Chorong Park; Misoon Song; Belong Cho; Jaeyoung Lim; Wook Song; HeeKyung Chang; Yeon-Hwan Park

doi:10.4040/jkan.2015.45.2.192

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Original Article
Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness: Chorong Park, Misoon Song, Belong Cho, Jaeyoung Lim, Wook Song, HeeKyung Chang, Yeon-Hwan Park; Journal of Korean Academy of Nursing 2015;45(2):192-201.
DOI: https://doi.org/10.4040/jkan.2015.45.2.192
Published online: April 30, 2015

¹Yale School of Nursing, New Haven, U.S.A.

²College of Nursing·The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

³Department of Family Medicine, College of Medicine, Seoul National University, Seoul, Korea.

⁴Department of Rehabilitation Medicine, College of Medicine, Seoul National University, Seoul, Korea.

⁵Department of Physical Education, Seoul National University, Seoul, Korea.

⁶Seoul Women's College of Nursing, Seoul, Korea.

Address reprint requests to: Park, Yeon-Hwan. RM 509, College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Korea. Tel: +82-2-740-8846, Fax: +82-2-765-4103, hanipyh@snu.ac.kr

• Received: August 21, 2014 • Revised: September 15, 2014 • Accepted: December 31, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

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.
Keywords: Empowerment; Self-management; Aged; Chronic illness; Exercise

This work was supported by the Seoul National University Brain Fusion Program Research Grant.

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Figure 1

Study flow.

Table 1

Description of Intervention

Table 2

Baseline Characteristics of the Participants

^*Multiple answers were allowed; Exp.=Experimental group; Cont.=Control group.

Table 3

Changes in Outcome Variables from Baseline to 24-week Follow-up

^*by one-way repeated measured ANOVA; ^†by mixed ANOVA; ^‡Effect size; Exp.=Experimental group (n=22); Cont.=Control group (n=21).

Figure & Data

REFERENCES

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Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness

J Korean Acad Nurs. 2015;45(2):192-201. Published online April 30, 2015

DOI: https://doi.org/10.4040/jkan.2015.45.2.192

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Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness

Figure 1 Study flow.

Figure 1

Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness

Table 1

Description of Intervention

Table 2

Baseline Characteristics of the Participants

^*Multiple answers were allowed; Exp.=Experimental group; Cont.=Control group.

Table 3

Changes in Outcome Variables from Baseline to 24-week Follow-up

^*by one-way repeated measured ANOVA; ^†by mixed ANOVA; ^‡Effect size; Exp.=Experimental group (n=22); Cont.=Control group (n=21).

Table 1 Description of Intervention

Table 2 Baseline Characteristics of the Participants

^*Multiple answers were allowed; Exp.=Experimental group; Cont.=Control group.

Table 3 Changes in Outcome Variables from Baseline to 24-week Follow-up

^*by one-way repeated measured ANOVA; ^†by mixed ANOVA; ^‡Effect size; Exp.=Experimental group (n=22); Cont.=Control group (n=21).