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Randomized Control Trial of the Health Empowerment InterventionFeasibility and Impact

机译：赋权健康干预的随机对照试验可行性和影响

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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 home-bound 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, f test, x~2, 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 atten-tional comparison group receiving a weekly newsletter.
机译：背景：老年人喜欢尽可能长时间地留在家中，但常常不知道社区中的资源来帮助他们留在家中。获取资源对于老年人而言可能很重要，这是干预的关键领域。目标：研究目的是评估健康授权干预（HEI）的可行性，并探讨HEI对健康理论调解变量的影响方法：将五十九名符合条件的在家的老年人随机分配到干预组或对照组中。 HEI包括每周6次访问，而对照组则每周接受6周的时事通讯。参与者在基线，6周方案后和12周时进行了测量。使用描述性统计，f检验，x〜2和协方差分析对数据进行分析。结果：教育程度之间存在显着差异。干预的参与者发现这些会议有助于识别资源。另外，干预组的参与者在有目的的调解员有目的参与中得分较高，F（2，83）= 3.71，p = .03。赋予调解人健康权没有重大的主要影响。然而，干预组的个人成长从基线到基线增加到12周，F（1，83）= 3.88，p = .05。讨论：这项随机对照试验为以下假设提供了初步支持，即在家中接受HEI治疗的老年人。与每周接收一次时事通讯的普通比较组相比，该干预措施将是可以接受的，并且可以显着改善健康权能，有目的地参与目标实现和幸福感。

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