Browsing by Person "Whitehall, Lucy"

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The general self-efficacy of older adults receiving care: A systematic review and meta-analysis
(Oxford University Press, 2020-05-06) Whitehall, Lucy; Rush, Robert; Górska, Sylwia; Forsyth, Kirsty
Background and Objectives: General self-efficacy (GSE) encourages health-promoting behaviors in older adults. It is unsurprising then, that older adults receiving healthcare services are reported to have a greater risk of low GSE than older adults who are not. Despite this, there is currently limited evidence investigating whether the effect differs based on the environment in which care is received. This review aims to determine whether the GSE of older adults is affected by the receipt of healthcare services, and whether GSE varies based on the setting in which care is received.
Psychometric evaluation of the Making it CLEAR questionnaire, a resilience measure for older adults
(Oxford University Press, 2021-09-28) Whitehall, Lucy; Górska, Sylwia; Rush, Robert; Singh Roy, Anusua; Irvine-Fitzpatrick, Linda; Forsyth, Kirsty
Background and Objectives: Previous efforts to develop a resilience measure for older adults have largely failed to consider the environmental influences on their resilience, and have primarily concentrated on the resilience of community dwelling older adults. Our objective was to validate a new multidimensional measure of resilience, the Making it CLEAR (MiC) questionnaire, for use with older adults at the point of discharge from hospital.
The resilience of older adults receiving hospital care: Validation of the Making it CLEAR questionnaire, and an exploration of protective and vulnerability factors
(Queen Margaret University, Edinburgh, 2020) Whitehall, Lucy
Background ‘Resilience’ is the process by which individuals adapt to and manage adversity. Through the identification of older adults who may struggle to ‘adapt well’ following health difficulties, resilience research may support health improvement. As resilience is influenced by an individual’s personal characteristics, resources, and physical and social environment, resilience measures that comprehensively capture resilience are important. Furthermore, due to the contextual nature of resilience, research findings should not be generalised across populations who experience unique adversities. Despite this, most resilience measures used with older adults assess resilience at the individual level, and current resilience research has largely recruited community-dwelling older adults, preventing the findings from being generalised to those receiving hospital care. The Making it CLEAR (Community Living, Enablement and Resilience) (MiC) questionnaire was designed to measure the individual and environmental determinants of an older adult’s resilience. This work focuses on assessing its validity with a population of older adults receiving inpatient care and uses the data to investigate the protective and vulnerability factors of this population. Methods The study analyses data collected from older adults recruited during acute hospital admission across three Medicine of the Elderly wards. Exploratory factor analysis and item analysis was used to assess the validity of the MiC questionnaire, while item response analysis identified the key ‘resilience needs’ of the population. Regression analyses identified the protective and vulnerability factors of the sample and investigated the mediatory effect of self-efficacy on the relationship between frailty and resilience. Results Exploratory factor analyses and item analysis demonstrated acceptable construct validity, internal consistency, discriminant validity, and item difficulty for each subscale of the MiC questionnaire. Multiple regression analysis found that gender, marital state, perceived physical and mental health, and receipt of a daily care package predicted individual determinants of resilience. Religion, frailty status, perceived physical and mental health, and visual impairment predicted environmental determinants of resilience. Self-efficacy was found to mediate the relationship between frailty and resilience; and low self-efficacy, poor person-environment fit, and a lack of social support from friends were identified as the most common resilience needs. Conclusion The results demonstrate that the MiC questionnaire is a valid measure of both the individual and environmental determinants of resilience of older adults during hospital admission, thus supporting the use of the MiC questionnaire with this population. In addition, the regression analyses suggest potential characteristics of older adults with low resilience, while the identified resilience needs are suggested as potential priorities for targeted intervention.
A systematic review and correlational meta-analysis of factors associated with resilience of normally aging, community-living older adults
(Oxford University Press, 2021-09-22) Górska, Sylwia; Singh Roy, Anusua; Whitehall, Lucy; Irvine-Fitzpatrick, Linda; Duffy, Nichola; Forsyth, Kirsty
Background and objectives: Global policy emphasizes the need to promote healthy aging through supporting inclusivity, safety, and functional independence. Research indicates that efforts to enhance resilience can contribute to meeting these objectives. We employed meta-analytical approach to examine evidence on resilience in community-living older adults.