Older adults' engagement in managing their chronic health conditions: a scoping review.
Background and Objectives Patient engagement is central in managing chronic conditions. Engagement may be particularly challenging for older adults with their age-related changes. However, the concept and strategies for promoting patient engagement among older adults remain underdeveloped. We conduc...
| Publicado en: | Gerontologist Vol. 66; no. 7; pp. 1 - 29 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jul2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195281456&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195281456 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Jul2026 vid: 66 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195281456 10.1093/geront/gnag134 ppf: 1 ppct: 28 formats: tig: atl: Older adults' engagement in managing their chronic health conditions: a scoping review. aug: au: Kiyoshi-Teo, Hiroko Lee, Ki Rog Tadesse, Ruth Zeigen, Laura Izumi, Shigeko (Seiko) affil: School of Nursing, Oregon Health & Science University, Portland, Oregon, United States Oregon Health & Science University Library, Portland, Oregon, United States su: Health literacy Patient compliance Self-management (Psychology) Age distribution Drugs Patient participation Old age Chronic disease treatment Prevention of chronic diseases Research funding CINAHL database Descriptive statistics Systematic reviews MEDLINE Thematic analysis Online information services Health outcome assessment sug: subj: Health literacy Patient compliance Self-management (Psychology) Age distribution Drugs Patient participation Old age Pharmaceutical and medicine manufacturing Pharmaceuticals and pharmacy supplies merchant wholesalers Drugs and Druggists' Sundries Merchant Wholesalers Chronic disease treatment Prevention of chronic diseases Research funding CINAHL database Descriptive statistics Systematic reviews MEDLINE Thematic analysis Online information services Health outcome assessment keyword: aged Analysis—scoping review blood pressure chronic disease Chronic illness copyrightHolder:The Gerontological Society of America copyrightYear:2026 health care systems health literacy https://dx.doi.org/10.1093/geront/gnag134 inLanguage:en outcome measures patient activation Patient engagement publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42295843/ self-management aged Analysis—scoping review blood pressure chronic disease Chronic illness copyrightHolder:The Gerontological Society of America copyrightYear:2026 health care systems health literacy https://dx.doi.org/10.1093/geront/gnag134 inLanguage:en outcome measures patient activation Patient engagement publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42295843/ self-management ab: Background and Objectives Patient engagement is central in managing chronic conditions. Engagement may be particularly challenging for older adults with their age-related changes. However, the concept and strategies for promoting patient engagement among older adults remain underdeveloped. We conducted a scoping review to understand the current state of knowledge about older adults' engagement in managing their chronic conditions. Research Design and Methods Following Arksey and O'Malley's framework, we searched and reviewed studies focused on older adults' engagement in managing chronic conditions using 3 databases (PubMed, SCOPUS, and CINAHL). Data were extracted using a standardized form and summarized descriptively. Results From 6,780 records, 65 articles met the criteria, including 34 observational, 18 qualitative, and 13 experimental studies. Patient activation , participation , and engagement were commonly used terms, but they were used interchangeably and rarely defined. Key factors influencing patient engagement included patient attributes (e.g. age, health literacy), clinician attributes, and healthcare system characteristics. Outcomes were assessed through clinical measures (e.g. blood pressure, hemoglobin A1c), patient-reported outcomes, and self-management behaviors. Although experimental studies reported positive outcomes, the generalizability of findings was limited due to the heterogeneity of interventions and outcome measures without a clear theoretical framework. Discussion and Implications Engagement of older adults in their chronic care is inconsistently defined and measured across the literature. Measures without theoretical frameworks make it difficult to translate the findings and build evidence. A systematic approach is needed to build an evidence base to understand and develop interventions to improve older adult engagement in their care. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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