{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:21:04Z","timestamp":1760232064362,"version":"build-2065373602"},"reference-count":44,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T00:00:00Z","timestamp":1653004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007048","name":"Polish\u2013Norwegian Research Programme","doi-asserted-by":"publisher","award":["Pol-Nor\/200856\/34\/2013"],"award-info":[{"award-number":["Pol-Nor\/200856\/34\/2013"]}],"id":[{"id":"10.13039\/501100007048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background. A patient\u2019s adherence to a course of treatment depends on the individual\u2019s activation, the quality of patient\u2013clinician relations, attitudes, self-efficacy, or positive emotions. Patient proactive attitude (PAA) is seldom researched among the oldest healthcare users. This study was designed to identify predictors of PAA toward health and treatment among community-dwelling general practice patients aged 80+, and was based on a PRACTA (PRomoting ACTive Aging) project. Methods. Patients (n = 658), aged 80+ visiting a general practitioner (GP) filled in the PRACTA attitude toward treatment and health scale and the PRACTA self-efficacy scale questionnaires. Sociodemographic factors, self-reported health status, and satisfaction with the visit were analyzed as independent factors. Results. Attitudes toward treatment and health scores were predicted by marital status, living alone or not alone, hospitalization the prior year, level of impairment, and satisfaction with visit. However, some differences were observed depending on the device\u2019s subscale. Self-efficacy score was determined by marital status, living alone or not alone, prior hospitalization, and satisfaction with visit. We did not find an effect of age or gender on PAA. Patient satisfaction with visit was the strongest predictor of all PAA dimensions. Conclusion. Higher visit satisfaction helps to retain a PAA among seniors 80+. Screening questions about living situation, marital and functional status, emotional state, and recent history of hospitalization might help GPs additionally anticipate PAA level and adjust their actions accordingly.<\/jats:p>","DOI":"10.3390\/ijerph19106214","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T04:27:22Z","timestamp":1653020842000},"page":"6214","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Brave Patient after 80\u2014Satisfaction with Visit and Individual Determinants of Proactive Patient Attitude among the Oldest General Practice Users"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0221-4494","authenticated-orcid":false,"given":"Marta","family":"Rzadkiewicz","sequence":"first","affiliation":[{"name":"Department of Health Psychology, Medical University of Warsaw, 01-575 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5207-8323","authenticated-orcid":false,"given":"Mariusz","family":"Jaworski","sequence":"additional","affiliation":[{"name":"Department of Education and Research in Health Sciences, Medical University of Warsaw, 01-575 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0707-9503","authenticated-orcid":false,"given":"Dorota","family":"W\u0142odarczyk","sequence":"additional","affiliation":[{"name":"Department of Health Psychology, Medical University of Warsaw, 01-575 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/s40271-016-0168-x","article-title":"Engaging older adults in health care decision-making: A realist synthesis","volume":"9","author":"Elliott","year":"2016","journal-title":"Patient"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Graffigna, G., Barello, S., and Bonanomi, A. (2017). The role of Patient Health Engagement Model (PHE-model) in affecting patient activation and medication adherence: A structural equation model. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0179865"},{"key":"ref_3","first-page":"16","article-title":"Patient engagement as a risk factor in personalized health care: A systematic review of the literature on chronic disease","volume":"6","author":"Simmons","year":"2014","journal-title":"Gen. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.2147\/PPA.S145646","article-title":"Spotlight on the Patient Health Engagement model (PHE model): A psychosocial theory to understand people\u2019s meaningful engagement in their own health care","volume":"12","author":"Graffigna","year":"2018","journal-title":"Patient Prefer. Adherence"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.pec.2008.07.055","article-title":"Engaging patients in health care: An empirical study of the role of engagement on attitudes and action","volume":"74","author":"Forbata","year":"2009","journal-title":"Patient Educ. Couns."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1177\/0840470420915229","article-title":"Seven lessons from the field: Research on transformation of health systems for older adults","volume":"33","author":"Stolee","year":"2020","journal-title":"Healthc. Manag. Forum"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Elliott, J., Stolee, P., Boscart, V., Giangregorio, L., and Heckman, G. (2018). Coordinating care for older adults in primary care: Understanding the current context. BMC Fam. Pract, 19.","DOI":"10.1186\/s12875-018-0821-7"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1111\/j.1468-0009.2007.00477.x","article-title":"Rethinking prevention in primary care: Applying the chronic care model to address health risk behaviors","volume":"85","author":"Hung","year":"2007","journal-title":"Milbank Q."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.pec.2010.02.002","article-title":"From patient education to patient engagement: Implications for the field of patient education","volume":"78","author":"Gruman","year":"2010","journal-title":"Patient Educ. Couns."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1093\/eurpub\/ckx129","article-title":"Activation of older patients through PRACTA intervention for primary healthcare doctors: Does the method matter?","volume":"27","author":"Rzadkiewicz","year":"2017","journal-title":"Eur. J. Public Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/j.1475-6773.2004.00269.x","article-title":"Development of the Patient Activation Measure (PAM): Conceptualizing and measuring activation in patients and consumers","volume":"39","author":"Hibbard","year":"2004","journal-title":"Health Serv. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1918","DOI":"10.1111\/j.1475-6773.2005.00438.x","article-title":"Development and testing of a short form of the patient activation measure","volume":"40","author":"Hibbard","year":"2005","journal-title":"Health Serv. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.pec.2014.09.006","article-title":"Developments in patient activation of people with chronic illness and the impact of changes in self-reported health: Results of a nationwide longitudinal study in The Netherlands","volume":"97","author":"Rijken","year":"2014","journal-title":"Patient Educ. Couns."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1377\/hlthaff.2012.1061","article-title":"What the evidence shows about patient activation: Better health outcomes and care experiences; fewer data on costs","volume":"32","author":"Hibbard","year":"2013","journal-title":"Health Aff."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1093\/ibd\/izy378","article-title":"High patient activation is associated with remission in patients with inflammatory bowel disease","volume":"25","author":"Barnes","year":"2019","journal-title":"Inflamm. Bowel Dis."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/j.pec.2015.02.005","article-title":"The association between patient activation and medication adherence, hospitalization, and emergency room utilization in patients with chronic illnesses: A systematic review","volume":"98","author":"Kinney","year":"2015","journal-title":"Patient Educ. Couns."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.3109\/09638288.2010.525287","article-title":"A review of the demographic, clinical and psychosocial correlates of perceived control in three chronic motor illnesses","volume":"33","author":"Eccles","year":"2011","journal-title":"Disabil. Rehabil."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.pcd.2019.08.009","article-title":"The effectiveness of patient activation intervention on type 2 diabetes mellitus glycemic control and self-management behaviors: A systematic review of RCTs","volume":"14","author":"Almutairi","year":"2020","journal-title":"Prim. Care Diabetes"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2215","DOI":"10.2147\/CIA.S183276","article-title":"The effects of an empowering self-management model on self-efficacy and sense of coherence among retired elderly with chronic diseases: A randomized controlled trial","volume":"13","author":"Hourzad","year":"2018","journal-title":"Clin. Interv. Aging"},{"key":"ref_20","first-page":"PA4155","article-title":"What are the determinants in Patient Activation Scores in COPD?","volume":"52","author":"Frost","year":"2018","journal-title":"Eur. Respir. J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1002\/pon.4387","article-title":"Determinants of patient activation in a community sample of breast and prostate cancer survivors","volume":"27","author":"Dewan","year":"2018","journal-title":"Psychooncology"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1757","DOI":"10.2147\/COPD.S109016","article-title":"Determinants of activation for self-management in patients with COPD","volume":"11","author":"Korpershoek","year":"2016","journal-title":"Int. J. Chronic Obstr. Pulm. Dis."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Yadav, U.N., Lloyd, J., Hosseinzadeh, H., Baral, K.P., Bhatta, N., and Harris, M.F. (2020). Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0233488"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1111\/hex.12577","article-title":"The association between patient activation and self-care practices: A cross-sectional study of an Australian population with comorbid diabetes and chronic kidney disease","volume":"20","author":"Zimbudzi","year":"2017","journal-title":"Health Expect."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Schmaderer, M.S. (2015). Determinants of Patient Activation in Hospitalized Multimorbid Patients. [Ph.D. Theses, University of Nebraska]. Available online: https:\/\/digitalcommons.unmc.edu\/etd\/23.","DOI":"10.1891\/1061-3749.23.3.E128"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2785","DOI":"10.2169\/internalmedicine.55.6924","article-title":"Assessment of self-efficacy and its relationship with frailty in the elderly","volume":"55","author":"Doba","year":"2016","journal-title":"Intern. Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1177\/1073191102009001009","article-title":"Measures of Self-Efficacy and Optimism in Older Adults with Generalized Anxiety","volume":"9","author":"Stanley","year":"2002","journal-title":"Assessment"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1111\/ajag.12747","article-title":"Discrimination and disability: Types of discrimination and association with trust, self-efficacy and life satisfaction among older Australians","volume":"39","author":"Temple","year":"2020","journal-title":"Australas. J. Ageing"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"S261","DOI":"10.1093\/geronb\/56.5.S261","article-title":"Self-efficacy and the progression of functional limitations and self-reported disability in older adults with knee pain","volume":"56","author":"Rejeski","year":"2001","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"713","DOI":"10.2147\/COPD.S2840","article-title":"Impact of social support and self-efficacy on functioning in depressed older adults with chronic obstructive pulmonary disease","volume":"3","author":"Marino","year":"2008","journal-title":"Int. J. Chronic Obstruct. Pulmon. Dis."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1177\/1403494818780855","article-title":"Testing a new tool assessing attitude towards treatment and health in primary health care setting: Senior patients and doctors perspectives","volume":"47","author":"Lazarewicz","year":"2019","journal-title":"Scand. J. Public Health"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Dobson, A.J. (2002). An Introduction to Generalized Linear Models, Chapman and Hall\/CRC. [2nd ed.].","DOI":"10.1201\/9781420057683"},{"key":"ref_33","unstructured":"Fox, J. (2015). Applied Regression Analysis and Generalized Linear Models, Sage Publications."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1093\/geronb\/gbaa044","article-title":"Short-term mental health sequelae of bereavement predict long-term physical health decline in older adults: US Health and Retirement Study Analysis","volume":"76","author":"Domingue","year":"2020","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"201","DOI":"10.3122\/jabfm.2019.02.180218","article-title":"Patient characteristics associated with making requests during primary care visits","volume":"32","author":"Fenton","year":"2019","journal-title":"J. Am. Board Fam. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"180","DOI":"10.5888\/pcd15.180190","article-title":"Attitudes, beliefs, and cost-related medication nonadherence among adults aged 65 or older with chronic diseases","volume":"15","author":"Lee","year":"2018","journal-title":"Prev. Chronic Dis."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1080\/09581596.2010.539592","article-title":"Physicians\u2019 attitudes toward aging, the aged, and the provision of geriatric care: A systematic narrative review","volume":"22","author":"Meisner","year":"2012","journal-title":"Crit. Public Health"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/0277-9536(94)90247-X","article-title":"Patient satisfaction: A valid concept?","volume":"38","author":"Williams","year":"1994","journal-title":"Soc. Sci. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1177\/1757913915594196","article-title":"Conceptualisation of patient satisfaction: A systematic narrative literature review","volume":"135","author":"Batbaatar","year":"2015","journal-title":"Perspect. Public Health"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1093\/intqhc\/11.4.319","article-title":"How valid and reliable are patient satisfaction data? An analysis of 195 studies","volume":"11","author":"Sitzia","year":"1999","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1080\/02813432.2019.1684430","article-title":"Patients\u2019 ideas, concerns, expectations and satisfaction in primary health care-a questionnaire study of patients and health care professionals\u2019 perspectives","volume":"37","author":"Freilich","year":"2019","journal-title":"Scand J. Prim. Health Care"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1080\/02813432.2018.1459229","article-title":"Perceived doctor-patient relationship and satisfaction with general practitioner care in older persons in residential homes","volume":"36","author":"Poot","year":"2018","journal-title":"Scand J. Prim. Health Care"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e025954","DOI":"10.1136\/bmjopen-2018-025954","article-title":"What matters most to patients about primary healthcare: Mixed-methods patient priority setting exercises within the PREFeR (PRioritiEs for Research) project","volume":"9","author":"Edwards","year":"2019","journal-title":"BMJ Open"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Alvarez, C., Greene, J., Hibbard, J.H., and Overton, V. (2016). The role of primary care providers in patient activation and engagement in self-management: A cross-sectional analysis. BMC Health Serv. Res., 16.","DOI":"10.1186\/s12913-016-1328-3"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/10\/6214\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:15:19Z","timestamp":1760138119000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/10\/6214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,20]]},"references-count":44,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,5]]}},"alternative-id":["ijerph19106214"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19106214","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,5,20]]}}}