Title

Help-seeking for mental health problems among older adults with chronic disease: An application of the theory of planned behaviour

Author Identifier

Eyal Gringart

ORCID : 0000-0002-6683-3879

Natalie Strobel

ORCID : 0000-0002-2962-5704

Document Type

Journal Article

Publication Title

Australian Journal of Psychology

Volume

73

Issue

4

Publisher

Taylor & Francis

School

School of Arts and Humanities / Kurongkurl Katitjin

RAS ID

38925

Comments

This is an Accepted Manuscript of an article published by Taylor & Francis in AUSTRALIAN JOURNAL OF PSYCHOLOGY on 19/07/2021, available online: http://www.tandfonline.com/10.1080/00049530.2021.1952850.

Adams, C., Gringart, E., Strobel, N., & Masterman, P. (2021). Help-seeking for mental health problems among older adults with chronic disease: An application of the theory of planned behaviour. Australian Journal of Psychology, 73 (4), p. 426-437.

https://doi.org/10.1080/00049530.2021.1952850

Abstract

Objective:

Despite high risk for mental health problems, older adults with chronic diseases underutilise mental health services. This study applied the Theory of Planned Behaviour (TPB) to understand mental health help-seeking intentions among this population and identified factors which influence help-seeking intentions.

Method:

We conducted a cross-sectional study with a non-clinical sample of 108 older adults aged 65 years or over, living with cardiovascular disease, respiratory disease, and/or type 2 diabetes. TPB variables (attitudes, subjective norms, and perceived behavioural control), intentions to seek help, and additional factors (past help-seeking behaviour, quality of life, and physical health) were assessed using standardised questionnaires. Multiple linear regressions were conducted to identify predictors of help-seeking intentions.

Results:

41% of the participants did not intend to seek help, and all three TPB variables were associated with help-seeking intentions. The traditional TPB model accounted for 69.7% of the variance in intentions, and the extended TPB model accounted for an additional 1.6% of the variance.

Conclusions:

Attitudes and perceived behavioural control have the strongest association with help-seeking intentions among older adults with chronic disease. Further research is needed to identify predictors of mental health help-seeking behaviour and to develop interventions to promote help-seeking in this population.

KEY POINTS

What is already known about this topic:

1. Older adults aged 65 years or over living with chronic disease are at an increased risk of mental health decline.

2. Older adults underutilise mental health services, and consequently mental health problems often go undiagnosed and untreated in this population.

3. A growing body of research has demonstrated the utility of the Theory of Planned Behaviour in predicting intentions to seek mental health support services.

What this topic adds:

1. Most older adults with chronic disease have some intention to seek professional mental health support when needed.

2. Older adults with chronic disease have a high perceived ability to seek professional help.

3. Promoting favourable attitudes towards mental health help-seeking is likely to facilitate the greatest change in help-seeking intentions in the present population.

Additional Information

Supplementary information :

https://doi.org/10.1080/00049530.2021.1952850

DOI

10.1080/00049530.2021.1952850

Research Themes

Health

Priority Areas

Exercise, nutrition, lifestyle and other interventions for optimal health across the lifespan

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