Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness.
10.4040/jkan.2015.45.2.192
- Author:
Chorong PARK
1
;
Misoon SONG
;
Belong CHO
;
Jaeyoung LIM
;
Wook SONG
;
Heekyung CHANG
;
Yeon Hwan PARK
Author Information
1. Yale School of Nursing, New Haven, U.S.A.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Empowerment;
Self-management;
Aged;
Chronic illness;
Exercise
- MeSH:
Aged;
Aged, 80 and over;
Chronic Disease;
Exercise;
Female;
Health Education;
Humans;
Male;
Motor Activity;
*Power (Psychology);
*Program Evaluation;
Self Care/*methods;
Self Efficacy
- From:Journal of Korean Academy of Nursing
2015;45(2):192-201
- CountryRepublic of Korea
- Language:Korean
-
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.
