TY - JOUR
T1 - Exploring illness perceptions of multimorbidity among community-dwelling older adults
T2 - A mixed methods study
AU - Bankole, Ayomide Okanlawon
AU - Jiwani, Rozmin B.
AU - Avorgbedor, Forgive
AU - Wang, Jing
AU - Osokpo, Onome Henry
AU - Gill, Sara L.
AU - Braden, Carrie Jo
N1 - Publisher Copyright:
© 2023
PY - 2023/12
Y1 - 2023/12
N2 - Background: Illness perceptions are individual beliefs or experiences about the nature and treatment of their illness. While extensive research exists on illness perceptions, less is known about illness perceptions of multimorbidity. Methods: The purpose of this parallel-convergent mixed-methods study was to comprehensively explore illness perception of multimorbidity among community dwelling older adults. Data was collected using one-on-one semi-structured interviews (n = 17) and the Multimorbidity Illness Perception Scale (MULTIPleS) (n = 116). Qualitative data were analyzed using content analysis while quantitative data were analyzed with descriptive and inferential statistics. Both qualitative and quantitative findings were integrated to identify differences in illness perceptions of multimorbidity by participant's socio-demographic and illness-related characteristics. Results: Overall, participants were mostly female (71 %), self-reported as Hispanic (35 %), Black (33 %), White (27 %), or Asian (5 %). From the content analysis of the qualitative data, we described three themes pertaining to Illness perception of multimorbidity which were influenced by both participants’ socio-demographic and illness-related characteristics: (1) inter-relationships between conditions (2) consequences and priorities and (3) impact of multimorbidity on wellbeing. While inferential analysis of quantitative data indicated statistically significant differences across only socio-demographic characteristics such as race/ethnicity (causal links, prioritization, summary scale) and educational attainment (prioritization subscale). Mixed analysis of qualitative and quantitative findings confirmed that illness perception of multimorbidity may not differ by the number of chronic conditions. Conclusions: Participants prioritized the impact of multimorbidity on their wellbeing, placing less importance on the number of their chronic conditions. Additional studies are needed to further characterize illness perceptions of multimorbidity and develop interventions that extend beyond disease-focused approaches, addressing the holistic needs of older adults with multimorbidity.
AB - Background: Illness perceptions are individual beliefs or experiences about the nature and treatment of their illness. While extensive research exists on illness perceptions, less is known about illness perceptions of multimorbidity. Methods: The purpose of this parallel-convergent mixed-methods study was to comprehensively explore illness perception of multimorbidity among community dwelling older adults. Data was collected using one-on-one semi-structured interviews (n = 17) and the Multimorbidity Illness Perception Scale (MULTIPleS) (n = 116). Qualitative data were analyzed using content analysis while quantitative data were analyzed with descriptive and inferential statistics. Both qualitative and quantitative findings were integrated to identify differences in illness perceptions of multimorbidity by participant's socio-demographic and illness-related characteristics. Results: Overall, participants were mostly female (71 %), self-reported as Hispanic (35 %), Black (33 %), White (27 %), or Asian (5 %). From the content analysis of the qualitative data, we described three themes pertaining to Illness perception of multimorbidity which were influenced by both participants’ socio-demographic and illness-related characteristics: (1) inter-relationships between conditions (2) consequences and priorities and (3) impact of multimorbidity on wellbeing. While inferential analysis of quantitative data indicated statistically significant differences across only socio-demographic characteristics such as race/ethnicity (causal links, prioritization, summary scale) and educational attainment (prioritization subscale). Mixed analysis of qualitative and quantitative findings confirmed that illness perception of multimorbidity may not differ by the number of chronic conditions. Conclusions: Participants prioritized the impact of multimorbidity on their wellbeing, placing less importance on the number of their chronic conditions. Additional studies are needed to further characterize illness perceptions of multimorbidity and develop interventions that extend beyond disease-focused approaches, addressing the holistic needs of older adults with multimorbidity.
KW - Illness perception
KW - Illness representation
KW - Multimorbidity
KW - Multiple chronic conditions
KW - Older adult
KW - Self-management
KW - Self-regulation
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U2 - 10.1016/j.ahr.2023.100158
DO - 10.1016/j.ahr.2023.100158
M3 - Article
C2 - 38779434
AN - SCOPUS:85172869197
SN - 2667-0321
VL - 3
JO - Aging and Health Research
JF - Aging and Health Research
IS - 4
M1 - 100158
ER -