[Empowerment in prevention and health promotion--a critical conceptual evaluation of basic understanding, dimensions and assessment problems].
Empowerment is an important concept in health care, but despite its prevalence it seems to be more of a buzz word. Thus, a conceptual review on empowerment in prevention and health promotion was carried out. 62 German and international theoretical contributions, reviews and studies were incorporated, covering the fields of prevention, care and therapy, rehabilitation, health-care research, nursing and work-related stress. The analysis revealed eight main dimensions of empowerment: (1) shared decision-making, (2) self-efficacy, (3) social support and social capital, (4) skills and competences, (5) health care utilisation, (6) goal setting and attainment, (7) reflexive thought and (8) innovation. Their empirical assessment can be carried out on a micro-, meso-, or macro-level. Three distinct basic conceptual notions emerged from the analysis, each applying its own specific research questions and measurement instruments: clinical, organizational-professional and political understanding of "empowerment". Therefore, these three specific conceptual notions should each be developed and tested separately, in particular in reviews, and empirical studies should embrace all eight subdimensions.
Kliche
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T
Universitätsklinikum Eppendorf, Institut und Poliklinik für Medizinische Psychologie, Hamburg. t.kliche@uke.de
Kröger
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G
D001294:Attitude to Health; D003142:Communication; D003210:Concept Formation; D005858:Germany; D015438:Health Behavior; D006293:Health Promotion / Q000639:trends*; D010358:Patient Participation / Q000639:trends*; D028701:Patient Rights / Q000639:trends; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D011209:Power, Psychological; D011315:Preventive Medicine / Q000639:trends*