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Exploring responses of older adults to unsolicited help with physical tasks: A social cognitive theory perspective.

机译:探索老年人对不请自来的身体任务帮助的反应:一种社会认知理论的观点。

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Continually improving population health in the context of increased life expectancy challenges the assumption that aging invariably leads to significant physical decline. Currently, there is a perception that physical function and hence, independence, can be maintained well into later life (Ory, Hoffman, Hawkins, Sanner & Mockenhaupt, 2003). Given the growing proportion of older adults in many industrialized nations, it is imperative to consider possible factors that influence behaviour, which may in turn contribute to functional losses that have hitherto been attributed to aging. For example, pervasive ageist stereotypes may play a role in reducing older adults' opportunities to independently perform physical tasks (i.e. removal of difficult or challenging physical tasks from older adult residences; younger individuals insisting on physical help that is unneeded) so that ability is gradually compromised by disuse.; This study explores the potential for such reduced opportunity among community-dwelling older adults using a questionnaire-based methodology and hypothetical stimulus scenarios. In the scenarios, participants' mature children offer the older adults unsolicited help with two functional tasks: rising from a sofa and grocery shopping. The 52 study participants (mean age = 78.4 +/- 6.0 years) were each asked to report their independence preference, anticipated affective responses, behavioural intentions, self-efficacy for relevant physical skills, relation-inferred self-efficacy (RISE), attribution for why the help was offered, and perceived benefits of accepting and declining the help. Using a Social Cognitive Theory (SCT) framework, individuals with higher self-efficacy, stronger preference for independence, or more perceived benefits of declining relative to those of accepting help were expected to be more likely to intend to decline assistance.; In addition to being related to intentions, these factors, along with lower RISE beliefs, were expected to be associated with greater negative affect. Finally, RISE was anticipated to be directly proportional to self-efficacy and thus, attribution of the offered help to physical (versus social) reasons was hypothesized to relate to lower self-efficacy and RISE.; Primary study hypotheses were generally not supported, with a few exceptions. First, as hypothesized, those who perceived more benefits associated with declining help were more likely to decline and less likely to accept the offered help (p ≤ 0.005). Second, the more perceived benefits associated with declining help (relative to those associated with accepting help), the less total positive affect older adults reported (r ≤ -0.31, p ≤ 0.02). Third, individuals who had higher self-efficacy also reported higher RISE (r ≤ 0.34, p ≤ 0.01). Finally, those who made physical attributions for the offer of help reported lower RISE (p ≤ 0.009), and lower shopping self-efficacy (p = 0.004).; Secondary analyses provided some insight into the lack of support for study hypotheses regarding the receipt of unsolicited assistance. For example, both high self-efficacy beliefs (mean = 85.1 +/- 15.8% for rising and 91.5 +/- 11.2% for shopping) and low TUG times (mean = 12.2 +/- 4.7s) suggested that the sample was particularly high-functioning. This would help to explain why self-efficacy was not found to be significantly related to participant intentions to accept help.; Another explanation for this finding is the influence of social factors considered by older adults in these helping situations. Participant intentions could have been based on anticipated social rather than physical benefits. This rationale was supported by high rates of selection for socially-relevant perceived benefits of receiving help. Further examination also confirmed that participants generally reported very low levels of total negative affect. This would partially account for the absence of a relationship between perceived benefits and negativ
机译:在预期寿命增加的情况下不断改善人口健康挑战了以下假设:老龄化必然导致身体严重下降。当前,人们认为可以很好地维持身体机能,从而保持独立性(Ory,Hoffman,Hawkins,Sanner和Mockenhaupt,2003年)。鉴于许多工业化国家中老年人的比例不断增加,必须考虑可能影响行为的因素,而这些因素可能反过来导致了迄今为止归因于衰老的功能丧失。例如,普遍存在的年龄歧视观念可能在减少老年人独立执行身体任务的机会中发挥作用(例如,从老年人的住所中移除困难或具有挑战性的身体任务;年轻人坚持不需要的身体帮助),从而逐渐增强了能力。被废弃折衷。这项研究使用基于问卷的方法和假设的刺激方案,探索了社区居民中此类机会减少的可能性。在这种情况下,参与者的成年子女会主动为老年人提供两项功能性任务:从沙发上起床和杂货店购物。 52名研究参与者(平均年龄= 78.4 +/- 6.0岁)被要求报告他们的独立性偏好,预期的情感反应,行为意图,相关身体技能的自我效能感,关系推断的自我效能感(RISE),归因为何提供帮助,以及接受和拒绝帮助的可感知收益。使用社会认知理论(SCT)框架,与接受帮助者相比,具有较高自我效能感,更倾向于独立性,或者相对于接受帮助者而言,下降的感觉更大的个人被期望更有可能拒绝援助。除了与意图相关之外,这些因素以及较低的RISE信念预计还会带来更大的负面影响。最后,人们期望RISE与自我效能感成正比,因此,可以将所提供的帮助归因于身体(相对于社会)原因与较低的自我效能感和RISE有关。除少数例外,一般不支持主要研究假设。首先,如所假设的那样,那些认为与下降的帮助有关的更多好处的人更有可能拒绝接受该提供的帮助(p≤0.005)。其次,与下降的帮助相关的收益越多(相对于接受帮助的收益),老年人所报告的总体积极影响就越小(r≤-0.31,p≤0.02)。第三,具有较高自我效能感的人的RISE也较高(r≤0.34,p≤0.01)。最后,那些为提供帮助而做出实际归因的人报告其RISE较低(p≤0.009),购物自我效能较低(p = 0.004)。二级分析提供了一些关于缺乏支持的关于接受未经请求的援助的研究假设的见解。例如,既有较高的自我效能感信念(上升的平均值为85.1 +/- 15.8%,购物的平均值为91.5 +/- 11.2%)和较低的TUG时间(平均值为12.2 +/- 4.7s)都表明该样本特别适合高功能。这将有助于解释为什么未发现自我效能与参与者接受帮助的意愿有显着关系。这一发现的另一个解释是老年人在这些帮助情况下考虑的社会因素的影响。参与者的意图本可以基于预期的社会利益而不是物质利益。大量选择获得与社会相关的感知帮助的支持,为这一基本原理提供了支持。进一步检查还证实,参与者总体上报告的总负面影响非常低。这将部分解释感知利益与否定因素之间不存在关系

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