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Park, Song, Cho, Lim, Song, Chang, and Park: Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness
Original Article

Journal of Korean Academy of Nursing 2015; 45(2): 192-201.

Published online: 30 April 2015

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

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

Chorong Park1, Misoon Song2, Belong Cho3, Jaeyoung Lim4, Wook Song5, HeeKyung Chang6, Yeon-Hwan Park2

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 21 August 2014       Revised 15 September 2014       Accepted 31 December 2014

© 2015 Korean Society of Nursing Science

(open-access):

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.

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

Figures and Tables

Figure 1

Study flow.

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Table 1

Description of Intervention

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Table 2

Baseline Characteristics of the Participants

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

Table 3

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

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

Notes

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

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