Does transpersonal trust moderate the association between chronic conditions and general practitioner visits in the oldest old? Results of the AgeCoDe and AgeQualiDe study
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Does transpersonal trust moderate the association between chronic conditions and general practitioner visits in the oldest old? Results of the AgeCoDe and AgeQualiDe study. / Hajek, André; Brettschneider, Christian; Eisele, Marion; Lühmann, Dagmar; Mamone, Silke; Wiese, Birgitt; Weyerer, Siegfried; Werle, Jochen; Fuchs, Angela; Pentzek, Michael; Stein, Janine; Luck, Tobias; Weeg, Dagmar; Mösch, Edelgard; Heser, Kathrin; Wagner, Michael; Scherer, Martin; Maier, Wolfgang; Riedel-Heller, Steffi G; König, Hans-Helmut; AgeCoDe & AgeQualiDe study group.
in: GERIATR GERONTOL INT, Jahrgang 19, Nr. 8, 08.2019, S. 705-710.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Does transpersonal trust moderate the association between chronic conditions and general practitioner visits in the oldest old? Results of the AgeCoDe and AgeQualiDe study
AU - Hajek, André
AU - Brettschneider, Christian
AU - Eisele, Marion
AU - Lühmann, Dagmar
AU - Mamone, Silke
AU - Wiese, Birgitt
AU - Weyerer, Siegfried
AU - Werle, Jochen
AU - Fuchs, Angela
AU - Pentzek, Michael
AU - Stein, Janine
AU - Luck, Tobias
AU - Weeg, Dagmar
AU - Mösch, Edelgard
AU - Heser, Kathrin
AU - Wagner, Michael
AU - Scherer, Martin
AU - Maier, Wolfgang
AU - Riedel-Heller, Steffi G
AU - König, Hans-Helmut
AU - AgeCoDe & AgeQualiDe study group
N1 - © 2019 Japan Geriatrics Society.
PY - 2019/8
Y1 - 2019/8
N2 - AIM: The purpose of this study was to investigate whether transpersonal trust (TPT) moderates the relationship between chronic conditions and general practitioner (GP) visits among the oldest old in Germany.METHODS: The multicenter prospective cohort Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest old primary care patients (85+) (AgeQualiDe) was carried out. Individuals were recruited through GP offices at six study centers in Germany (follow-up wave 7). Primary care patients were aged ≥85 years (n = 861, mean age 89.0 years; range 85-100 years). The self-reported number of outpatient visits to the GP was used as the outcome measure. To explore religious and spiritual beliefs, the short form of the Transpersonal Trust scale was used. The presence or absence of 36 chronic conditions was recorded by the GP.RESULTS: Multiple Poisson regressions showed that GP visits were positively associated with the number of chronic conditions (incidence rate ratio 1.03, P < 0.05). TPT moderated the relationship between chronic conditions and GP visits (incidence rate ratio 1.01, P < 0.05). The association between chronic conditions and GP visits was significantly more pronounced when TPT was high.CONCLUSION: Our findings highlight the importance of TPT in the relationship between chronic conditions and GP visits. Future longitudinal studies are required to clarify this subject further. Geriatr Gerontol Int 2019; 19: 705-710.
AB - AIM: The purpose of this study was to investigate whether transpersonal trust (TPT) moderates the relationship between chronic conditions and general practitioner (GP) visits among the oldest old in Germany.METHODS: The multicenter prospective cohort Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest old primary care patients (85+) (AgeQualiDe) was carried out. Individuals were recruited through GP offices at six study centers in Germany (follow-up wave 7). Primary care patients were aged ≥85 years (n = 861, mean age 89.0 years; range 85-100 years). The self-reported number of outpatient visits to the GP was used as the outcome measure. To explore religious and spiritual beliefs, the short form of the Transpersonal Trust scale was used. The presence or absence of 36 chronic conditions was recorded by the GP.RESULTS: Multiple Poisson regressions showed that GP visits were positively associated with the number of chronic conditions (incidence rate ratio 1.03, P < 0.05). TPT moderated the relationship between chronic conditions and GP visits (incidence rate ratio 1.01, P < 0.05). The association between chronic conditions and GP visits was significantly more pronounced when TPT was high.CONCLUSION: Our findings highlight the importance of TPT in the relationship between chronic conditions and GP visits. Future longitudinal studies are required to clarify this subject further. Geriatr Gerontol Int 2019; 19: 705-710.
KW - Aged, 80 and over
KW - Cohort Studies
KW - Female
KW - General Practitioners/psychology
KW - Germany
KW - Health Services for the Aged/statistics & numerical data
KW - Humans
KW - Male
KW - Multiple Chronic Conditions/epidemiology
KW - Needs Assessment
KW - Office Visits/statistics & numerical data
KW - Patient Acceptance of Health Care/psychology
KW - Physician-Patient Relations
KW - Quality of Life
KW - Spirituality
KW - Trust
U2 - 10.1111/ggi.13693
DO - 10.1111/ggi.13693
M3 - SCORING: Journal article
C2 - 31237101
VL - 19
SP - 705
EP - 710
JO - GERIATR GERONTOL INT
JF - GERIATR GERONTOL INT
SN - 1444-1586
IS - 8
ER -