Wheel of Wellness Counseling in Community Dwelling, Korean Elders: A Randomized, Controlled Trial.
10.4040/jkan.2015.45.3.459
- Author:
So Hi KWON
1
Author Information
1. College of Nursing, Kyungpook National University, Deagu, Korea. sh235@knu.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
- Keywords:
Aged;
Community health nursing;
Health promotion;
Randomized controlled trial
- MeSH:
Adaptation, Psychological;
Aged;
Asian Continental Ancestry Group;
*Counseling;
Demography;
Depression/physiopathology;
Exercise;
Female;
Health Behavior;
Health Promotion;
Humans;
Independent Living;
Life Style;
Male;
Nutrition Assessment;
*Program Evaluation;
Quality of Life;
Republic of Korea
- From:Journal of Korean Academy of Nursing
2015;45(3):459-468
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. METHODS: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. RESULTS: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p=.033), nutrition (p=.017), exercise (p=.039), self-care (p <.001), stress management (p=.017), work (p=.011), perceived wellness (p=.019), and depression (p=.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. CONCLUSION: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.
