The Effects of Using the Empowerment Model Intervention in Primary Total Hip Replacement Surgery Elders
2018年5月22日 更新者：Tzu-Ting Huang
The Effects of Using the Empowerment Model Intervention in Primary Total Hip
Degenerative arthritis is a common and serious chronic illness that impacts the quality of life of older adults.
Knowledge about the effects of empowerment education program in older adults with total hip replacement surgery are limited.
As far as the investigators know, this is the first study done using empowerment education intervention to promote total hip replacement patients' self-care.
This partnership is achieved through active participation to learn as well as sharing their knowledge and experiences with clinicians and patients.
Furthermore, patients had developed some degree of self-efficacy and improve their depressive mood from the disease related knowledge acquired.
研究概览
详细说明
Aims. To exam the effectiveness of the empowerment education program on primary (self-care self-efficacy and competence) and secondary outcomes (Activities of Daily Life, mobility, depressive mood, and quality of life) for older adults with total hip replacement surgery.
Background. Degenerative arthritis is a common and serious chronic illness that impacts the quality of life of older adults. As joints degenerate continuously and the hip has been damaged by arthritis, Activities of Daily Life will be difficult to perform due to severe hip pain and joint stiffness. Therefore, hip replacement surgery should be considered, and effective nursing care should be provided to improve the recovery of older adults.
Design. A prospective randomized control trial. Methods. A trial was conducted from September of 2013 to May of 2014 in two hospitals in northern Taiwan. 108 participants were randomly assigned to either the empowerment education group or the comparison group. The outcomes were collected at the day of discharge (T2), one month after (T3), and 3 months (T4) after the discharge.
研究类型
介入性
注册 (实际的)
108
阶段
- 不适用
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
50年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- had 1st THRS
- ability to speak and read Chinese
- willingness to participate in this study
Exclusion Criteria:
- cognitive impairment or been diagnosed with a psychiatric illness
- participation in another study
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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无干预：comparison group
The CG received no extra care; they could receive the usual routine care for THR in the unit as they had before participation in the study.
The routine care included oral instruction by nurses follow by the handout.
Also, a brochure was provided of the structure of hip, the risk factors of THR, care before and after THR, complications, care of discharge, and demonstration of rehabilitation with pictures) of THR designed by researchers in this study.
Five orthopedics health care experts independently reviewed and rated each item in the brochure on a five-point Likert-type scale in terms of relevance, representativeness, specificity, and clarity.
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|
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实验性的：Empowerment education group
The 5 times total, 12-week EE intervention was aimed to empower older patients with THR to develop their own self-management program to meet their needs.
This empowerment education intervention based on 6 empowerment components: "Partnership, listening, dialogue, reflection, action, feedback" and 5-step empowerment strategies: motivating patients self-awareness, assessing the causes of the problem, goal setting, individual self-care plan development, and checking whether goals or plans have been achieved who modified from Freire's 3-stage methodology.
The difference between this program and the other health educations for patients with THR are that this program encourages them to explore their needs and worries, their own ability and power to meet their needs, and their capacity to seek and use their social support and resources etc.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Total Hip Replacement Self-efficacy Scale
大体时间：5min
|
A five-item evaluation list measured self-efficacy (environment, self-monitoring, regular check-up, medicine, exercise), all components were rated on a 5-point Likert-type scale (4= fully confident to 0= no confidence at all) with higher scores signifying greater self-efficacy.
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5min
|
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Self-care competence Scale
大体时间：5min
|
The knowledge and behaviors subscales measured this variable, which includes knowledge and behavior related to THR self-care.
The knowledge subscale contains 15 yes/no questions (6 for posture/ environment, 6 for wound/pain, and 3 for exercise), each with only one correct response.
In order to prevent participants that guessed answers from confounding the data, the choice 'I do not know' was also provided.
The scores range from 0 to 15, with higher scores indicating greater knowledge.
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5min
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
ADL
大体时间：3min
|
ADL was assessed using the Barthel scale, which was introduced in 1965 and yielded a score of 0-100, the measure 10 variables.
These variables included fecal incontinence, urinary incontinence, and assistance with grooming, feeding, transfers, walking, dressing, climbing stairs, and bathing.
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3min
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Tinetti mobility
大体时间：3min
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The Tinetti Mobility Scale (Tinetti et al. 1986) assessed mobility (gait and balance).
This scale is simple: no required equipment attached and is quick and convenient to use.
Each participant took around 5 minutes to perform the series of activities to assess mobility.
The better a participant's performance, the higher the score.
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3min
|
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GDS-15
大体时间：3min
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consisting of 15 questions, was the primary outcome evaluator (Sheikh and Yesavage, 1986).
Scores of 0-4 are considered to be normal; 5-8 indicates mild depression; 9-11 indicates moderate depression; and 12-15 indicates severe depression.
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3min
|
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SF-36
大体时间：3min
|
The SF-36 questionnaire assesses health-related functions for eight distinct domains, which can be divided into physical component and mental component scales.
This 36-item questionnaire was used to measure quality of life.
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3min
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2013年9月1日
初级完成 (实际的)
2014年5月1日
研究完成 (实际的)
2014年5月1日
研究注册日期
首次提交
2016年6月21日
首先提交符合 QC 标准的
2016年6月23日
首次发布 (估计)
2016年6月28日
研究记录更新
最后更新发布 (实际的)
2018年5月23日
上次提交的符合 QC 标准的更新
2018年5月22日
最后验证
2018年5月1日
更多信息
与本研究相关的术语
其他研究编号
- 97-2081B
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
不
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
Empowerment education的临床试验
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University of SheffieldUniversity of Liverpool; University of Manchester; University of Melbourne主动，不招人