The effect of family-centered empowerment program on the family caregiver burden and the activities of daily living of Iranian patients with stroke: a randomized controlled trial study

Deyhoul, Narjes; Vasli, Parvaneh; Rohani, Camelia; Shakeri, Nezhat; Hosseini, Meimanat

doi:10.1007/s40520-019-01321-4

Cited by 53 publications

(76 citation statements)

References 35 publications

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“…The aging process is accompanied by declines in functional capacity and cognition [3,4]. Disability in older people is associated with low quality of life [5], increased burden on caregivers [6], rise in morbidity and mortality [7], and elevated health care costs [8], which finally put more burdens on the whole society.…”

Section: Introductionmentioning

confidence: 99%

Beneficial Effect of Dietary Diversity on the Risk of Disability in Activities of Daily Living in Adults: A Prospective Cohort Study

Zhang

Zhao

et al. 2020

Nutrients

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Disability in activities of daily living (ADL) is common in elderly people. Dietary diversity is associated with several age-related diseases. The evidence on dietary diversity score (DDS) and ADL disability is limited. This study was based on the China Health and Nutrition Survey. Prospective data of 5004 participants were analyzed. ADL disability was defined as the inability to perform at least one of the five self-care tasks. Cox proportional regression models were conducted to estimate the association of cumulative average DDS with the risk of ADL disability. Logistic regression models were performed to estimate the odds ratios for the average DDS, the baseline DDS, and the recent DDS prior to the end of the survey in relation to ADL disability, respectively. The results indicate that higher average DDS was associated with a decreased risk of ADL disability (T3 vs. T1: hazard ratio 0.50; 95% confidence interval 0.39–0.66). The association was stronger among participants who did not had comorbidity at baseline than those who did (P-interaction 0.035). The average DDS is the most pronounced in estimating the association of DDS with ADL disability of the three approaches. In summary, higher DDS has beneficial effects on ADL disability, and long-term dietary exposure is more preferable in the investigation of DDS and ADL.

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Section: Introductionmentioning

confidence: 99%

Beneficial Effect of Dietary Diversity on the Risk of Disability in Activities of Daily Living in Adults: A Prospective Cohort Study

Zhang

Zhao

et al. 2020

Nutrients

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“…It also reduced the workload of their caregivers. In this study, follow up was done two months after the intervention (Deyhoul et al, 2019). Other studies have also shown that the family-centered empowerment model is effective in rehabilitation and self-care of patients with stroke (Creasy et al, 2015).…”

Section: Discussionmentioning

confidence: 91%

“…This means that the empowerment model had positive effects on the QoL of the patients with stroke. Deyhoul et al (2019) reported that the family-centered model had a positive and significant effect on the QoL and daily activities of stroke patients. It also reduced the workload of their caregivers.…”

Section: Discussionmentioning

confidence: 99%

The Effect of a Family-centered Empowerment Model on the Quality of Life of Patients With Stroke

Izadi-Avanji

Amini

Ajorpaz

et al. 2020

JCCNC

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Background: Stroke upsets the quality of life of the patients and their families. The participation of the family in caring for these patients is inevitable. Empowerment programs enhance patients' motivation and knowledge and improve their quality of life and self-care. This research aimed to determine the effect of a program based on the family-centered empowerment model on the quality of life of patients with stroke. Methods: This clinical trial study was performed on 100 patients with stroke in Shahid Beheshti Hospital in Kashan City, Iran. The subjects were first recruited purposefully and then were randomly divided into two groups. The experimental group received a family-centered empowerment training in 8 sessions, while the control group received no intervention. The patients in the two groups completed the stroke-specific quality of life scale before the intervention, immediately after the intervention, and one and two months after the last training session. The obtained data were analyzed using the Chi-square test, repeated measures ANOVA, and t-test in SPSS V. 19. Results: Comparison of the experimental and control groups showed that the total score of quality of life significantly changed immediately after the intervention, and one and two months later (P<0.05). Repeated measures ANOVA results reported a significant interaction between time and group in the total quality of life score and some of its dimensions (energy, family role, social role, language, mobility, self-care, upper extremity function, and work/productivity) (P≤0.05). Conclusion: This model of empowerment can improve the quality of life of patients with stroke. This model is recommended to use in the educational program of these patients.

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“…Each of these variables relates to practices addressed by Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) and CEDAW General Recommendations, which provide a cross-cultural framework for the identi cation of subordinative practices operating within the household. The eleven subcomponents include: 1) Prevalence of male willingness to use physical coercion against women (CEDAW and CEDAW General Recommendations 12,19,35). This includes both levels of violence against women, and degree of sanction for such violence, to wit, a.…”

Section: Methodsmentioning

confidence: 99%

The Subordination of Women and National Health Outcomes: A Cross-National Empirical Analysis

Hodgson

Hudson

2021

Preprint

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BackgroundWomen are often disproportionately responsible for the health of their families and communities. It seems, then, that the disempowerment and mistreatment of women would render society less able to address health concerns. We believe that subordination negatively impacts, not only the women’s health, but also the broader health indicatorsforthe nation. We specifically hypothesize that the disempowerment that takes place in a woman’s own home has a particularly negative impact on the following health outcomes: 1) maternal health, 2) child health, 3) community health, 4) risky health behavior, and 5) preventative health measures.ResultsWe examine the literature on the relationship between women’s subordination and national health outcomes. We then introduce a measure of subordination of women at the household level. We use this measure in multiple linear regression analyses with a sample of 148 nations to probe the relationship between household subordination of women and 17 measures of national health outcomes. We find that of the 17 health outcomes measured, 15 are significantly tied to women’s household subordination, even controlling for several additional factors, such as urbanization, ethnic heterogeneity, and others.More specifically, all maternal health, child health, and community health outcomes are significantly negatively related to women’s subordination in the household. Results for risky health behaviors and preventative health measures are mixed.ConclusionsWe find a consistent highly significant negative relationship between the subordination of women at the household level and national health outcomes. These findings have political and social implications. How can we expect to fully address national health concerns if we do not first elevate those who we have made responsible for our welfare? We recommend that women’s empowerment at the household level become a focal point in efforts to improve national health.

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The effect of family-centered empowerment program on the family caregiver burden and the activities of daily living of Iranian patients with stroke: a randomized controlled trial study

Cited by 53 publications

References 35 publications

Beneficial Effect of Dietary Diversity on the Risk of Disability in Activities of Daily Living in Adults: A Prospective Cohort Study

Beneficial Effect of Dietary Diversity on the Risk of Disability in Activities of Daily Living in Adults: A Prospective Cohort Study

The Effect of a Family-centered Empowerment Model on the Quality of Life of Patients With Stroke

The Subordination of Women and National Health Outcomes: A Cross-National Empirical Analysis

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