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Effects of a Customized Health Promotion Program on Depression, Cognitive Functioning, and Physical Health of Elderly Women Living Alone in Community: A Cluster Randomized Controlled Trial
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Ye Ri Ja Park, Kyeong-Yae Sohng
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J Korean Acad Nurs 2019;49(5):515-525. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.5.515
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 Abstract
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- Abstract
Purpose
This study aimed to evaluate the effectiveness of a customized health promotion program (CHPP) on depression, cognitive functioning, and physical health of elderly women living alone in the community.
Methods
A randomized comparison of pre-and post-test design was used with 62 participants assigned to either an intervention (n=32 in seven clusters) or a control group (n=30 in seven clusters) in 14 areas of a town. The final sample included 30 intervention participants who completed the CHPP for 10 weeks, and 26 control participants. The intervention group participated in the CHPP weekly; they were provided with instructions about coping with their chronic illnesses, lifestyle modification, risk management, providing emotional support to each other, and floor-seated exercise, which they were encouraged to do three times a week in their homes.
Results
Significant group differences were found in depression (U=48.50, p<.001), cognitive functioning (U=2.50, p<.001), left arm flexibility (U=251.50, p=.023), right arm flexibility (U=225.00, p=.007), static balance (U=237.00, p=.012), and gait ability (U=190.50, p=.004). However, there were no significant differences in bothgrip strength and muscle mass between the two groups.
Conclusion
The findings indicate that CHPP was overall effective at improving depression, cognitive functioning, and physical functioning of elderly women living alone, and could therefore be considered a positive program for community-dwelling elderly women living alone.
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Citations
Citations to this article as recorded by  - Outcomes of the Together for Life Program in Community-Dwelling Older Adults Living Alone: A Pilot Study
Hye Seung Choi, Younghye Park, Hae-Ra Han, Jong-Eun Lee
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Cochrane Database of Systematic Reviews.2023;[Epub] CrossRef - Effects of Physical Health Status, Social Support, and Depression on Quality of Life in the Korean Community-Dwelling Elderly
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International Journal of Environmental Research and Public Health.2021; 18(15): 8198. CrossRef
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