Application of Health Empowerment Theory to Enhance Health Empowerment Levels and Self-Health Management Ability Among Older Migrants: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 66
- Locations
- 1
- Primary Endpoint
- health empowerment level
Study Overview
Brief Summary
This study aimed to evaluate the effectiveness of a theory-based health self-management program in empowering older migrants to manage their health. This study used a single-blind, randomized controlled trial design. A comparison was conducted between the experimental and control groups in terms of pre-test and post-test levels of health empowerment and health self-management abilities.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description
An researcher uninvolved in the enrollment or the intervention organized the randomization. The HET-based program providers who performed the intervention were not blinded, as the intervention was based on HET-based program, which is different from regular care. However，those assessing the intervention outcome were blinded from group assignment for the majority of participants.
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •(1) age 60 years or older; (2) residing in thelocal area for a minimum of six months; (3) agreement to participate in the study and willingness tosign the informed consent form; and (4) possessing a clear sense of autonomy and the ability tounderstand and engage with the content of the study intervention activities.
Exclusion Criteria
- •(1) absencefrom two consecutive lectures or group activities without prior notification and (2) voluntary withdrawal from the study at the participant's request.
Arms & Interventions
The intervention group
The intervention group received the HET-based intervention program for 12 weeks.
Intervention: The Health Empowerment Theory (HET) program (Behavioral)
routine community care
The control group received routine community care for 12 weeks.
Intervention: routine community care (Behavioral)
Outcomes
Primary Outcomes
health empowerment level
Time Frame: From enrollment to the end of treatment at 12 weeks
The Older Health Empowerment Evaluation Scale comprises six subdimensions: liability beliefs, knowledge and skills, external support, participation in health management, acceptance of change, and empowerment of others.35 The scale consists of 38 items. A Likert 5-point scoring method was employed, with a total score ranging from 38 to 190. A high score indicates a high level of health empowerment among older adults. The total Cronbach's α coefficient was 0.959, with the Cronbach's α coefficient of each dimension ranging from 0.827 to 0.890. This scale was used to replace the chronic disease older health empowerment scale, mainly to better assess health empowerment in older adults and reflect subtle but significant differences in empowerment levels between the older groups.
Secondary Outcomes
- self-health management ability(From enrollment to the end of treatment at 12 weeks)
Investigators
TianLe Xiang
postgraduate
Huzhou University