{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:25:37Z","timestamp":1791876337894,"version":"4.3.4"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2011,7,21]],"date-time":"2011-07-21T00:00:00Z","timestamp":1311206400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2011,10]]},"abstract":"\n Objective<\/jats:title>\n Enhancing self-efficacy is central to programmes promoting self-care\n and self-management. However, little is known about older people's\n self-efficacy in doctor\u2013patient interactions. This paper investigates\n lifestyle, medical and demographic factors associated with self-efficacy\n in doctor\u2013patient interactions in older people in general\n practice.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional analysis of data from a randomised controlled\n trial of older people was conducted in a health risk appraisal study in\n London. Self-efficacy was measured using the Perceived Efficacy in\n Patient\u2013Physician Interactions Questionnaire.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Older people with higher self-efficacy were significantly more\n likely to report having had recent preventive care measures such as\n recent blood pressure measurement and influenza immunisation. Women were\n less likely to have higher self-efficacy than men. Older people were\n significantly less likely to have high self-efficacy if they reported\n having poor memory, low mood, limited activities due to fear of falling,\n basic education, difficulties with at least one activity of daily\n living, reduced physical activity, living alone, or risk of social\n isolation.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n A third of people had low self-efficacy in doctor\u2013patient\n interactions. They appear to be a vulnerable group. Low self-efficacy in\n interactions with doctors may be a symptom or a characteristic of older\n people who experience social isolation and depression. Policies that\n depend on enhancing self-care and self-management need to consider the\n large number of older people with low self-efficacy in using medical\n services, and understanding characteristics in older people associated\n with lower confidence in doctor\u2013patient interactions may be useful in\n clinical practice and research.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s1463423611000296","type":"journal-article","created":{"date-parts":[[2011,7,21]],"date-time":"2011-07-21T07:03:38Z","timestamp":1311231818000},"page":"348-356","source":"Crossref","is-referenced-by-count":6,"title":["Health risk appraisal for older people 5: self-efficacy in patient\u2013doctor\n interactions"],"prefix":"10.1017","volume":"12","author":[{"given":"Mareeni","family":"Raymond","sequence":"first","affiliation":[{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Iliffe","sequence":"additional","affiliation":[{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalpa","family":"Kharicha","sequence":"additional","affiliation":[{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Harari","sequence":"additional","affiliation":[{"name":"St. Thomas\u2019 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Swift","sequence":"additional","affiliation":[{"name":"Kings College Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Gillmann","sequence":"additional","affiliation":[{"name":"University of Bern"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas E.","family":"Stuck","sequence":"additional","affiliation":[{"name":"University Department of Geriatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2011,7,21]]},"reference":[{"key":"S1463423611000296_manual_ref-14","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116314"},{"key":"S1463423611000296_manual_ref-22","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.03.042"},{"key":"S1463423611000296_manual_ref-21","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1093\/geront\/46.4.503","article-title":"Performance of an abbreviated version of the Lubben social network scale among three European community-dwelling older adult populations","volume":"46","author":"Lubben","year":"2006","journal-title":"Gerontologist"},{"key":"S1463423611000296_manual_ref-6","doi-asserted-by":"publisher","DOI":"10.1007\/BF01184448"},{"key":"S1463423611000296_manual_ref-2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"S1463423611000296_manual_ref-19","doi-asserted-by":"crossref","DOI":"10.4135\/9781452232966","volume-title":"Outcome measures for health education and other health care interventions","author":"Lorig","year":"1996"},{"key":"S1463423611000296_manual_ref-27","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/S0895-4356(03)00053-2","article-title":"Development and evaluation of a medication adherence self-efficacy scale in hypertensive African-American patients","volume":"56","author":"Ogedegbe","year":"2003","journal-title":"Journal of Clinical Epidemiology"},{"key":"S1463423611000296_manual_ref-18","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1159\/000080175","article-title":"Balance confidence improves with resistance or agility training. 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