title: [Participative action research; self-care education for the mature adult, a dialogic and empowered process].
abstract: OBJECTIVE
  Explore and transform dialogic-reflexive learning processes oriented to self-care, capacitation, empowerment and health promotion for "mature-adult" collective.
  
  
  METHODS
  Participative action research on a qualitative and sociocritic approach. Data generation methods are SITE: Field work focuses on the development of the educational program "Care is in your hands" that takes place in two villages (Primary Care. Comarca Araba).
  
  
  METHODS
  Through a theoretical sampling involved people who are in a "mature-adult" life stage and three nurses with extensive experience in development health education programs.
  
  
  METHODS
  Participant observation where health education sessions are recorded in video and group reflection on action. To triangulate the data, have been made in-depth interviews with 4 participants. Carried out a content and discourse analysis.
  
  
  RESULTS
  Participant and nurses' Previous Frameworks, and these last ones' discourses as well, reveal a current technical rationality (unidirectional, informative,.) yet in practice that perpetuates the role of passive recipient of care. Educational keys constructed from a viewpoint of Dialogic Learning emerge as elements that facilitate overcoming these previous frames limitations. Finally, Reflective Learning launched, has provided advance in professional knowledge and improve health education.
  
  
  CONCLUSIONS
  Dialogical learning emerges as key to the training and empowerment, where we have seen how practical-reflexive, and not technical, rationality is meanly useful confronting ambiguous and complex situations of self-care practice and education.
authors.affiliation: Centro de Salud de Zaramaga, Comarca Araba, Vitoria-Gasteiz, España. Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Araba, Vitoria-Gasteiz, España. Electronic address: sheila.sanchezgomez@osakidetza.net.
authors.forename: Sheila
authors.initials: S
authors.lastname: Sanchez Gomez
authors.affiliation: Facultad de Pedagogía, Departamento de Didáctica y Organización Educativa, Universidad de Barcelona, Barcelona, España.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Medina Moya
authors.affiliation: Consultorio de Murgia, Comarca Araba, Vitoria-Gasteiz, España.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Mendoza Pérez de Mendiguren
authors.affiliation: Consultorio Izarra, Comarca Araba, Vitoria-Gasteiz, España.
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Ugarte Arena
authors.affiliation: Centro de Salud San Martín, Comarca Araba, Osakidetza, Vitoria-Gasteiz, España.
authors.forename: Mercedes
authors.initials: M
authors.lastname: Martínez de Albéniz Arriaran
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D006282:Health Personnel; D006293:Health Promotion; D006302:Health Services Research; D006801:Humans; D007858:Learning; D008297:Male; D008875:Middle Aged; D011209:Power, Psychological; D012648:Self Care
keywords: Action research; Educación para la salud; Empoderamiento; Empowerment; Enfermería; Health education; Health promotion; Investigación-acción; Nursing; Promoción de la salud