Self-Perception of Aging and Engagement in the context of chronic diseases

The worldwide increase in the elderly population presents significant public health challenges, particularly regarding the management of chronic diseases among older individuals. Engaging patients in their healthcare has become necessary for reducing medical costs, enhancing service efficiency, and promoting healthier lifestyles. The concept of Self-Perception of Aging (SPA) has emerged as a pivotal research area due to its critical role in enhancing the adoption of health-promoting behaviours and influencing the adjustment to chronic illness, thereby significantly impacting health outcomes. Grounded in the theoretical frameworks of Life Span Perspective, Common Sense Model of Illness Representation, and Patient Health Engagement (PHE), this study explores the pathways through which SPA and Illness Representation (IR), another well-established health-related factor, jointly influence the quality of life (QoL) of older individuals with chronic diseases, assessing the mediating role of patient engagement in healthcare. As part of the Age-It project, which is aimed at identifying psychological determinants for healthy aging in the context of chronic conditions, this preliminary study intends to assess the associations between SPA, IR, PHE, and QoL among older adults who are living with chronic illnesses. With a quantitative cross-sectional design, data from individuals aged 60 years and over will be collected. Preliminary results will be discussed. Findings may offer valuable contributions for improving health-promotion interventions aimed at the elderly with chronic illnesses. Strategies could be markedly enhanced by incorporating psychological aspects of aging and promoting a comprehensive view of aging that acknowledges both challenges and opportunities for growth.