Effectiveness of education based on family‑centered empowerment model on health‑promoting behaviors and some metabolic biomarkers in elderly women: A stratified randomized clinical trial
نویسندگان
1 Department of Community Health Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences and Health Services, Tabriz, Iran
2 Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3 Research Center for Evidence‑Based Medicine, Iranian EBM Centre: A Joanna Briggs Institute (JBI) Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran
4 Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences Tabriz, Tabriz, Iran
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doi
چکیده
OBJECTIVE: The purpose of family‑centered care interventions is to enhance the abilities of familymembers in certain areas that overcome the barriers to health and well‑being, The purpose of thepresent research was to determine the effect of education based on family‑centered empowermentmodel on health‑promoting behaviors and some serum metabolic indicators in elderly women.MATERIALS AND METHODS: In this stratified randomized controlled trial, 60 elderly women aged60 years and older referring to elderly‑friendly health centers in Tabriz‑East Azerbaijan were dividedrandomly into intervention and control groups in 2019. Intervention group received a family‑centeredhealthy lifestyle intervention once a week for 10 sessions and the control group received the routinecare. The mean score of health‑promoting behaviors using the Health Promoting Lifestyle Profile‑IIquestionnaire, glycemia and serum lipid profile, liver and renal function, 25‑hydroxy Vitamin D, andcalcium serum levels were assessed before the intervention, 2 and 6 months after the interventionthrough SPSS/version 23 using independent t‑test, ANCOVA, and repeated measure analysis.RESULTS: The ANCOVA test showed a significant increase in total lifestyle score in the interventioncompared to the control group, 2 (adjusted mean difference [aMD]: 13.7; 95% confidence interval [CI]:5.6–21.8) and 6 months (aMD: 17.2; 95% CI: 7.7–26.7) after education. The score of the nutrition andhealth responsibility domains significantly increased two (P < 0.05) and 6 months (P < 0.001) afterthe intervention in the intervention group compared to control. In both groups, serum levels of totalcholesterol, low‑density lipoprotein cholesterol, urea, and creatinine showed a significant decrease,and high‑density lipoprotein cholesterol and calcium levels showed a significant increase (P < 0.05).CONCLUSION: A healthy lifestyle education based on family‑centered empowerment modelincreased the total lifestyle score. So, it is recommended as an effective educational approach toimprove the health of elderly.
