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

Affiliations
  • 1Yale School of Nursing, New Haven, U.S.A.
  • 2College of Nursing, Seoul National University, Seoul, Korea. hanipyh@snu.ac.kr
  • 3The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
  • 4Department of Family Medicine, College of Medicine, Seoul National University, Seoul, Korea.
  • 5Department of Rehabilitation Medicine, College of Medicine, Seoul National University, Seoul, Korea.
  • 6Department of Physical Education, Seoul National University, Seoul, Korea.
  • 7Seoul Women's College of Nursing, Seoul, Korea.

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

  • Figure 1 Study flow.


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Health Empowerment of Older Adults with High-risk of Cardio-cerebrovascular Diseases
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