Does transpersonal trust moderate the association between chronic conditions and general practitioner visits in the oldest old? Results of the AgeCoDe and AgeQualiDe study. Issue 8 (24th June 2019)

• Record Type: Journal Article
• Authors: Hajek, André; Brettschneider, Christian; Eisele, Marion; Lühmann, Dagmar; Mamone, Silke; Wiese, Birgitt; Weyerer, Siegfried; Werle, Jochen; Fuchs, Angela; Pentzek, Michael; Stein, Janine; Luck, Tobias; Weeg, Dagmar; Mösch, Edelgard; Heser, Kathrin; Wagner, Michael; Scherer, Martin; Maier, Wolfgang; Riedel‐Heller, Steffi G; König, Hans‐Helmut
• Other Names: Maier Wolfgang investigator.; Scherer Martin investigator.; Riedel‐Heller Steffi G investigator.; Abholz Heinz Harald investigator.; Brettschneider Christian investigator.; Bachmann Cadja investigator.; Bickel Horst investigator.; Blank Wolfgang investigator.; Eifflaender‐Gorfer Sandra investigator.; Eisele Marion investigator.; Ernst Annette investigator.; Fuchs Angela investigator.; Hajek André investigator.; Heser Kathrin investigator.; Jessen Frank investigator.; Kaduszkiewicz Hanna investigator.; Kaufeler Teresa investigator.; Köhler Mirjam investigator.; König Hans‐Helmut investigator.; Koppara Alexander investigator.; Lubisch Diana investigator.; Luck Tobias investigator.; Lühmann Dagmar investigator.; Luppa Melanie investigator.; Mallon Tina investigator.; Mayer Manfred investigator.; Mösch Edelgard investigator.; Pentzek Michael investigator.; Prokein Jana investigator.; Ramirez Alfredo investigator.; Roehr Susanne investigator.; Schumacher Anna investigator.; Stein Janine investigator.; Steinmann Susanne investigator.; Tebarth Franziska investigator.; van den Bussche Hendrik investigator.; van der Leeden Carolin investigator.; Wagner Michael investigator.; Weckbecker Klaus investigator.; Weeg Dagmar investigator.; Werle Jochen investigator.; Weyerer Siegfried investigator.; Wiese Birgitt investigator.; Wolfsgruber Steffen investigator.; Zimmermann Thomas investigator.;
• Is Part Of: Geriatrics and gerontology international. Volume 19:Issue 8(2019)
• Page Start: 705
• Page End: 710
• Publication Date: 2019-06-24
• Subjects: aged ≥80 years -- health care -- health services for the aged -- religious beliefs -- trust; Geriatrics -- Periodicals; Gerontology -- Periodicals; Geriatrics -- Japan -- Periodicals; Gerontology -- Japan -- Periodicals; 618.97
• DOI: 10.1111/ggi.13693
• Languages: English
• ISSNs: 1444-1586

Abstract

Abstract : Aim: The purpose of this study was to investigate whether transpersonal trust (TPT) moderates the relationship between chronic conditions and general practitioner (GP) visits among the oldest old in Germany. Methods: The multicenter prospective cohort Study on Needs, health service use, costs and health‐related quality of life in a large sample of oldest old primary care patients (85+) (AgeQualiDe) was carried out. Individuals were recruited through GP offices at six study centers in Germany (follow‐up wave 7). Primary care patients were aged ≥85 years ( n = 861, mean age 89.0 years; range 85–100 years). The self‐reported number of outpatient visits to the GP was used as the outcome measure. To explore religious and spiritual beliefs, the short form of the Transpersonal Trust scale was used. The presence or absence of 36 chronic conditions was recorded by the GP. Results: Multiple Poisson regressions showed that GP visits were positively associated with the number of chronic conditions (incidence rate ratio 1.03, P < 0.05). TPT moderated the relationship between chronic conditions and GP visits (incidence rate ratio 1.01, P < 0.05). The association between chronic conditions and GP visits was significantly more pronounced when TPT was high. Conclusion: Our findings highlight the importance of TPT in the relationship between chronic conditions and GP visits. Future longitudinal studies are required to clarify this subject further.Geriatr Gerontol Int 2019; 19: 705–710 .