Risk factors of self-neglect among community living older persons in Selangor, Malaysia

Older Malaysian recorded high prevalence of self-neglect compared to other types of elder abuse. The prevalence of elder self-neglect continues to rise due to population aging. This study aimed to develop an elder self-neglect instrument and identify predictors of self-neglect among community-...

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Main Author:	Mardan, Homa
Format:	Thesis
Language:	English
Published:	2016
Subjects:	Older people - Social aspects - Malaysia
Online Access:	http://psasir.upm.edu.my/id/eprint/69446/1/IPPM%202018%201%20-%20IR.pdf
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id	my-upm-ir.69446
record_format	uketd_dc
spelling	my-upm-ir.694462019-11-11T00:55:20Z Risk factors of self-neglect among community living older persons in Selangor, Malaysia 2016-06 Mardan, Homa Older Malaysian recorded high prevalence of self-neglect compared to other types of elder abuse. The prevalence of elder self-neglect continues to rise due to population aging. This study aimed to develop an elder self-neglect instrument and identify predictors of self-neglect among community-dwelling older adults living at Selangor. In addition, this study also examines the mediating role of self-efficacy in the relationship between significant predictors on self-neglect. Self-care theory, selfefficacy theory and the biopsychosocial model form the theoretical background of this study. This was a cross-sectional study and the sampling of this study was assisted by the Department of Statistics Malaysia to randomly selected a representative sample from Selangor. Two hundred and one older persons were successfully interviewed in their homes by using structured questionnaires. A new instrument to measure the elder self-neglect (ESN) was developed from this study. The scale yielded four factors, namely, ‘changes in attitude,’ ‘personal behavior and environment,’ ‘personal health and hygiene’ and ‘lifestyle.’ The reliability of this instrument and sub-scales shows sufficient internal consistency, with Cronbach alphas between 0.90-0.76 respectively. Multiple linear regression results showed that older age, lower ADL, higher depressive symptoms, and lower self-efficacy were significantly predicted elder self-neglect. Self-efficacy fully mediated the association between the social network on ESN, partially mediated ADL and depression on ESN. This study provides a deeper understanding of the phenomenon of elder self-neglect among older adults living in Selangor. The newly developed instrument from this study could be used by researchers and social care workers to identify the selfneglect older adults. The findings of this study are useful for therapists, counselors, gerontologists, and policymakers to develop programs and policies to identify, prevent and report elder self-neglect cases in the community. Older people - Social aspects - Malaysia 2016-06 Thesis http://psasir.upm.edu.my/id/eprint/69446/ http://psasir.upm.edu.my/id/eprint/69446/1/IPPM%202018%201%20-%20IR.pdf text en public doctoral Universiti Putra Malaysia Older people - Social aspects - Malaysia
institution	Universiti Putra Malaysia
collection	PSAS Institutional Repository
language	English
topic	Older people - Social aspects - Malaysia
spellingShingle	Older people - Social aspects - Malaysia Mardan, Homa Risk factors of self-neglect among community living older persons in Selangor, Malaysia
description	Older Malaysian recorded high prevalence of self-neglect compared to other types of elder abuse. The prevalence of elder self-neglect continues to rise due to population aging. This study aimed to develop an elder self-neglect instrument and identify predictors of self-neglect among community-dwelling older adults living at Selangor. In addition, this study also examines the mediating role of self-efficacy in the relationship between significant predictors on self-neglect. Self-care theory, selfefficacy theory and the biopsychosocial model form the theoretical background of this study. This was a cross-sectional study and the sampling of this study was assisted by the Department of Statistics Malaysia to randomly selected a representative sample from Selangor. Two hundred and one older persons were successfully interviewed in their homes by using structured questionnaires. A new instrument to measure the elder self-neglect (ESN) was developed from this study. The scale yielded four factors, namely, ‘changes in attitude,’ ‘personal behavior and environment,’ ‘personal health and hygiene’ and ‘lifestyle.’ The reliability of this instrument and sub-scales shows sufficient internal consistency, with Cronbach alphas between 0.90-0.76 respectively. Multiple linear regression results showed that older age, lower ADL, higher depressive symptoms, and lower self-efficacy were significantly predicted elder self-neglect. Self-efficacy fully mediated the association between the social network on ESN, partially mediated ADL and depression on ESN. This study provides a deeper understanding of the phenomenon of elder self-neglect among older adults living in Selangor. The newly developed instrument from this study could be used by researchers and social care workers to identify the selfneglect older adults. The findings of this study are useful for therapists, counselors, gerontologists, and policymakers to develop programs and policies to identify, prevent and report elder self-neglect cases in the community.
format	Thesis
qualification_level	Doctorate
author	Mardan, Homa
author_facet	Mardan, Homa
author_sort	Mardan, Homa
title	Risk factors of self-neglect among community living older persons in Selangor, Malaysia
title_short	Risk factors of self-neglect among community living older persons in Selangor, Malaysia
title_full	Risk factors of self-neglect among community living older persons in Selangor, Malaysia
title_fullStr	Risk factors of self-neglect among community living older persons in Selangor, Malaysia
title_full_unstemmed	Risk factors of self-neglect among community living older persons in Selangor, Malaysia
title_sort	risk factors of self-neglect among community living older persons in selangor, malaysia
granting_institution	Universiti Putra Malaysia
publishDate	2016
url	http://psasir.upm.edu.my/id/eprint/69446/1/IPPM%202018%201%20-%20IR.pdf
_version_	1747812699241185280

Risk factors of self-neglect among community living older persons in Selangor, Malaysia

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