The Effects of Using the Empowerment Model Intervention in Primary Total Hip Replacement Surgery Elders

NCT02815163 | Completed DMC

• 1 other identifier: 97-2081B
• Study Type: interventional
• Target: 108
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Empowerment

Outcome Measures

Primary Outcomes (2)

• Total Hip Replacement Self-efficacy Scale

  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.

  5min

• Self-care competence Scale

  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.

  5min

Secondary Outcomes (4)

• ADL

  3min

• Tinetti mobility

  3min

• GDS-15

  3min

• SF-36

  3min

Study Arms (2)

comparison group

NO INTERVENTION

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.

Empowerment education group

EXPERIMENTAL

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.

Other: Empowerment education

Interventions

Empowerment education OTHER

1. admission (1 hour) ▪partnership 2. 2 ds after THR (30-45min) * listening * dialogue * reflection * action * feedback 3. 2 WKs after THR (30 min) * listening * dialogue * reflection * action * feedback 4. 6 WKs after THR (30 min) * listening * dialogue * reflection * action * feedback 5. 10 WKs after THR (30 min) * listening * dialogue * reflection * action * feedback

Empowerment education group

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• had 1st THRS
• ability to speak and read Chinese
• willingness to participate in this study

You may not qualify if:

• cognitive impairment or been diagnosed with a psychiatric illness
• participation in another study

Sponsors & Collaborators

• Tzu-Ting Huang: lead

MeSH Terms

Conditions

Empowerment

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor, School of Nursing

Study Record Dates

• First Submitted: June 21, 2016
• First Posted: June 28, 2016
• Study Start: September 1, 2013
• Primary Completion: May 1, 2014
• Study Completion: May 1, 2014
• Last Updated: May 23, 2018

Record last verified: 2018-05

Data Sharing

• IPD Sharing: Will not share