Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial

Fatemeh Estebsari,1 Maryam Dastoorpoor,2 Davoud Mostafaei,3 Narges Khanjani,4 Zahra Rahimi Khalifehkandi,5 Abbas Rahimi Foroushani,6 Hamidreza Aghababaeian,7 Mohammad Hossein Taghdisi8 1Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sc...

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Autores principales:	Estebsari F, Dastoorpoor M, Mostafaei D, Khanjani N, Rahimi Khalifehkandi Z, Rahimi Foroushani A, Aghababaeian H, Taghdisi MH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Elder Abuse Self-Efficacy Social Support Health Promotion Health Education Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/756d2b6da6fa4095b60df12b6a633979
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institution	DOAJ
collection	DOAJ
language	EN
topic	Elder Abuse Self-Efficacy Social Support Health Promotion Health Education Geriatrics RC952-954.6
spellingShingle	Elder Abuse Self-Efficacy Social Support Health Promotion Health Education Geriatrics RC952-954.6 Estebsari F Dastoorpoor M Mostafaei D Khanjani N Rahimi Khalifehkandi Z Rahimi Foroushani A Aghababaeian H Taghdisi MH Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial
description	Fatemeh Estebsari,1 Maryam Dastoorpoor,2 Davoud Mostafaei,3 Narges Khanjani,4 Zahra Rahimi Khalifehkandi,5 Abbas Rahimi Foroushani,6 Hamidreza Aghababaeian,7 Mohammad Hossein Taghdisi8 1Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, 2Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, 3Department of Nursing Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, 4Neurology Research Center, Kerman University of Medical Sciences, Kerman, 5Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, 6Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, 7Nursing and Emergency Department, Dezful University of Medical Sciences, Dezful, 8Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran Background: Older adults are more vulnerable to health risks than younger people and may get exposed to various dangers, including elder abuse. This study aimed to design and implement an empowerment educational intervention to prevent elder abuse.Methods: This parallel randomized controlled trial was conducted in 2014–2016 for 18 months on 464 older adults aged above 60 years who visited health houses of 22 municipalities in Tehran. Data were collected using standard questionnaires, including the Elder Abuse-Knowledge Questionnaire, Health-Promoting Behavior Questionnaire, Health-Promoting Lifestyle Profile II, Barriers to Healthy Lifestyle, Perceived Social Support, Perceived Self-Efficacy, Loneliness Scale, Geriatric Depression Scale, Multidimensional Health Locus of Control Scale, and the SCARED (stress, coping, argument, resources, events, and dependence) tool. The intervention was done in twenty 45- to 60-minute training sessions over 6 months. Data analysis were performed using χ2 tests, multiple linear and logistic regression, and structural equation modeling (SEM).Results: The frequency of knowledge of elder abuse, self-efficacy, social support and health promoting lifestyle before the intervention was similar in the two groups. However, the frequency of high knowledge of elder abuse (94.8% in the intervention group and 46.6% in the control group), high self-efficacy (82.8% and 7.8%, respectively), high social support (97.0% and 10.3%, respectively) and high health promoting lifestyle (97.0% and 10.3%, respectively) was significantly higher (P<0.001) and the frequency of elder abuse risk (28.0% and 49.6%, respectively) was significantly less in the intervention group after the intervention. SEM standardized beta (Sβ) showed that the intervention had the highest impact on increase social support (Sβ=0.80, β=48.64, SE=1.70, P<0.05), self-efficacy (Sβ=0.76, β=13.32, SE=0.52, P<0.05) and health promoting behaviors (Sβ=0.48, β=33.08, SE=2.26, P<0.05), respectively. The effect of the intervention on decrease of elder abuse risk was indirect and significant (Sβ=-0.406, β=-0.340, SE=0.03, P<0.05), and through social support, self-efficacy, and health promoting behaviors.Conclusion: Educational interventions can be effective in preventing elder abuse. Keywords: elder abuse, self-efficacy, social support, health promotion, health education
format	article
author	Estebsari F Dastoorpoor M Mostafaei D Khanjani N Rahimi Khalifehkandi Z Rahimi Foroushani A Aghababaeian H Taghdisi MH
author_facet	Estebsari F Dastoorpoor M Mostafaei D Khanjani N Rahimi Khalifehkandi Z Rahimi Foroushani A Aghababaeian H Taghdisi MH
author_sort	Estebsari F
title	Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial
title_short	Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial
title_full	Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial
title_fullStr	Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial
title_full_unstemmed	Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial
title_sort	design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/756d2b6da6fa4095b60df12b6a633979
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spelling	oai:doaj.org-article:756d2b6da6fa4095b60df12b6a6339792021-12-02T04:03:25ZDesign and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial1178-1998https://doaj.org/article/756d2b6da6fa4095b60df12b6a6339792018-04-01T00:00:00Zhttps://www.dovepress.com/design-and-implementation-of-an-empowerment-model-to-prevent-elder-abu-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Fatemeh Estebsari,1 Maryam Dastoorpoor,2 Davoud Mostafaei,3 Narges Khanjani,4 Zahra Rahimi Khalifehkandi,5 Abbas Rahimi Foroushani,6 Hamidreza Aghababaeian,7 Mohammad Hossein Taghdisi8 1Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, 2Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, 3Department of Nursing Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, 4Neurology Research Center, Kerman University of Medical Sciences, Kerman, 5Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, 6Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, 7Nursing and Emergency Department, Dezful University of Medical Sciences, Dezful, 8Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran Background: Older adults are more vulnerable to health risks than younger people and may get exposed to various dangers, including elder abuse. This study aimed to design and implement an empowerment educational intervention to prevent elder abuse.Methods: This parallel randomized controlled trial was conducted in 2014–2016 for 18 months on 464 older adults aged above 60 years who visited health houses of 22 municipalities in Tehran. Data were collected using standard questionnaires, including the Elder Abuse-Knowledge Questionnaire, Health-Promoting Behavior Questionnaire, Health-Promoting Lifestyle Profile II, Barriers to Healthy Lifestyle, Perceived Social Support, Perceived Self-Efficacy, Loneliness Scale, Geriatric Depression Scale, Multidimensional Health Locus of Control Scale, and the SCARED (stress, coping, argument, resources, events, and dependence) tool. The intervention was done in twenty 45- to 60-minute training sessions over 6 months. Data analysis were performed using χ2 tests, multiple linear and logistic regression, and structural equation modeling (SEM).Results: The frequency of knowledge of elder abuse, self-efficacy, social support and health promoting lifestyle before the intervention was similar in the two groups. However, the frequency of high knowledge of elder abuse (94.8% in the intervention group and 46.6% in the control group), high self-efficacy (82.8% and 7.8%, respectively), high social support (97.0% and 10.3%, respectively) and high health promoting lifestyle (97.0% and 10.3%, respectively) was significantly higher (P<0.001) and the frequency of elder abuse risk (28.0% and 49.6%, respectively) was significantly less in the intervention group after the intervention. SEM standardized beta (Sβ) showed that the intervention had the highest impact on increase social support (Sβ=0.80, β=48.64, SE=1.70, P<0.05), self-efficacy (Sβ=0.76, β=13.32, SE=0.52, P<0.05) and health promoting behaviors (Sβ=0.48, β=33.08, SE=2.26, P<0.05), respectively. The effect of the intervention on decrease of elder abuse risk was indirect and significant (Sβ=-0.406, β=-0.340, SE=0.03, P<0.05), and through social support, self-efficacy, and health promoting behaviors.Conclusion: Educational interventions can be effective in preventing elder abuse. Keywords: elder abuse, self-efficacy, social support, health promotion, health educationEstebsari FDastoorpoor MMostafaei DKhanjani NRahimi Khalifehkandi ZRahimi Foroushani AAghababaeian HTaghdisi MHDove Medical PressarticleElder AbuseSelf-EfficacySocial SupportHealth PromotionHealth EducationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 669-679 (2018)

Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial

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