Evaluating self‐directed learning abilities as a prerequisite of health literacy among older people: Findings from a validation and a cross‐sectional study
Autor: | Angelisa Cara, Alvisa Palese, Lucia Cadorin, Luca Grassetti, Ivana Truccolo, Eva Paoletti |
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Rok vydání: | 2019 |
Předmět: |
Male
Gerontology Psychometrics Context (language use) Health literacy 03 medical and health sciences 0302 clinical medicine Health care Humans 030212 general & internal medicine Aged Motivation Self-management Self-Directed Learning as Topic 030504 nursing business.industry Awareness Confirmatory factor analysis Health Literacy Cross-Sectional Studies Health promotion Attitude Italy Female Factor Analysis Statistical 0305 other medical science business Psychology |
Zdroj: | International Journal of Older People Nursing. 15 |
ISSN: | 1748-3743 1748-3735 |
Popis: | Aims and objectives To validate a tool measuring self-directed learning (SDL) abilities and to determine these abilities among older individuals attending the University of the Third Age. Background Health literacy (HL) and SDL abilities have been documented as being closely linked to each other and as prerequisites in enhancing self-management competences required by older people to protect their health and to manage health issues. Furthermore, individuals with SDL abilities have been documented to have a full understanding of their health treatment prescriptions, to be able to demonstrate increased compliance and to further develop self-care competences. Design A validation and a cross-sectional study design. Methods A consecutive sample of 313 older people (68.7% female) who attended lessons in two Italian Universities of the Third Age and who were willing to participate in the study were enrolled. The Self-Rating Scale of Self-Directed Learning (SRSSDL) validated previously in the healthcare context, was used. Results At the exploratory and confirmatory factor analysis, the SRSSDL in Older people (SRSSDLO) has demonstrated good psychometric properties: the tool is composed by four factors ("Awareness," "Attitudes," "Availability" and "Motivation") and 13 items. According to the findings, the average SDL score was 54.27 ± 6.69 out of 65, and women achieved significantly higher scores compared with men (54.81 ± 6.69 vs. 53.08 ± 6.54, p = .033), while participants with a university degree (55.95 ± 6.56) or secondary education (54.75 ± 6.13) had higher scores than those with lower secondary education (50.37 ± 7.34, p = .002). Conclusions Participants were responsible for their learning processes and were capable of identifying learning needs and goals. They were also internally motivated to develop learning methods and to organise learning activities. However, they were less able to keep up to date with the learning resources available. Implications for practice The SRSSDLO can help nurses identify healthy older people that lack SDL abilities and design tailored educational interventions to prevent health conditions and/or promote self-care management in chronic conditions. |
Databáze: | OpenAIRE |
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