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.

REFERENCES

1. Chung K, Lee YK, Lee SJ, Lee YH. Analysis of the survey of living conditions and welfare needs of Korean older persons. Seoul: Korea Institute for Health and Social Affairs; 2012.Report No.: Research Report 2012-47-14.
2. Centers for Disease Control and Prevention. Deaths and mortality [Internet]. Atlanta, GA, Author. 2012;cited 2014 July 7. Available from: http://www.cdc.gov/nchs/fastats/deaths.htm
3. Norris SL, High K, Gill TM, Hennessy S, Kutner JS, Reuben DB, et al. Health care for older Americans with multiple chronic conditions: A research agenda. J Am Geriatr Soc. 2008;56(1):149–159. Article PubMed
4. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: The chronic care model, Part 2. JAMA. 2002;288(15):1909–1914.Article PubMed
5. Jordan JE, Briggs AM, Brand CA, Osborne RH. Enhancing patient engagement in chronic disease self-management support initiatives in Australia: The need for an integrated approach. Med J Aust. 2008;189:10 Suppl. S9–S13.Article PubMed PDF
6. Huffman M. Health coaching: A new and exciting technique to enhance patient self-management and improve outcomes. Home Healthc Nurse. 2007;25(4):271–274. PubMed
7. Newman SP. Chronic disease self-management approaches within the complex organisational structure of a health care system. Med J Aust. 2008;189:10 Suppl. S7–S8.Article PubMed PDF
8. Anderson RM, Funnell MM. Patient empowerment: Reflections on the challenge of fostering the adoption of a new paradigm. Patient Educ Couns. 2005;57(2):153–157. Article PubMed
9. Tang TS, Funnell MM, Brown MB, Kurlander JE. Self-management support in "real-world" settings: An empowerment-based intervention. Patient Educ Couns. 2010;79(2):178–184. Article PubMed
10. Rogers ES, Chamberlin J, Ellison ML, Crean T. A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatr Serv. 1997;48(8):1042–1047.Article PubMed
11. Shearer NB. Health empowerment theory as a guide for practice. Geriatr Nurs. 2009;30:2 Suppl. 4–10. Article PubMed PMC
12. Anderson RM, Funnell MM, Aikens JE, Krein SL, Fitzgerald JT, Nwankwo R, et al. Evaluating the efficacy of an empowerment-based self-management consultant intervention: Results of a two-year randomized controlled trial. Ther Patient Educ. 2009;1(1):3–11. Article PubMed PMC
13. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.Article PubMed
14. Moattari M, Ebrahimi M, Sharifi N, Rouzbeh J. The effect of empowerment on the self-efficacy, quality of life and clinical and laboratory indicators of patients treated with hemodialysis: A randomized controlled trial. Health Qual Life Outcomes. 2012;10:115Article PubMed PMC
15. Pellino T, Tluczek A, Collins M, Trimborn S, Norwick H, Engelke ZK, et al. Increasing self-efficacy through empowerment: Preoperative education for orthopaedic patients. Orthop Nurs. 1998;17(4):48–51.PubMed
16. Royani Z, Rayyani M, Behnampour N, Arab M, Goleij J. The effect of empowerment program on empowerment level and self-care self-efficacy of patients on hemodialysis treatment. Iran J Nurs Midwifery Res. 2013;18(1):84–87.PubMed PMC
17. Anderson RM, Fitzgerald JT, Gruppen LD, Funnell MM, Oh MS. The diabetes empowerment scale-short form (DES-SF). Diabetes Care. 2003;26(5):1641–1642.Article PDF
18. Bernard M. Promoting health in old age: Critical issues in self health care. Buckingham, UK: Open University Press; 2000.
19. de Vries NM, van Ravensberg CD, Hobbelen JS, Olde Rikkert MG, Staal JB, Nijhuis-van der Sanden MW. Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: A meta-analysis. Ageing Res Rev. 2012;11(1):136–149. Article PubMed
20. Centers for Disease Control and Prevention. How much physical activity do older adults need?: Physical activity is essential to healthy aging [Internet]. Atlanta, GA, Author. 2014;cited 2014 July 7. Available from: http://www.cdc.gov/physicalactivity/everyone/guidelines/olderadults.html
21. Centers for Medicare & Medicaid Services. Chronic conditions data warehouse: Condition categories [Internet]. Baltimore, MD, Author. 2011;cited 2014 July 7. Available from: https://www.ccwdata.org/web/guest/condition-categories
22. Park C, Park YH. Validity and reliability of Korean version of health empowerment scale (K-HES) for older adults. Asian Nurs Res. 2013;7(3):142–148. Article
23. Gortner SR, Jenkins LS. Self-efficacy and activity level following cardiac surgery. J Adv Nurs. 1990;15(10):1132–1138.Article PubMed
24. Gu MO. A structural model for self care behavior and metabolic control in diabetic patient [dissertation]. Seoul, Seoul National University. 1992.
25. Chun MY. Validity and reliability of Korean version of international physical activity questionnaire short form in the elderly. Korean J Fam Med. 2012;33(3):144–151. Article PubMed PMC
26. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85–M94.Article PubMed
27. Brown SA, Garcia AA, Kouzekanani K, Hanis CL. Culturally competent diabetes self-management education for Mexican Americans: The starr county border health initiative. Diabetes Care. 2002;25(2):259–268.PubMed
28. Chang AK, Fritschi C, Kim MJ. Nurse-led empowerment strategies for hypertensive patients with metabolic syndrome. Contemp Nurse. 2012;42(1):118–128. Article PubMed
29. Manini TM, Pahor M. Physical activity and maintaining physical function in older adults. Br J Sports Med. 2009;43(1):28–31. Article PubMed

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).