Motivational orientation and influencing factors of older adults with chronic obstructive pulmonary disease in community dwellings: a latent profile analysis.
5 affiliations
- 1The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, 3 Kangfu Qian Street, Erqi District, Zhengzhou, Henan, 450052, China.
- 2School of Nursing and Health, Zhengzhou University, No.101, Science Avenue, Zhengzhou, Henan, China. [email protected].
- 3School of Nursing and Health, Zhengzhou University, No.101, Science Avenue, Zhengzhou, Henan, China.
- 4World eHealth Living Lab, Leiden University Medical Center, Leiden, Netherlands.
- 5The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, 3 Kangfu Qian Street, Erqi District, Zhengzhou, Henan, 450052, China. [email protected].
Abstract
Background
Chronic obstructive pulmonary disease (COPD) poses a serious threat to older adults' health. Promoting the adoption of health behaviors among community-dwelling patients is essential for improving prognosis, with motivational orientation serving as a key determinant of health behaviors. Therefore, this study aims to identify latent categories of motivational orientation and its influencing factors among community-based older adults with COPD.Methods
This study was conducted between November 2024 and March 2025, with 246 patients from the communities at two community health centers in China. Data were collected using the general information questionnaire, the Behavioral Inhibition/ Activation System Scale, the Generalized Anxiety Disorder 7-item Scale and the Center for Epidemiological Studies Depression Scale. A latent profile analysis was performed to analyze latent categories of motivational orientation. Multiple logistic regression was used to analyze the influencing factors of their latent profiles.Results
Three latent categories of motivational orientation among COPD patients were identified: 'avoidance motivation dominated group'(10.2%), 'conflict motivation group' (29.7%) and 'approach motivation dominated group' (60.1%). The best-fitting model demonstrated robust fit indices: AIC = 4484.372, BIC = 4547.468, aBIC = 4490.409, Entropy = 0.983. Patients with higher depression scores were more likely to be in the 'avoidance motivation dominated group' than those in the 'conflict motivation group' (OR = 1.506, 95% CI: 1.230-1.842). Patients with younger age (OR = 0.480, 95% CI: 0.288-0.802), higher income (OR = 3.257, 95% CI: 1.486-7.140), and shorter duration of illness (OR = 0.608, 95% CI: 0.377-0.982) were more likely to be in the 'approach motivation dominated group'.Conclusion
In clinical practice, older COPD patients present significant variations in motivational orientation, these differences are influenced by individual characteristics such as age, long disease duration, and psychological factors. Healthcare professionals should provide individualized psychological support and health education programs to promote the development of proactive health behaviors.
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BibTeX
@article{wang2026motivational,
title = {{Motivational orientation and influencing factors of older adults with chronic obstructive pulmonary disease in community dwellings: a latent profile analysis.}},
author = {Luxin Wang and Yanfei Liu and Xiaoyue Song and Han Su and Xiao Ruan and Xincan Zhou and Zhiyue Li and Weihong Zhang},
journal = {BMC geriatrics},
year = {2026},
month = aug,
doi = {10.1186/s12877-026-08130-1},
url = {https://europepmc.org/article/MED/42907974},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Motivational orientation and influencing factors of older adults with chronic obstructive pulmonary disease in community dwellings: a latent profile analysis.
AU - Luxin Wang
AU - Yanfei Liu
AU - Xiaoyue Song
AU - Han Su
AU - Xiao Ruan
AU - Xincan Zhou
AU - Zhiyue Li
AU - Weihong Zhang
PY - 2026
DA - 2026/08/01
JO - BMC geriatrics
DO - 10.1186/s12877-026-08130-1
UR - https://europepmc.org/article/MED/42907974
AB - Background Chronic obstructive pulmonary disease (COPD) poses a serious threat to older adults' health. Promoting the adoption of health behaviors among community-dwelling patients is essential for improving prognosis, with motivational orientation serving as a key determinant of health behaviors. Therefore, this study aims to identify latent categories of motivational orientation and its influencing factors among community-based older adults with COPD.Methods This study was conducted between November 2024 and March 2025, with 246 patients from the communities at two community health centers in China. Data were collected using the general information questionnaire, the Behavioral Inhibition/ Activation System Scale, the Generalized Anxiety Disorder 7-item Scale and the Center for Epidemiological Studies Depression Scale. A latent profile analysis was performed to analyze latent categories of motivational orientation. Multiple logistic regression was used to analyze the influencing factors of their latent profiles.Results Three latent categories of motivational orientation among COPD patients were identified: 'avoidance motivation dominated group'(10.2%), 'conflict motivation group' (29.7%) and 'approach motivation dominated group' (60.1%). The best-fitting model demonstrated robust fit indices: AIC = 4484.372, BIC = 4547.468, aBIC = 4490.409, Entropy = 0.983. Patients with higher depression scores were more likely to be in the 'avoidance motivation dominated group' than those in the 'conflict motivation group' (OR = 1.506, 95% CI: 1.230-1.842). Patients with younger age (OR = 0.480, 95% CI: 0.288-0.802), higher income (OR = 3.257, 95% CI: 1.486-7.140), and shorter duration of illness (OR = 0.608, 95% CI: 0.377-0.982) were more likely to be in the 'approach motivation dominated group'.Conclusion In clinical practice, older COPD patients present significant variations in motivational orientation, these differences are influenced by individual characteristics such as age, long disease duration, and psychological factors. Healthcare professionals should provide individualized psychological support and health education programs to promote the development of proactive health behaviors.
SN - 1471-2318
ER -