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Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment

건강지도자 활용 건강증진 역량강화 프로그램이 허약노인의 건강과 역량강화에 미치는 효과

  • Received : 2018.04.06
  • Accepted : 2018.08.17
  • Published : 2018.09.30

Abstract

Purpose: This study has been conducted to develop and examine a health promotion empowerment program using a lay health leader for frail elderly. Methods: The research was organized in a nonequivalent control group pre-post test design. Data collection was performed from August 18 to October 8, 2015. The subjects included 76 frail elders aged over 65 registered in home visiting services (Experimental group=39, Control group=37). A health promotion empowerment program using a resident volunteer as a lay health leader was run for 8 weeks. Health factors (health promotion behavior, perceived health status and frailty) and empowerment factors (empowerment, social participation) were assessed. The data were analyzed by using the SPSS/WIN 18.0 program. Results: After the program, health promotion behavior, perceived health status and social participation increased in the experimental group more significantly than in the control group, but frailty decreased in the experimental group greater than in the control group. Conclusion: The health promotion empowerment program using a resident volunteer as a lay health leader was effective. Therefore, the health promotion empowerment program needs to be expanded to other frail elders. Also, a health leader should be recommended as a public health resource and systematically managed.

Keywords

References

  1. Statistics Korea. Future population estimation[internet]. Seoul: Statistics Korea 2017[cited 2017 September 22]. Available from http//www.kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=252623
  2. Lee KS, Jeong HS, Hwang SW, Choi DB. Efficient management of elderly medical expenses for aged society. Research Report. Kangwon: National Health Insurance Service; 2017 April.
  3. Fried, LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. The Journal of Gerontology Series A: Biological Sciences and Medical Sciences 2004;59(3):255-263. https://doi.org/10.1093/gerona/59.3.M255
  4. Park BJ, Lee YJ. Integrative approach to elderly frailty. Korean Journal of Family Medicine, 2010;31(10):747-754. https://doi.org/10.4082/kjfm.2010.31.10.747
  5. Park JK. Experience of frailty in Korean elderly: A phenomenological study utilizing the Colaizzi method. Journal of Korean Academy Nursing 2017;47(4):562-574. https://doi.org/10.4040/jkan.2017.47.4.562
  6. Ministry of Health & Welfare. The guideline for community integration health promotion program: visiting health care. Sejong: Ministry of Health & Welfare; 2015. 116 p.
  7. Kim SH. Effects of a volunteer-run peer support program on health and satisfaction with social support of older adults living alone. Journal of Korean Academy Nursing. 2012;42(4): 525-536. https://doi.org/10.4040/jkan.2012.42.4.525
  8. Choo JA. An obesity prevention framework for vulnerable children based on a methodology of community-based participatory research: Using a strategy of training community lay health advisors. Research Report. Seoul: Korea Health Promotion Institute; 2013 January. Report No.: Q1303651.
  9. Jeon DS. A study on the promotion of volunteer services for community welfare [dissertation]. [Seoul]: Dankoon University; 2006. 289 p.
  10. Choi YH, Kim NY. The effects of an exercise program using a resident volunteer as a lay health leader for leaders' physical fitness, cognitive function, depression, and quality of life. Journal of Korean Academy of Community Health Nursing. 2013; 24(3):346-357. https://doi.org/10.12799/jkachn.2013.24.3.346
  11. Gu MO, Eun Y, Kim ES, Ahn HR, Kwon IS, Oh HS, et al. Effects of an elder health promotion program using the strategy of elder health leader training in senior citizen halls. Journal of Korean Academy Nursing 2012;42(1):125-135. https://doi.org/10.4040/jkan.2012.42.1.125
  12. Hyun SH, Lee GY. Effects of as women's health leader education program for middle-aged in an urban area. Health and Social Welfare Review. 2012;32(4):551-576. https://doi.org/10.15709/hswr.2012.32.4.551
  13. Kim HY, Park MH. Physical function and ego-integrity in frail and non-frail elders in local community. Journal of Korean Gerontological Nursing. 2014;16(1):27-37. https://doi.org/10.17079/jkgn.2014.16.1.27
  14. Lee IS, Ko Y, Lee KO, Yim ES. Evaluation of the effects of a frailty preventing multi-factorial program concentrated on local communities foe high-risk younger and older elderly people. Journal of Korean academy of Community Health Nursing. 2012;23(2):201-211. https://doi.org/10.12799/jkachn.2012.23.2.201
  15. Kwon SM, Park JS. The effect of health promotion program for frail elderly residents on health promoting behavior and health status. Korean Journal of Adult Nursing. 2013;25(2):194-206. https://doi.org/10.7475/kjan.2013.25.2.194
  16. Kim HG. The effects of home visit healthcare using a complex program on community -dwelling frail elders' strength, frailty, and depression. Journal of Korean Academy of Community Health Nursing. 2015;26(4):405-414. https://doi.org/10.12799/jkachn.2015.26.4.405
  17. Huffman M. Health coaching: a new and exciting technique to enhance patient self management and improve outcomes. Home Healthcare Nurse. 2007;25(4):271-274. https://doi.org/10.1097/01.NHH.0000267287.84952.8f
  18. Park CR, Song MS, Cho BL, Lim JY, Song W, Chang HK, et al. Effects of a multi-disciplinary approached, empowerment theory based self-management intervention in older adults with chronic illness. Journal of Korean Academy Nursing. 2015;45 (2):192-201. https://doi.org/10.4040/jkan.2015.45.2.192
  19. Anderson RM, Funnell MM. Patient empowerment: Reflections on the challenge of fostering the adoption of a new paradigm. Patient Education and Counseling. 2005;57(2):153-157. https://doi.org/10.1016/j.pec.2004.05.008
  20. Shearer NB. Health empowerment theory as a guide for practice. Geriatric Nursing. 2009;30(2):4-10. https://doi.org/10.1016/j.gerinurse.2009.02.003
  21. Walker SN, Sechrist KR, Pender NJ. Health promotion lifestyle profile II [Internet]. Nebrasks: University of Nebraska Medical Center. 1987 [cited 2015 March 1]. Available from: http://www.unmc.edu/nursing/faculty/English_HPLPII.pdf
  22. Park JS, Oh YJ. Health promotion behavior, perceived health status, social participation and empowerment in frail elderly receiving home visiting services. Journal of Korean Public Health Nursing. 2017;31(2):244-256. https://doi.org/10.5932/JKPHN.2017.31.2.244
  23. Do HJ, Lee YM. A study on customized nutrition intervention program design and application for the low-income elderly. Korean Journal of Community Nutrition. 2011;16(6):716-729. https://doi.org/10.5720/kjcn.2011.16.6.716
  24. Hong YA. Effect of health screening on health promotion behaviors in the elderly [master's thesis]. [Seoul]: Yonsei University; 2003. 61 p.
  25. Lawston MP, Moss M, Fulcomer M, Kleban MH. A research and service oriented multilevel assessment instrument. Journal of Geronotology. 1982;37(1):91-99. https://doi.org/10.1093/geronj/37.1.91
  26. Parsons RJ. Empowerment based social work practice: A study of process and outcome. Poster session presented at: The 41st annual program meeting of the council on social work education; 1995 March 2-5; Sandiego, CA.
  27. Mangen DJ, Peterson WA. Research instruments in social gerontology: Social roles and social participation. Minnesota: University of Minnesota Press; 1982. 557 p.
  28. Jeon JY. A study of relevant factors affecting social participation of the elderly [master's thesis]. [Seoul]: Soongsil University; 2003. 100 p.
  29. Stang I, Mittekmark M. Learning as an empowerment process in breast cancer self-help groups. Journal of Clinical Nursing. 2009;18(14):2049-2057. https://doi.org/10.1111/j.1365-2702.2008.02320.x
  30. Ju SS, Jeong HS, Yun YM. A study on the actual conditions and activation plan of volunteer activities (2017 year). Sejong: Ministry of Interior and Safety; 2018. 166 p.

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