A new understanding of health related empowerment in the context of an active and healthy ageing.
Health-related empowerment
active ageing
chronic conditions
delphi
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
24 Apr 2019
24 Apr 2019
Historique:
received:
14
08
2018
accepted:
09
04
2019
entrez:
25
4
2019
pubmed:
25
4
2019
medline:
19
7
2019
Statut:
epublish
Résumé
Recently, several initiatives have focused on how to create true person-centred health services. This calls for a new understanding of health-related empowerment in relation to people living with one or more chronic conditions. We report on a Delphi investigation among participants in the European Innovation Partnership on Active and Healthy Ageing that has led to a new understanding of health-related empowerment. The Delphi process was conducted in three sequential rounds. In the first round, we presented a suggested first version for a definition of "health-related empowerment" divided into nine statements. One hundred and twenty-two experts were then asked if they agreed or not with each individual statement, and in the case they disagreed, to state the reasons for their disagreement. After revisions, the experts who had replied to the first version were asked again, if they agreed or not with each individual statement of the second version and to elaborate on disagreements. Finally, in the third round the experts were asked to provide comments to the final proposed definition in general and not by each statement. A total of 33 experts responded to the first version. The following revision included a merging of two statements, and the addition of health literacy as part of the understanding. The second version was sent out to the 33 experts and a total of 19 experts commented with moderate consensus. Changes included removal of "self-esteem" and change of "self-confidence" to confidence. Third version was sent out to all 122 experts with 16 respondents. Strong consensus was obtained for this third version, and is with one minor change presented as the final version. We propose a new understanding of the concept health-related empowerment, by focusing on the individual as a co-manager with freedom to choose and focus on their own well-being.
Sections du résumé
BACKGROUND
BACKGROUND
Recently, several initiatives have focused on how to create true person-centred health services. This calls for a new understanding of health-related empowerment in relation to people living with one or more chronic conditions. We report on a Delphi investigation among participants in the European Innovation Partnership on Active and Healthy Ageing that has led to a new understanding of health-related empowerment.
METHODS
METHODS
The Delphi process was conducted in three sequential rounds. In the first round, we presented a suggested first version for a definition of "health-related empowerment" divided into nine statements. One hundred and twenty-two experts were then asked if they agreed or not with each individual statement, and in the case they disagreed, to state the reasons for their disagreement. After revisions, the experts who had replied to the first version were asked again, if they agreed or not with each individual statement of the second version and to elaborate on disagreements. Finally, in the third round the experts were asked to provide comments to the final proposed definition in general and not by each statement.
RESULTS
RESULTS
A total of 33 experts responded to the first version. The following revision included a merging of two statements, and the addition of health literacy as part of the understanding. The second version was sent out to the 33 experts and a total of 19 experts commented with moderate consensus. Changes included removal of "self-esteem" and change of "self-confidence" to confidence. Third version was sent out to all 122 experts with 16 respondents. Strong consensus was obtained for this third version, and is with one minor change presented as the final version.
CONCLUSION
CONCLUSIONS
We propose a new understanding of the concept health-related empowerment, by focusing on the individual as a co-manager with freedom to choose and focus on their own well-being.
Identifiants
pubmed: 31014350
doi: 10.1186/s12913-019-4082-5
pii: 10.1186/s12913-019-4082-5
pmc: PMC6480610
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
242Références
J Adv Nurs. 2003 Feb;41(4):376-82
pubmed: 12581103
Patient Educ Couns. 2006 Mar;60(3):301-12
pubmed: 16051459
Patient Educ Couns. 2006 Dec;64(1-3):78-86
pubmed: 16720089
Patient Educ Couns. 2007 Apr;66(1):13-20
pubmed: 17084059
Patient Educ Couns. 2010 May;79(2):167-72
pubmed: 19748203
PLoS One. 2011;6(6):e20476
pubmed: 21694759
Patient Educ Couns. 2013 Jan;90(1):4-11
pubmed: 23063359
PLoS One. 2015 May 13;10(5):e0126553
pubmed: 25970618
BMC Health Serv Res. 2015 Jul 01;15:252
pubmed: 26126998
Health Promot J Austr. 2015 Dec;26(3):210-215
pubmed: 26650538
Patient Educ Couns. 2016 Sep;99(9):1505-10
pubmed: 27460801
JMIR Res Protoc. 2017 Jan 16;6(1):e6
pubmed: 28093379
Int J Integr Care. 2018 Jan 25;18(1):10
pubmed: 29588644
BMJ Evid Based Med. 2018 Aug;23(4):137-139
pubmed: 30002077
J Pers Soc Psychol. 1987 Dec;53(6):1024-37
pubmed: 3320334
Psychol Rev. 1977 Mar;84(2):191-215
pubmed: 847061
Am J Community Psychol. 1995 Oct;23(5):581-99
pubmed: 8851341
Milbank Q. 1996;74(4):511-44
pubmed: 8941260