J Korean Acad Nurs.  2015 Apr;45(2):192-201. 10.4040/jkan.2015.45.2.192.

Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness

• Park C
• Song M
• Cho B
• Lim J
• Song W
• Chang H
• Park YH

• KMID: 2359857
• DOI: http://doi.org/10.4040/jkan.2015.45.2.192

Abstract

PURPOSE
The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness.
METHODS
A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function.
RESULTS
Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups.
CONCLUSION
The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

Keyword

Empowerment; Self-management; Aged; Chronic illness; Exercise

MeSH Terms

Aged
Aged, 80 and over
Chronic Disease
Exercise
Female
Health Education
Humans
Male
Motor Activity
*Power (Psychology)
*Program Evaluation
Self Care/*methods
Self Efficacy

Figure

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  Figure 1 Study flow.

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