Evidence map›Paper›PMID 40522331›Full record

SynthesisAging & mental health2025

Measuring self-efficacy in U.S. older adults with chronic disease: a systematic review.

Melissa D Hladek, Teresa Reimer, Jorie Casey, Manka Nkimbeng, Anna Peeler, Katie E Nelson, Janiece Taylor, Hae-Ra Han, Sarah L Szanton

Abstract readSystematic Review
In one paragraph

Synthesis in Aging & mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melissa D HladekSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0002-0625-2474
Teresa ReimerSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Jorie CaseySchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Manka NkimbengDivision of Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Anna PeelerCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College, London, England.
Katie E NelsonDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Janiece TaylorSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Hae-Ra HanSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Sarah L SzantonSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.

Funding

Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
Johns Hopkins Institute for Clinical and Translational ResearchUM1TR004926 · NCATS · JOHNS HOPKINS UNIVERSITY · PI STEPHEN N. DAVIS, Daniel Ernest Ford · 2024 to 2026
$28.5M
Understanding and addressing risks of low socioeconomic status and diabetes for heart failureP50MD017348 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A, CREWS, DEIDRA CANDICE · 2021 to 2025
$24.2M
PLAN: Dementia Literacy Education and Navigation for Korean Elders with Probable Dementia and their CaregiversR01AG062649 · NIA · JOHNS HOPKINS UNIVERSITY · PI HAN, HAE-RA · 2019 to 2023
$3.8M
Hopkins Center to Promote resilience in persons and families living with multiple chronic conditions (the PROMOTE Center)P30NR018093 · NINR · JOHNS HOPKINS UNIVERSITY · PI CAMPBELL, JACQUELYN CUTLER · 2018 to 2022
$3.1M
K-HEARS: Hearing Health through Accessible Research and Solutions for Korean AmericansR01DC019686 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI HAE-RA HAN, CARRIE L NIEMAN · 2024 to 2026
$2.1M
Addressing Inactive Kidney Transplant Waitlist Status through Adapting a Tailored Psycho-Social-Environmental ProgramK23DK133677 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Melissa Hladek · 2023 to 2026
$779k
Exploring an Adapted Active Caregiving: Empowering Skills (ACES) Intervention for High Risk Care PartnersK01AG076807 · NIA · UNIVERSITY OF MINNESOTA · PI Manka Nkimbeng · 2022 to 2026
$660k
Exploring End-of-Life Care: Access and Perspectives among the A'aniniiin and Nakoda TribesF31NR020145 · NINR · JOHNS HOPKINS UNIVERSITY · PI NELSON, KATIE ELIZABETH · 2021 to 2023
$75k
NCATS NIH HHS UM1 TR004926NIA NIH HHS K01 AG076807NIA NIH HHS P30 AG021334NIA NIH HHS R01 AG062649NIDCD NIH HHS R01 DC019686NIDDK NIH HHS K23 DK133677NIMHD NIH HHS P50 MD017348NINR NIH HHS F31 NR020145NINR NIH HHS P30 NR018093
6 · The paper itself

Abstract

objectivesSelf-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.

methodsA 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.

results131 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.

conclusionsSE 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.

Indexed as

Chronic DiseaseSelf EfficacyAgedAged, 80 and overHumansUnited Statesagentic capacitybehavior changemulti-morbidityself-managementSocial cognitive theory

Identifiers

PMID40522331
PMCPMC12381698

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.