Journal of Education and Health Promotion

Effectiveness of education based on family‑centered empowerment model on health‑promoting behaviors and some metabolic biomarkers in elderly women: A stratified randomized clinical trial

Document Type : Original Article

Authors

. Nasrin Mohammadi Someia
. Shirin Barzanjeh Atri 1
. Hossein Namdar Areshtanab 2
. Hanieh Salehi‑Pourmehr 3
. Azizeh Farshbaf‑Khalili 4

1 Department of Community Health Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences and Health Services, Tabriz, Iran

2 Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran

3 Research Center for Evidence‑Based Medicine, Iranian EBM Centre: A Joanna Briggs Institute (JBI) Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran

4 Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences Tabriz, Tabriz, Iran

Abstract
OBJECTIVE: The purpose of family‑centered care interventions is to enhance the abilities of family
members in certain areas that overcome the barriers to health and well‑being, The purpose of the
present research was to determine the effect of education based on family‑centered empowerment
model on health‑promoting behaviors and some serum metabolic indicators in elderly women.
MATERIALS AND METHODS: In this stratified randomized controlled trial, 60 elderly women aged
60 years and older referring to elderly‑friendly health centers in Tabriz‑East Azerbaijan were divided
randomly into intervention and control groups in 2019. Intervention group received a family‑centered
healthy lifestyle intervention once a week for 10 sessions and the control group received the routine
care. The mean score of health‑promoting behaviors using the Health Promoting Lifestyle Profile‑II
questionnaire, glycemia and serum lipid profile, liver and renal function, 25‑hydroxy Vitamin D, and
calcium serum levels were assessed before the intervention, 2 and 6 months after the intervention
through SPSS/version 23 using independent t‑test, ANCOVA, and repeated measure analysis.
RESULTS: The ANCOVA test showed a significant increase in total lifestyle score in the intervention
compared to the control group, 2 (adjusted mean difference [aMD]: 13.7; 95% confidence interval [CI]:
5.6–21.8) and 6 months (aMD: 17.2; 95% CI: 7.7–26.7) after education. The score of the nutrition and
health responsibility domains significantly increased two (P < 0.05) and 6 months (P < 0.001) after
the intervention in the intervention group compared to control. In both groups, serum levels of total
cholesterol, low‑density lipoprotein cholesterol, urea, and creatinine showed a significant decrease,
and high‑density lipoprotein cholesterol and calcium levels showed a significant increase (P < 0.05).
CONCLUSION: A healthy lifestyle education based on family‑centered empowerment model
increased the total lifestyle score. So, it is recommended as an effective educational approach to
improve the health of elderly.

Keywords

Biomarkers
elderly women
family‑centered empowerment model
health promoting behaviors
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Journal of Education and Health Promotion
Volume 10, Issue 12
December 2020
Pages 1-10

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