Relationship between Empowerment and Functioning and Disability in Older Japanese Patients: A Covariance Structure Analysis

Tsubouchi, Yoshihito; Tainosho, Akiyoshi; Shimomura, Koudai; Kou, Motoasa; Yorozuya, Kyosuke; Nakashima, Daiki; Naito, Yasuo

doi:10.3390/healthcare11010044

Cited by 3 publications

(1 citation statement)

References 39 publications

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“…25 In the study by Tsubouchi et al, it was concluded that the role of the elderly person in society and the family, and the structure of family has important effects on empowerment. 26 It can be thought that this result found in the study is related to the fact that the majority of the elderly participating in the study had social security, about half of them had someone supporting their care, and a few of them lived alone.…”

Section: Discussionmentioning

confidence: 79%

The effect of health empowerment on elder abuse in older adults

Karaman,

Özer,

Bahçecioğlu Turan

et al. 2023

Psychogeriatrics

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BackgroundUnderstanding elder abuse requires an assessment of variables that may limit older adults' capacities to handle their everyday lives, to live independently, and to defend themselves. This study was conducted to examine the effect of health empowerment on elder abuse in older adults.MethodsThis cross‐sectional and correlational study was conducted with 250 elderly individuals who applied to the internal medicine clinics of a university hospital in Elazig, eastern Turkey. Data were collected using the Descriptive Information Form, Elders Health Empowerment Scale (EHES) and the Hwalek‐Sengstock Elder Abuse Screening Test (H‐S/EAST).ResultsThe average EHES total score of participants was 25.52 ± 6.58. The H‐S/EAST total score was 4.22 ± 3.49. Among subscales, the score of “Characteristics of the elder that make him or her vulnerable to abuse” subscale was 1.04 ± 0.83, the score of ‘Overt violation of personal rights and direct abuse’ subscale was 1.55 ± 1.30, and the score of ‘Characteristics of potentially abusive situations’ subscale was 1.62 ± 1.94. It was determined that the EHES (β = −0.163, P < 0.01) variable had a negative and significant effect on H‐S/EAST. It was found that a one‐unit decrease in the EHES variable increased the level of H‐S/EAST 0.849 times.ConclusionIt was determined that the level of empowerment of the participants was moderate. Elderly individuals were found to have a moderate risk of elder abuse. It was found that the risk of elder abuse decreased as older individuals became stronger.

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Section: Discussionmentioning

confidence: 79%

The effect of health empowerment on elder abuse in older adults

Karaman,

Özer,

Bahçecioğlu Turan

et al. 2023

Psychogeriatrics

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Association between health-related empowerment and health-protective behaviors among community-dwelling older adults

Hawash,

Mohamed,

El-Sayed

et al. 2024

Archives of Psychiatric Nursing

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Effectiveness of Integrated Digital Solutions to Empower Older Adults in Aspects Related to Their Health: A Systematic Review and Meta-Analysis (Preprint)

Martins,

Ribeiro,

Santinha

et al. 2023

Preprint

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BACKGROUND Digital solutions such as mobile applications or telemonitoring devices are frequently pointed out as a facilitator in the process of empowering older adults, but they can also act as a source of digital exclusion and/or disempowerment if they are not adequate for older adults’ needs and characteristics. OBJECTIVE To synthesize and critically evaluate existing evidence on the effectiveness of integrated digital solutions for empowering older adults in aspects related to their health. METHODS A systematic search was carried out in Pubmed, ScienceDirect, SCOPUS, EBSCO, and Scielo, using a combination of terms informed by previous reviews on empowerment. Screening of references was performed against pre-defined inclusion criteria. Data extraction and the methodological quality of included studies using the PEDro scale were performed by two authors. The certainty of evidence was graded for the main comparisons and outcomes of the review using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). When at least three studies were available within the same domain of empowerment (knowledge, support by others, capacities, and behaviors) and comparison group, a meta-analysis was performed. RESULTS A total of 30 manuscripts were included in the present review. Knowledge: there was very low certainty of evidence of a medium effect size favoring the digital intervention group (k=5, es=0.40; 95% CI=0.07; 0.73, I2=79%). Capacities: there was low certainty of evidence of no between-group differences (k=5; d=0.13; 95% CI=-0.02; 0.29, I2=0%) when comparing digital solutions against no intervention; low certainty of evidence of a medium effect size favoring the digital intervention group (k=13; d=0.29; 95% CI=0.07; 0.52, I2=79%) when comparing digital solutions against usual care; very low certainty of evidence of no between-group differences (k=4, d=0.97; 95% CI=-0.62; 2.56, I2=97%) when comparing digital interventions to face-to-face interventions. Social support and behaviors: no meta-analysis was possible and existing evidence is conflicting. CONCLUSIONS There is very low to low certainty of evidence that using integrated digital solutions results in increased knowledge and increased capacities (mainly self-efficacy) when compared to usual care and impacts capacities to an extent similar to face-to-face interventions at post-intervention. Interestingly, results also suggest, with low certainty of evidence, that there are no differences between using digital solutions and no intervention for improving capacities. Included studies and technologies were diverse and meta-analysis showed high heterogeneity which limits the confidence in the results and suggests that further research might affect the conclusions of this review.

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Relationship between Empowerment and Functioning and Disability in Older Japanese Patients: A Covariance Structure Analysis

Cited by 3 publications

References 39 publications

The effect of health empowerment on elder abuse in older adults

The effect of health empowerment on elder abuse in older adults

Association between health-related empowerment and health-protective behaviors among community-dwelling older adults

Effectiveness of Integrated Digital Solutions to Empower Older Adults in Aspects Related to Their Health: A Systematic Review and Meta-Analysis (Preprint)

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