Artikel
Self-efficacy, risk attitudes, and time preferences: Impact on functioning in older patients with vertigo, dizziness, and balance disorders in a tertiary care setting
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Autoren
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Benedict Katzenberger
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Germany; Pettenkofer School of Public Health, Munich, Germany
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Sebastian Fuchs
- Pettenkofer School of Public Health, Munich, Germany; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Germany
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Lars Schwettmann
- Department of Health Services Research, Faculty VI - School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Germany
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Ralf Strobl
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Germany; German Center for Vertigo and Balance Disorders, LMU University Hospital, LMU Munich, Germany
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Ari Hauser
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Germany
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Daniela Koller
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Germany
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Eva Grill
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Germany; German Center for Vertigo and Balance Disorders, LMU University Hospital, LMU Munich, Germany
| Veröffentlicht: | 10. September 2024 |
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Gliederung
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Background: The management of vertigo, dizziness, and balance issues (VDB) presents complexities due to diverse underlying causes, often requiring consultations with multiple specialists. his complexity extends to treatment, compounded by the influence of individual personality traits on the functional burden of VDB. The present study includes older patients with VDB before and after treatment in a specialized tertiary care center.
Objective: The aim was to investigate the impact of self-efficacy, risk attitudes and time preferences on functioning.
Methods: This study is based on the MobilE-TRA2 cohort study set in Munich (BMBF, grant number 01GY1913A). Patients aged 60 years and older were asked to complete a survey at their first visit to the care center. A follow-up survey was sent three months later. Self-efficacy was measured on a scale from 1 (very low) to 5 (very high). Health-related risk attitudes were assessed on an 11-point scale. Time preference was measured by rating patients' willingness to postpone a reward in favor of a greater benefit on an 11-point Likert scale. Functioning was assessed using the Dizziness Handicap Inventory, which represents functional, emotional, and physical aspects of functional disability caused by VDB. Mixed-effects regression models were used to analyze the association between the selected personality traits and functioning over time. Interaction terms with time were included for each personality trait to assess its influence on functioning three months after the initial observation period.
Results: The study comprised 337 patients (53% were female, baseline median age was 70 years). Higher self-efficacy and increased risk- were associated with better functioning at their first visit to the care center. Over time, self-efficacy could predict functioning at three months for functioning (Beta = -4.21, 95%-CI [-6.57; -1.84]).
Implication for research and/or (healthcare) practice: Based on our findings, patients with high self-efficacy and risk taking may have better coping mechanisms to address the challenges of VDB. For the treatment of this patient group, this suggests that promoting self-efficacy may empower patients to better manage the responsibilities associated with their treatment, potentially leading to improved functioning in this patient cohort.
Funding: BMBF-Strukturförderung Versorgungsforschung; Project name: MobilE-TRA2; Grant number: 01GY1913A
