Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2010 May-Jun;59(3):203-11.
doi: 10.1097/NNR.0b013e3181dbbd4a.

Randomized control trial of the Health Empowerment Intervention: feasibility and impact

Nelma B Crawford Shearer  1 , Julie D Fleury, Michael Belyea
Affiliations
Randomized Controlled Trial

Randomized control trial of the Health Empowerment Intervention: feasibility and impact

Nelma B Crawford Shearer et al. Nurs Res. 2010 May-Jun.

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.

Objectives: 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.

Method: 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.

Discussion: 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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Recruitment Flow Chart
Figure 2
Figure 2
Health Empowerment Framework and Health Empowerment Intervention
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Administration on Aging, Department of Health and Human Services. A profile of older Americans: 2007. Washington, DC: 2007. Author. Retrieved from http://www.agingcarefl.org/aging/AOA-2007profile.pdf.
    1. Barrett EAM. Investigation of the principle of helicy: The relationship of human field motion and power. In: Malinski V, editor. Explorations on Martha Rogers’ science of unitary human beings. Norwalk, CT: Appleton-Century-Crofts; 1986. pp. 173–184.
    1. Barrett EA, Caroselli C. Methodological ponderings related to the power as knowing participation in change tool. Nursing Science Quarterly. 1998;11(1):17–22. - PubMed
    1. Boland CS. Social support and spiritual well-being: Empowering older adults to commit to health-promoting behaviors. The Journal of Multicultural Nursing & Health. 2000;6(3):12–23.
    1. Caroselli C, Barrett EA. A review of the power as knowing participation in change literature. Nursing Science Quarterly. 1998;11(1):9–16. - PubMed

Publication types

MeSH terms