title: [Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness].
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Yale School of Nursing, New Haven, U.S.A.
authors.forename: Chorong
authors.initials: C
authors.lastname: Park
authors.affiliation: College of Nursing; The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
authors.forename: Misoon
authors.initials: M
authors.lastname: Song
authors.affiliation: Department of Family Medicine, College of Medicine, Seoul National University, Seoul, Korea.
authors.forename: Belong
authors.initials: B
authors.lastname: Cho
authors.affiliation: Department of Rehabilitation Medicine, College of Medicine, Seoul National University, Seoul, Korea.
authors.forename: Jaeyoung
authors.initials: J
authors.lastname: Lim
authors.affiliation: Department of Physical Education, Seoul National University, Seoul, Korea.
authors.forename: Wook
authors.initials: W
authors.lastname: Song
authors.affiliation: Seoul Women's College of Nursing, Seoul, Korea.
authors.forename: Heekyung
authors.initials: H
authors.lastname: Chang
authors.affiliation: College of Nursing; The Research Institute of Nursing Science, Seoul National University, Seoul, Korea. hanipyh@snu.ac.kr.
authors.forename: Yeon-Hwan
authors.initials: YH
authors.lastname: Park
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D015444:Exercise; D005260:Female; D006266:Health Education; D006801:Humans; D008297:Male; D009043:Motor Activity; D011209:Power, Psychological; D015397:Program Evaluation; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy
keywords: Aged; Chronic illness; Empowerment; Exercise; Self-management