A Structural Equation Model of the Factors Affecting Morale of a Select Group of Filipino Elderly in a Community Setting

Abstract

While morale among the elderly has been widely and extensively studied, results are varied and at times conflicting. Hence, the purpose of this study is to explore the factors affecting elderly morale of a select group of Filipinos in a community setting. A 64-item questionnaire was utilized to survey 323 Filipinos aged 60 and above residing in the National Capital Region of the Philippines in May 2013. Respondents completed a robotfoto, a checklist of chronic illnesses, and measures of the social support, functional ability, geriatric depression, and morale. Structural equation modeling was used to test the hypothesized model. Two competing models emerged in the study. Model 1 followed causal relationships indicated in the hypothesized model while model 2 considered modification indices that surfaced more acceptable fit indices (X²/df = 1.414, GFI [goodness of fit index] = 0.988, CFI [comparative fit index] = 0.987, RMSEA [root mean square error of approximation] = 0.036). Chronic illness, social support, and depression were found to be major predictors of morale. Number of chronic illnesses and depression were also found to have a negative relationship with functional ability, and chronic illness and social support were negatively correlated. Findings can assist health professionals such as nurses to identify the factors that shape elderly morale vis-a-vis the use of effective strategies that promote the well-being of elderly people. The emerging model can serve as reference to assess the effectiveness of quality of care rendered as manifested by morale.