Effects of an empowerment program for self-management among rural older adults with hypertension in South Korea

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Abstract

Objective:

This study aimed to examine the effects of an empowerment program for hypertension self-management among rural older adults in South Korea.

Design:

A pretest–posttest controlled design for a 12-month hypertension self-management program with assessments at commencement, 6 months and 12 months.

Setting:

Two subsistence farming areas.

Participants:

Subsistence farmers aged 65 and over: intervention group (n = 41) and control group (n = 36).

Intervention:

Twelve-month empowerment program for hypertension self-management.

Main outcome measures:

Self-efficacy, social support, self-care behaviours, blood pressure control and renal function.

Results:

There were significant interactions of group by time for self-efficacy (P < 0.001) and self-care behaviour (P = 0.019). Blood pressure control at 12 months also showed a significant improvement in the empowered group compared with the control group (82.8% versus 56.8%, P < 0.014). Other clinical outcomes, including systolic blood pressure (P = 0.006) and renal function (P < 0.001), showed significant interactions of group by time.

Conclusions:

The empowerment program was effective for rural older adults with hypertension in South Korea. Further investigation of the relationships among core components of empowerment would be beneficial.

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