The purpose of this study was to investigate the association between three aspects of well-being (positive and negative affect, self-realization, and self-efficacy and resilience) and disease selfmanagement or difficulties in managing care. Logistic regression models were used to analyze data from a sample of community-dwelling Medicare beneficiaries 65-years or older who participated in the National Health and Aging Trends Study and responded to well-being and engagement in health care questions (n = 1663). All three aspects of well-being were significantly associated with reduced difficulties in care management for both the participants and their family and friends who assist them. Self-efficacy and resilience had the strongest association, older adults with higher levels of self-efficacy and resilience were more likely to handle care by self. Our findings highlight the importance of incorporating strategies to enhance well-being of older adults to reduce the difficulties of managing activities necessary to stay healthy.


This is the accepted manuscript of Simpson V, Xu D. Difficulties with health self-management by older adults: The role of well-being. Geriatr Nurs. 2020 Nov-Dec,41(6):984-991. doi: 10.1016/j.gerinurse.2020.07.010. Epub 2020 Aug 5. PMID: 32768151.


Well-being, self-management, older adults, difficulties in care management, chronicdisease management, National Health and Aging Trends Study

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