Document Type : Original Article


1 Department of Nursing, School of Nursing and Midwifery, Ahwaz University of Medical Sciences, Ahwaz

2 Department of Statistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.


Background and Objective: Adult age is a sensitive period of human life and paying attention
to the issues and needs of this stage is a social necessity. Regarding the specific needs of this
period, considering the empowerment, dignity, and self-efficacy in the elders is very important too,
which is frequently neglected. This study aims to determine the effect of family-based interventions
on the elders’ empowerment with emphasis on self-efficacy, self-esteem, perceive threat, and
quality of life of the elders in Isfahan. Materials and Methods: In this semi-experimental study,
64 elderly people with the ability to perform routine and daily tasks without dependence on
others and without systemic and restrictive diseases were chosen by available sampling method
and were divided into two intervention and control groups. In intervention group, the model of
family-based empowerment was trained and conducted in ten 45-minute sessions. The level of
perceived threat, self-esteem, self-efficacy, and life quality in both groups were evaluated before
and after intervention through a questionnaire. Chi Square, paired and independent t-test were
used for statistical analysis. Results: Statistical test of paired t-test indicated that family-based
empowerment model significantly increased the quality of life in intervention group compared with
the control group (P < 0.01). Statistical test of independent t-test showed a significant difference
in intervention and control groups after conducting the program in the score of the self-esteem
(P < 0.001). Regarding self-efficiency, independent t-test did not show any significant difference
between the two groups before intervention. Despite the increase of self-efficacy score after
intervention, this difference was not significant (P = 0.076). Conclusion: Regarding the findings of
this research, we can conclude that it is possible to increase the level of self-efficacy, self-esteem,
perceived threat, and finally quality of life of the elders and facilitate the way for healthy aging and
being healthy in this period using family-based empowerment model regularly and consistently.


1. Simonetti JP, Ferreira JC. Coping strategies caregivers of elderly
with chronic diseases develop. Rev Esc Enferm USP 2008;42:19-25.
2. Löfmark U, Hammarström A. Education-related differences in case
fatality among elderly with stroke. Neuroepidemiology 2008;31:21-7.
3. Schneider G, Driesch G, Kruse A, Wachter M, Nehen HG, Heuft G.
What influences self-perception of health in the elderly? The role
of objective health condition, subjective well-being and sense of
coherence. Arch Gerontol Geriatr 2004;39:227-37.
4. Kozaki K, Murata H, Kikuchi R, Sugiyama Y, Hasegawa H, Igata A,
et al. “Activity scale for the elderly” as a measurement for the QOL
of local elderly individuals and the assessment of the influence of
age and exercise. Nihon Ronen Igakkai Zasshi 2008;45:188-95.
5. Von Wichert P. The importance of atmospheric heat waves for health
service in already altered people. Med Klin (Munich) 2008;103:75-9.
6. Newsom JT, Schulz R. Social support as a mediator in the relation
between functional status and quality of life in older adults. Psychol
Aging 1996;11:34-44.
7. Wood R, Alvarez R, Maraya B, Sanderas C. Physical fitness, cognitive
function and health-related quality of life in older adults. Aging Phys
Act 2001;7:217-30.
8. Rowe M, Leachan E, Youg D. Evaluating the efficacy of physical
activity for influencing quality of life out comes in older adults. Ann
Beh Med 1999;251:718-25.
9. Institute for Family –centered car. Family –centered car: Questions
& Answers 2005. Available from: http://www.Family centeredcare.
org [Last accessed on 2009 Aug 25].
10. Cott CA, Falter LB, Gignac M, Badley E. Helping networks in
community home care for the elderly: Types of team. Can J Nurs
Res 2008;40:19-37.
11. Mellor D, Davison T, McCabe M, George K. The management of
depressed elderly care recipients: Family perspectives on the skills
of professional carers. J Community Health Nurs 2008;25:44-61.
12. Bowden VR, Greenberg CS. Pediatric Nursing Procedures.
Philadelphia: Lippincott Co; 2003. p. 1-3.
13. Dolmans DH, Wolfhagen IH, Scherpbier AJ, Vleuten CP. Relationship
of tutors’ group-dynamics skills to their performance ratings in
problem-based learning. Acad Med 2001;76:473-6.
14. Sampsel D, McNichols S, Kordash RD, Bonitati D. Information for
integration. A senior services program spurs development of a
multi-hospital integrated network. Health Prog 1994;75:40-3, 50-1.
15. Huber D. Leadership & Nursing Care Management. 2nd ed.
Philadelphia: W.B. Saunders Co; 2000. p. 196.
16. Friedman MM, Bowlen VR, Jones EG. Family Nursing Recearch
and theory practic. 5th ed. United States: Pearson Education; 2003.
p. 202-3.
17. Alhani F. Evaluating of family center empowerment model on
preventing iron deficiency anemia. [PhD Dissertation]. Iran. Tehran.
Faculty of Medical Science. Tarbiat Modares University; 2003.
18. Bomar PJ. Promoting health in familyies. Applying family research
and theory to nursing practic. 3rd ed. U.S.A: Sunders; 2004. p. 375.
19. Meyer C, Muhlfeld A, Drexhage C, Floege J, Goepel E, Schauerte P,
et al. Clinical research for patient empowerment - A qualitative
approach on the improvement of heart health promotion in chronic
illness. Med Sci Monit 2008;14:CR358-65.
20. Lefebvre H, Levert MJ, Pelchat D, Lepage JG. Nature, sources, and
impact of information on the adjustment of family caregivers: A pilot
project. Can J Nurs Res 2008;40:143-60.
21. Bandura A, Adams NE. Analysis of self efficacy theory in behavior
change. Cognit Ther Res 2002;23:287-308.
22. Fraczak B, Stawska B. Pensioners’ quality of life in social care houses.
Ann Acad Med Stetin 2007;53:98-103.
23. Ben Natan M. Perceptions of nurses, families, and residents in
nursing homes concerning residents’ needs. Int J Nurs Pract
24. Altman DG The size of clinical trial. In: Pocock SJ, editor. Clinical
trial, a practical approach. NewYork: John Wiley and Sounds; 1990.
p. 144-54.
25. Nakao H, Yoshikawa T, Hara T, Wang L, Suzuki T, Fujimoto S.
Thresholds of physical activities necessary for living a selfsupporting life in elderly women. Osaka City Med J 2007;53:53-61.
26. Paswan S, Punia S, Balda S. Empowerment of Senior Citizens for
Retired Life. J Soc Sci 2005;11:255-6.
27. Siu-Ching LO. Elderly Volunteering as Empowerment. Availablefrom:
28. Knussen C, Tolson D, Brogan CA, Swan IR, Stott DJ, Sullivan F.
Family caregivers of older relatives: Ways of coping and change
in distress. Psychol Health Med 2008;13:274-90.
29. Jeong SY, Higgins I, McMillan M. The essentials of Advance
Care Planning for end-of-life care for older people. J Clin Nurs
30. Heller K. Mcklindon D, Families as “faculty” parents educating
caregivers a bout family-centered care. Pediatr Nurs 1998;22:428-31.
31. Resnick B, Luisi D, Vogel A. Testing the Senior Exercise Self-efficacy
Project (SESEP) for use with urban dwelling minority older adults.
Public Health Nurs 2008;25:221-34.
32. Wallace JI, Buchner DM, Grothaus L, Leveille S, Tyll L, LaCroix AZ,
et al. Implementation and effectiveness of a community-based
health promotion program for older adults. J Gerontol A Biol Sci
Med Sci 1998;53:M301-6.
33. Andersson M, Hallberg IR, Edberg AK. Old people receiving
municipal care, their experiences of what constitutes a good
life in the last phase of life: A qualitative study. Int J Nurs Stud
34. Stanhope M, Lancost J. Community and Public Health. US: Mosby;
2004. p. 612.