Empowerment programs focusing on chronically ill older persons remain limited, fragmented, complex in approach, and lacking in nursing theoretical background. The aim of the study was to test the effects of the goal attainment theory-based empowerment (GATE) on self-efficacy and health empowerment among chronically ill older persons in the community. This is a quasi-experimental with non-equivalent control group pre-test post-test study. Older persons aged 60 years old and above living in an urban community with at least one chronic condition namely hypertension, coronary artery disease and diabetes mellitus were recruited in two health centers. The participants were randomized into control and intervention groups. The GATE intervention integrated Imogene King's goal attainment theory and empowerment principles in a phone-assisted follow-up. Data were collected at baseline and four weeks after the intervention. A total of 59 participants completed the study. Both intervention (n= 30) and control groups (n= 29) were homogenous in baseline characteristics except for personal monthly income. The intervention group had significantly higher health empowerment than the control group after four weeks. Although self-efficacy did not differ between the groups, there was a significant increase in the intervention group from baseline. Preliminary findings showed that GATE improves health empowerment and self-efficacy of chronically ill older persons in the community. Goals of chronic disease management should be shaped by the older person's health goals and life situation. Further studies are needed to explore the use of nursing theory, empowerment framework and technology in caring for older persons with chronic conditions.

Human ; Male ; Female ; Aged ; Coronary Artery Disease ; Self Efficacy ; Goals ; Nursing Theory ; Diabetes Mellitus ; Hypertension ; Chronic Disease

The paper looked into dynamics and variances of the manifestation of gratitude towards the older persons utilizing qualitative survey design. A total of 300 study participants, which include the young millennials, mid-lifers and older generation groups, were interviewed. The tool used was a simple interview guide for a freewheeling interview with storytelling style. Three-level classification of qualitative survey analysis was used. The findings revealed how family, work and societal changes have contributed to the changes in the manifestation of gratitude. The changes in the social structure and the demand to cope with these changes have caused the gap between the desire of the older persons to be respected and how the younger generations have shown this to them. Gratitude, which is manifestation of respect, has evolved and is now shown differently across intergenerational groups and seems to be experienced similarly across nations. The younger generations have a different view on respect in comparison with the older generations.

Human ; Female ; Aged 80 And Over ; Aged (a Person 65 Through 79 Years Of Age) ; Middle Aged (a Person 45-64 Years Of Age) ; Culture