Volume 20, Issue 1 (4-2023)
J Res Dev Nurs Midw 2023, 20(1): 56-60 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mehrab-Mohseni T, Pashaeypoor S, Nazari S, Sharifi F. The effects of self-care education based on the family-centered empowerment model on functional independence and life satisfaction among community-dwelling older adults: A randomized controlled trial. J Res Dev Nurs Midw 2023; 20 (1) :56-60
URL: http://nmj.goums.ac.ir/article-1-1430-en.html
URL: http://nmj.goums.ac.ir/article-1-1430-en.html
1- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- Community Based Participatory Research Center, Iranian Institute for Reduction of High – Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran ,sh-pashaeipour@tums.ac.ir
3- Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Research Institute, Tehran University of Medical Sciences, Tehran, Iran
2- Community Based Participatory Research Center, Iranian Institute for Reduction of High – Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran ,
3- Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (812 Views)
Background: Self-care is an indicator of power and independence among older adults. Family can increase older adults’ motivation and desire for engagement in self-care activities. This study aimed to determine the effects of self-care education based on the family-centered empowerment model (FCEM) on functional independence and life satisfaction among community-dwelling older adults.
Methods: This randomized clinical trial was conducted on 126 community-dwelling older adults from local sociocultural centers in 2021. They purposively recruited and randomly allocated to control (n = 63) and intervention (n = 63) groups. The intervention group received FCEM-based self-care education in six 1.5-hour weekly sessions. The education focused on the physical, psychoemotional, social, and spiritual aspects of self-care and was based on the 4 steps of FCEM: perceived threat, problem-solving, educational participation, and evaluation. Katz Index of Independence in Activities of Daily Living (Katz ADL Index) and Zest Life Satisfaction Index were respectively used for independence and satisfaction assessments before and 8 weeks after the study intervention. The data were analyzed using SPSS version 16 and through the Kolmogorov-Smirnov, Mann-Whitney U, Wilcoxon, and chi-square tests.
Results: The mean age was 67.57 ± 4.62 years in the intervention group and 67.08 ± 4.62 years in the control group. There were no significant differences between the intervention and control groups respecting the pretest mean scores of life satisfaction (16.54 ± 4.46 vs 16.68 ± 4.23; P = 0.963) and functional independence (4.78 ± 1.15 vs 5.11 ± 1.00; P = 0.107). The posttest mean score of functional independence was also insignificant (5.52 ± 0.692 vs 5.24 ± 0.911; P = 0.92) between the 2 groups. However, the Mann-Whitney U test showed that the posttest mean score of life satisfaction was significantly greater in the intervention group than in the control group (18.95 ± 4.36 vs 16.13 ± 4.41; P = 0.001).
Conclusion: FCEM-based self-care education effectively improves life satisfaction among community-dwelling older adults.
Methods: This randomized clinical trial was conducted on 126 community-dwelling older adults from local sociocultural centers in 2021. They purposively recruited and randomly allocated to control (n = 63) and intervention (n = 63) groups. The intervention group received FCEM-based self-care education in six 1.5-hour weekly sessions. The education focused on the physical, psychoemotional, social, and spiritual aspects of self-care and was based on the 4 steps of FCEM: perceived threat, problem-solving, educational participation, and evaluation. Katz Index of Independence in Activities of Daily Living (Katz ADL Index) and Zest Life Satisfaction Index were respectively used for independence and satisfaction assessments before and 8 weeks after the study intervention. The data were analyzed using SPSS version 16 and through the Kolmogorov-Smirnov, Mann-Whitney U, Wilcoxon, and chi-square tests.
Results: The mean age was 67.57 ± 4.62 years in the intervention group and 67.08 ± 4.62 years in the control group. There were no significant differences between the intervention and control groups respecting the pretest mean scores of life satisfaction (16.54 ± 4.46 vs 16.68 ± 4.23; P = 0.963) and functional independence (4.78 ± 1.15 vs 5.11 ± 1.00; P = 0.107). The posttest mean score of functional independence was also insignificant (5.52 ± 0.692 vs 5.24 ± 0.911; P = 0.92) between the 2 groups. However, the Mann-Whitney U test showed that the posttest mean score of life satisfaction was significantly greater in the intervention group than in the control group (18.95 ± 4.36 vs 16.13 ± 4.41; P = 0.001).
Conclusion: FCEM-based self-care education effectively improves life satisfaction among community-dwelling older adults.
Keywords: Self-care, Family-Centered Empowerment Model, Functional Status, Life satisfaction, Frail elderly
Type of Study: Original Article |
Subject:
Nursing
References
1. Nguyen C, Leanos S, Natsuaki MN, Rebok GW, Wu R. Adaptation for growth via learning new skills as a means to long-term functional independence in older adulthood: Insights from emerging adulthood. Gerontologist. 2020;60(1):4-11. [View at Publisher] [DOI] [PMID] [Google scholar]
2. Rodríguez‐Gómez I, Mañas A, Losa‐Reyna J, Rodríguez‐Mañas L, Chastin SF, Alegre LM, et al. Prospective changes in the distribution of movement behaviors are associated with bone health in the elderly according to variations in their frailty levels. J Bone Miner Res. 2020;35(7):1236-45. [View at Publisher] [DOI] [PMID] [Google scholar]
3. Chang SH, Yu C-l, Chen M-c. Building a cohesive partnership: Perspectives of staff caregivers on improving self-care independence among older adults living in long-term care facilities. Journal of Aging and Long-Term Care. 2018;1(3):101-7. [View at Publisher] [DOI] [PMID] [Google scholar]
4. Hattori S, Yoshida T, Okumura Y, Kondo K. Effects of reablement on the independence of community-dwelling older adults with mild disability: a randomized controlled trial. Int J Environ Res Public Health. 2019;16(20):3954. [View at Publisher] [DOI] [PMID] [Google scholar]
5. Toledano-González A, Labajos-Manzanares T, Romero-Ayuso D. Well-being, self-efficacy and independence in older adults: a randomized trial of occupational therapy. Arch Gerontol Geriatr. 2019;83:277-84. [View at Publisher] [DOI] [PMID] [Google scholar]
6. Şahin DS, Özer Ö, Yanardağ MZ. Perceived social support, quality of life and satisfaction with life in elderly people. Educational Gerontology. 2019;45(1):69-77. [View at Publisher] [DOI] [Google scholar]
7. Khodabakhsh S. Factors affecting life satisfaction of older adults in Asia: A systematic review. Journal of Happiness Studies. 2022;23(3):1289-304. [View at Publisher] [DOI] [Google scholar]
8. Qin W, Xu L, Sun L, Li J, Ding G, Wang Q, et al. Association between frailty and life satisfaction among older people in Shandong, China: the differences in age and general self‐efficacy. Psychogeriatrics. 2020;20(2):172-9. [View at Publisher] [DOI] [PMID] [Google scholar]
9. Phulkerd S, Thapsuwan S, Chamratrithirong A, Gray RS. Influence of healthy lifestyle behaviors on life satisfaction in the aging population of Thailand: a national population-based survey. BMC Public Health. 2021;21(1):43. [View at Publisher] [DOI] [PMID] [Google scholar]
10. Tzeng H-M. Older Adults' Demographic Social Determinants of Organizing Personal Healthcare Self-Care. Medsurg Nursing. 2020;29(5):321-6,342. [View at Publisher] [Google scholar]
11. Xiang X, Freedman VA, Shah K, Hu RX, Stagg BC, Ehrlich JR. Self-reported vision impairment and subjective well-being in older adults: a longitudinal mediation analysis. J Gerontol A Biol Sci Med Sci. 2020;75(3):589-95. [View at Publisher] [DOI] [PMID] [Google scholar]
12. Wong AKC, Bayuo J, Wong FKY, Yuen WS, Lee AYL, Chang PK, et al. Effects of a nurse-led telehealth self-care promotion program on the quality of life of community-dwelling older adults: Systematic review and meta-analysis. J Med Internet Res. 2022;24(3):e31912. [View at Publisher] [DOI] [PMID] [Google scholar]
13. Iovino P, De Maria M, Matarese M, Vellone E, Ausili D, Riegel B. Depression and self‐care in older adults with multiple chronic conditions: a multivariate analysis. J Adv Nurs. 2020;76(7):1668-78. [View at Publisher] [DOI] [PMID] [Google scholar]
14. Tabrizi JS, Behghadami MA, Saadati M, Söderhamn U. Self-care ability of older people living in urban areas of northwestern Iran. Iran J Public Health. 2018;47(12):1899-905. [View at Publisher] [PMID] [Google scholar]
15. Vicente MC, Silva CRRd, Pimenta CJL, Bezerra TA, Lucena HKVd, Valdevino SC, et al. Functional capacity and self-care in older adults with diabetes mellitus. Aquichan. 2020;20(3):1-11. [View at Publisher] [DOI] [Google scholar]
16. David D, Dalton J, Magny-Normilus C, Brain MM, Linster T, Lee SJ. The quality of family relationships, diabetes self-care, and health outcomes in older adults. Diabetes Spectr. 2019;32(2):132-8. [View at Publisher] [DOI] [PMID] [Google scholar]
17. Atashzadeh-Shoorideh H, Arshi S, Atashzadeh-Shoorideh F. The effect of family-centered empowerment model on the life style, self-efficacy and HbA1C of diabetic patients. Iranian Journal of Endocrinology and Metabolism (IJEM). 2017;19(4):244-51. [View at Publisher] [Google scholar]
18. Vahedian-Azimi A, Alhani F, Goharimogaddam K, Madani S, Naderi A, Hajiesmaeili M. Effect of family-centered empowerment model on the quality of life in patients with myocardial infarction: A clinical trial study. Journal of Nursing Education (JNE). 2015;4(1):8-22. [View at Publisher] [Google scholar]
19. Rajabi R, Forozy M, Fuladvandi M, Eslami H, Asadabady A. The effect of family-centered empowerment model on the knowledge, attitudes and self-efficacy of mothers of children with asthma. Journal of Nursing Education (JNE). 2016;5(4):41-50. [View at Publisher] [DOI] [Google scholar]
20. Alhani F, Asghari-Jafarabadi M, Norouzzadeh R, Rahimi-Bashar F, Vahedian-Azimi A, Jamialahmadi T, et al. The effect of family-centered empowerment model on the quality of life of adults with chronic diseases: An updated systematic review and meta-analysis. J Affect Disord. 2022;316:140-7. [View at Publisher] [DOI] [PMID] [Google scholar]
21. Isac C, Lee P, Arulappan J. Older adults with chronic illness-caregiver burden in the Asian context: a systematic review. Patient Educ Couns. 2021;104(12):2912-21. [View at Publisher] [DOI] [PMID] [Google scholar]
22. Mjøsund HL, Moe CF, Burton E, Uhrenfeldt L. Integration of Physical Activity in reablement for community dwelling older adults: a systematic scoping Review. J Multidiscip Healthc. 2020;13:1291-315. [View at Publisher] [DOI] [PMID] [Google scholar]
23. Mehr MM, Zamani-Alavijeh F, Hasanzadeh A, Fasihi T. Effect of healthy lifestyle educational programs on happiness and life satisfaction in the elderly: a randomized controlled trial study. Iranian Journal of Ageing. 2019;13(4):440-51. [View at Publisher] [DOI] [Google scholar]
24. Taheri Tanjani P, Azadbakht M. Psychometric properties of the Persian version of the activities of daily living scale and instrumental activities of daily living scale in elderly. J Mazandaran Univ Med Sci. 2016;25(132):103-12. [View at Publisher] [Google scholar]
25. Tagharrobi Z, Tagharrobi L, Sharifi K, Sooki Z. Psychometric evaluation of the Life Satisfaction Index-Z (LSI-Z) in an Iranian elderly sample. Payesh. 2011;10(1):5-13. [View at Publisher] [DOI] [Google scholar]
26. Masoodi R, Soleimani MA, Alhani F, Rabiei L, Bahrami N, Esmaeili SA. Effects of family-centered empowerment model on perceived satisfaction and self concept of multiple sclerosis patients care givers. Koomesh. 2013;14(2):240-8. [View at Publisher] [Google scholar]
27. Parry SW, Bamford C, Deary V, Finch TL, Gray J, MacDonald C, et al. Cognitive-behavioural therapy-based intervention to reduce fear of falling in older people: therapy development and randomised controlled trial-the Strategies for Increasing Independence, Confidence and Energy (STRIDE) study. Health Technol Assess. 2016;20(56):1-206. [View at Publisher] [DOI] [PMID] [Google scholar]
28. Toots A, Littbrand H, Lindelöf N, Wiklund R, Holmberg H, Nordström P, et al. Effects of a high‐intensity functional exercise program on dependence in activities of daily living and balance in older adults with dementia. J Am Geriatr Soc. 2016;64(1):55-64. [View at Publisher] [DOI] [PMID] [Google scholar]
29. Ng ST, Tey NP, Asadullah MN. What matters for life satisfaction among the oldest-old? Evidence from China. PloS one. 2017;12(2):e0171799. [View at Publisher] [DOI] [PMID] [Google scholar]
30. Nyandra M, Kartiko BH, Susanto PC, Supriyati A, Suryasa W, Susanto PC. Education and training improve quality of life and decrease depression score in elderly population. Eurasian Journal of Analytical Chemistry. 2018;13(2). [View at Publisher] [DOI] [Google scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
