Evaluation of a self‐care education program for older adults in Iran using a lifestyle improvement model

Background Older adults and their caregivers often believe it is either too late or too difficult to make health‐focused lifestyle changes. However, this is inaccurate, as older adults can make health promotion focused lifestyle changes thereby improving their health. This study developed and evalua...

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Bibliographic Details
Published in:International journal of older people nursing 2022-01, Vol.17 (1), p.e12419-n/a
Main Authors: Tavakkoli Oskuei, Mehrnaz, Barzanjeh Atri, Shirin, Davoodi, Arefeh, Van Son, Catherine, Asghari‐Jafarabadi, Mohammad, Hosseinzadeh, Mina
Format: Article
Language:English
Subjects:
Aged
Analysis of covariance
Behavior change
Behavior modification
behaviour change
Caregivers
Change agents
Clinical outcomes
Education
Educational programs
Health Behavior
Health education
Health Promotion
Health status
Humans
Interpersonal communication
Intervention
Iran
Life Style
Lifestyles
Nutrition
older adults
Older people
Pender’s model
Personal development
Physical activity
Quasi-experimental methods
Self Care
Stress management
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Summary:Background Older adults and their caregivers often believe it is either too late or too difficult to make health‐focused lifestyle changes. However, this is inaccurate, as older adults can make health promotion focused lifestyle changes thereby improving their health. This study developed and evaluated a self‐care education program using Pender's Health Promotion Model and its influence on health‐focused behaviour changes among older Iranians. Method This was a quasi‐experimental study with a convenience sample of 136 community‐living older adults from Tabriz, Iran. The participants were randomly assigned to either an intervention (n = 69) or control (n = 67) group. Chi‐square test, independent t tests and Analysis of covariance (ANCOVA) statistical methods were used to compare pre‐ and post‐intervention data, control and intervention groups and changes over time. The intervention was an eight‐week educational program with pre‐ and post‐intervention data collected using the Health Promoting Lifestyle Profile II (HPLP II) questionnaire. Results The mean difference and confidence limits of the older adults' health behaviours pre‐ and post‐intervention scores were 2.228 (−5.450 – 9.916) and ‐ 35.820 (−32.051 – 39.588). The covariance analysis adjusting for the baseline values showed significant differences post‐intervention (p
ISSN:1748-3735
1748-3743
DOI:10.1111/opn.12419