE scales and potential psychometric shortcomings. Measurement best practices and expansions in the concept of SE are discussed.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1764-1773"},"PeriodicalIF":2.4000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12381698/pdf/","citationCount":"0","resultStr":"{\"title\":\"Measuring self-efficacy in U.S. older adults with chronic disease: a systematic review.\",\"authors\":\"Melissa D Hladek, Teresa Reimer, Jorie Casey, Manka Nkimbeng, Anna Peeler, Katie E Nelson, Janiece Taylor, Hae-Ra Han, Sarah L Szanton\",\"doi\":\"10.1080/13607863.2025.2511226\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Self-efficacy (SE), confidence in one's abilities, is an integral concept in behavior change among older adults with chronic disease. 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The top 9 SE scales were identified and domains within each of those scales explored.</p><p><strong>Conclusions: </strong>SE measurement is a key part of self-management. Its analysis is limited by the large number of SE scales and potential psychometric shortcomings. 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Measuring self-efficacy in U.S. older adults with chronic disease: a systematic review.
Objectives: Self-efficacy (SE), confidence in one's abilities, is an integral concept in behavior change among older adults with chronic disease. SE improvements boost better health outcomes, such as decreases in blood glucose or pain. Although self-efficacy is a widely studied construct, the most commonly used measures in older adults with chronic disease remain unclear.
Methods: A systematic literature search was conducted to identify how self-efficacy was operationalized and measured in US older adults with chronic diseases. Studies with validated SE measures for the top 10 chronic medical conditions (arthritis, chronic kidney disease, chronic obstructive pulmonary disease, coronary heart disease, dementia, depression, diabetes, hypertension, hypercholesterolemia, and heart failure) in older adults were included.
Results: 131 articles were identified using 45 validated SE scales. Self-efficacy measurement was most robustly represented in the arthritis and cardiovascular literature with fewer studies in chronic kidney disease and dementia. The top 9 SE scales were identified and domains within each of those scales explored.
Conclusions: SE measurement is a key part of self-management. Its analysis is limited by the large number of SE scales and potential psychometric shortcomings. Measurement best practices and expansions in the concept of SE are discussed.
期刊介绍：
Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods.
Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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