title: Randomized control trial of the Health Empowerment Intervention: feasibility and impact.
abstract: BACKGROUND
  Older adults prefer to stay in their homes for as long as possible but are often unaware of the resources in their community to help them to remain in their home. Access to resources may be important among older adults, representing a critical area for intervention.
  
  
  OBJECTIVE
  The study aim was to evaluate the feasibility of the Health Empowerment Intervention (HEI) and to explore the impact of the HEI on the theoretical mediating variables of health empowerment and purposeful participation in goal attainment and the outcome variable of well-being with homebound older adults.
  
  
  METHODS
  Fifty-nine eligible homebound older adults were randomly assigned to the intervention group or the comparison group. The HEI consisted of 6 weekly visits, whereas the comparison group received a weekly newsletter for 6 weeks. Participants were measured at baseline, after the 6-week protocol, and at 12 weeks. Data were analyzed using descriptive statistics, t test, chi, and analysis of covariance.
  
  
  RESULTS
  There was a significant difference between groups in education. The participants in the intervention found the sessions to be helpful in recognizing resources. In addition, participants in the intervention group had significantly higher scores in the mediator purposeful participation in goal attainment, F(2, 83) = 3.71, p = .03. There was no significant main effect for the mediator health empowerment; however, the intervention group increased in the subscale personal growth from baseline to 12 weeks, F(1, 83) = 3.88, p = .05.
  
  
  CONCLUSIONS
  This randomized control trial provided initial support for the hypothesis that homebound older adults receiving the HEI would find the intervention acceptable and have significantly improved health empowerment, purposeful participation in goal attainment, and well-being than an attentional comparison group receiving a weekly newsletter.
authors.affiliation: Hartford Center of Geriatric Nursing Excellence.
authors.forename: Nelma B
authors.initials: NB
authors.lastname: Crawford Shearer
authors.forename: Julie D
authors.initials: JD
authors.lastname: Fleury
authors.forename: Michael
authors.initials: M
authors.lastname: Belyea
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003152:Community Health Nursing; D005240:Feasibility Studies; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration*; D006699:Home Care Services; D018577:Homebound Persons / Q000193:education / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D016014:Linear Models; D008297:Male; D010358:Patient Participation / Q000379:methods / Q000523:psychology; D010506:Periodicals as Topic; D011209:Power, Psychological; D015397:Program Evaluation; D011582:Psychological Theory; D020377:Self Efficacy; D012944:Social Support; D015206:Southwestern United States
references.citation: J Women Aging. 2006;18(4):3-17
references.pmid: 17200060
references.citation: Nurs Sci Q. 1998 Spring;11(1):17-22
references.pmid: 9555425
references.citation: Psychother Psychosom. 1996;65(1):14-23
references.pmid: 8838692
references.citation: Nurs Sci Q. 2004 Jul;17(3):253-9
references.pmid: 15200729
references.citation: Am J Community Psychol. 1995 Oct;23(5):569-79
references.pmid: 8851340
references.citation: Nurs Sci Q. 1998 Spring;11(1):9-16
references.pmid: 9555424
references.citation: Int J Rehabil Res. 1998 Sep;21(3):301-10
references.pmid: 9812258
references.citation: Res Gerontol Nurs. 2010 Jan;3(1):11-8
references.pmid: 20128539
references.citation: Res Theory Nurs Pract. 2009;23(2):148-60
references.pmid: 19558029
references.citation: J Adv Nurs. 2002 Nov;40(4):466-74
references.pmid: 12421406
references.citation: J Psychiatr Res. 1975 Nov;12(3):189-98
references.pmid: 1202204
references.citation: Community Ment Health J. 1968 Dec;4(6):443-53
references.pmid: 24185570
references.citation: Psychol Aging. 1991 Jun;6(2):286-95
references.pmid: 1863398
references.citation: J Gerontol Nurs. 2007 Dec;33(12):38-45
references.pmid: 18183746
references.citation: J Aging Soc Policy. 2004;16(2):49-65
references.pmid: 15148044
references.citation: J Clin Epidemiol. 1993 Oct;46(10):1113-8
references.pmid: 8410096
references.citation: Geriatr Nurs. 2009 Mar-Apr;30(2 Suppl):4-10
references.pmid: 19345857
references.citation: Arch Intern Med. 2002 Nov 11;162(20):2269-76
references.pmid: 12418941
references.citation: Res Theory Nurs Pract. 2004 Winter;18(4):357-70
references.pmid: 15776756
references.citation: Nurs Sci Q. 2005 Jan;18(1):42-50
references.pmid: 15574696