Evaluation of the Effectiveness of a Health Promotion Program in Clinical Practice with Elderly Patients

Tiar Erawan (1), Shanshan Xu (2), Ismed Ismed (3), Herlina Lidiyawati (4), Emdat Suprayitno (5)
(1) Poltekkes Kemenkes Makassar, Indonesia,
(2) Texila American University, Guyana,
(3) Universitas Islam Negeri Sultan Syarif Kasim Riau, Indonesia,
(4) Sekolah Tinggi Ilmu Kesehatan Sukabumi, Indonesia,
(5) Universitas Wiraraja, Indonesia

Abstract

The elderly patient population is vulnerable to various chronic diseases and has limited levels of access to health information. Effective health promotion programs can improve the quality of life of this group and prevent disease. A health promotion program is a series of activities aimed at increasing awareness, knowledge and healthy behaviour in a population or community. This study aims to evaluate the effectiveness of a health promotion program implemented with elderly patients in clinical practice in improving their knowledge, healthy living behaviour and health outcomes. This research method was carried out using a quasi-experimental design using a sample of elderly patients who participated in a six-month health promotion program at a community health clinic. Data collection was carried out through pre- and post-intervention questionnaires, and data analysis was carried out using descriptive statistics and hypothesis testing. The results of this study show an increase in patient knowledge about healthy eating patterns, physical activity, and stress management after participating in the health promotion program. In addition, there have been positive changes in healthy lifestyle behaviour and a reduction in the number of visits to health facilities due to diseases related to unhealthy lifestyles. The conclusion of this research is that health promotion programs for elderly patients in clinical practice are effective in increasing knowledge, improving healthy living behaviour, and reducing the risk of chronic disease. The recommendations of this study are to expand the scope of health promotion programs in various clinical settings and continue to encourage the participation of elderly patients to achieve optimal health outcomes.

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REFERENSI

Akyurek, G., Avci, N., & Ekici, G. (2022). The effects of “Workplace Health Promotion Program” in nurses: A randomized controlled trial and one-year follow-up. Health Care for Women International, 43(9), 980–996. https://doi.org/10.1080/07399332.2020.1800013

Bansal, S., Chowell, G., Simonsen, L., Vespignani, A., & Viboud, C. (2016). Big Data for Infectious Disease Surveillance and Modeling. Journal of Infectious Diseases, 214(suppl 4), S375–S379. https://doi.org/10.1093/infdis/jiw400

Bodkin, A., & Hakimi, S. (2020). Sustainable by design: A systematic review of factors for health promotion program sustainability. BMC Public Health, 20(1), 964. https://doi.org/10.1186/s12889-020-09091-9

Boulos, M., Wheeler, S., Tavares, C., & Jones, R. (2011). How smartphones are changing the face of mobile and participatory healthcare: An overview, with example from eCAALYX. BioMedical Engineering OnLine, 10(1), 24. https://doi.org/10.1186/1475-925X-10-24

Bramantoro, T., Santoso, C. M. A., Hariyani, N., Setyowati, D., Zulfiana, A. A., Nor, N. A. M., Nagy, A., Pratamawari, D. N. P., & Irmalia, W. R. (2021). Effectiveness of the school-based oral health promotion programmes from preschool to high school: A systematic review. PLOS ONE, 16(8), e0256007. https://doi.org/10.1371/journal.pone.0256007

Budd, J., Miller, B. S., Manning, E. M., Lampos, V., Zhuang, M., Edelstein, M., Rees, G., Emery, V. C., Stevens, M. M., Keegan, N., Short, M. J., Pillay, D., Manley, E., Cox, I. J., Heymann, D., Johnson, A. M., & McKendry, R. A. (2020). Digital technologies in the public health response to COVID-19. Nature Medicine, 26(8), 1183–1192. https://doi.org/10.1038/s41591-020-1011-4

Canuto, K. J., Aromataris, E., Burgess, T., Davy, C., McKivett, A., Schwartzkopff, K., Canuto, K., Tufanaru, C., Lockwood, C., & Brown, A. (2021). A scoping review of Aboriginal and Torres Strait Islander health promotion programs focused on modifying chronic disease risk factors. Health Promotion Journal of Australia, 32(1), 46–74. https://doi.org/10.1002/hpja.307

Crane, M., Bohn-Goldbaum, E., Lloyd, B., Rissel, C., Bauman, A., Indig, D., Khanal, S., & Grunseit, A. (2019). Evaluation of Get Healthy at Work, a state-wide workplace health promotion program in Australia. BMC Public Health, 19(1), 183. https://doi.org/10.1186/s12889-019-6493-y

Di Fabio, R. P., Choi, T., Soderberg, J., & Hansen, C. R. (1997). Health-Related Quality of Life for Patients With Progressive Multiple Sclerosis: Influence of Rehabilitation. Physical Therapy, 77(12), 1704–1716. https://doi.org/10.1093/ptj/77.12.1704

Dimitropoulos, Y. (2020). Outcomes of a co-designed, community-led oral health promotion program for Aboriginal children in rural and remote communities in New South Wales, Australia. Community Dental Health, 37(2), 132–137. https://doi.org/10.1922/CDH_00005Dimitropoulos06

Fernandez, M. E., Ruiter, R. A. C., Markham, C. M., & Kok, G. (2019). Intervention Mapping: Theory- and Evidence-Based Health Promotion Program Planning: Perspective and Examples. Frontiers in Public Health, 7, 209. https://doi.org/10.3389/fpubh.2019.00209

Franco, E., Urosa, J., Barakat, R., & Refoyo, I. (2021). Physical Activity and Adherence to the Mediterranean Diet among Spanish Employees in a Health-Promotion Program before and during the COVID-19 Pandemic: The Sanitas-Healthy Cities Challenge. International Journal of Environmental Research and Public Health, 18(5), 2735. https://doi.org/10.3390/ijerph18052735

Innstrand, S. T., & Christensen, M. (2020). Healthy Universities. The development and implementation of a holistic health promotion intervention programme especially adapted for staff working in the higher educational sector: The ARK study. Global Health Promotion, 27(1), 68–76. https://doi.org/10.1177/1757975918786877

Jones, K. E., Patel, N. G., Levy, M. A., Storeygard, A., Balk, D., Gittleman, J. L., & Daszak, P. (2008). Global trends in emerging infectious diseases. Nature, 451(7181), 990–993. https://doi.org/10.1038/nature06536

Kobel, S., Wartha, O., Lämmle, C., Dreyhaupt, J., & Steinacker, J. M. (2019). Intervention effects of a kindergarten-based health promotion programme on obesity-related behavioural outcomes and BMI percentiles. Preventive Medicine Reports, 15, 100931. https://doi.org/10.1016/j.pmedr.2019.100931

Lier, L. M., Breuer, C., & Dallmeyer, S. (2019). Organizational-level determinants of participation in workplace health promotion programs: A cross-company study. BMC Public Health, 19(1), 268. https://doi.org/10.1186/s12889-019-6578-7

Lutz, N., Taeymans, J., Ballmer, C., Verhaeghe, N., Clarys, P., & Deliens, T. (2019). Cost-effectiveness and cost-benefit of worksite health promotion programs in Europe: A systematic review. European Journal of Public Health, 29(3), 540–546. https://doi.org/10.1093/eurpub/cky269

Lynn Murphy, A., Martin Gardner, D., 1 College of Pharmacy, Dalhousie University, 5968 College Street, PO Box 15000, Halifax, NS B3H 4R2, Canada, & 2 Department of Psychiatry, Dalhousie University, 5909 Veterans’ Memorial Lane, Halifax, NS B3H 2E2, Canada. (2019). Pharmacists’ acceptability of a men’s mental health promotion program using the Theoretical Framework of Acceptability. AIMS Public Health, 6(2), 195–208. https://doi.org/10.3934/publichealth.2019.2.195

M. Scull, T., V. Malik, C., M. Keefe, E., & Schoemann, A. (2019). Evaluating the Short-term Impact of Media Aware Parent, a Web-based Program for Parents with the Goal of Adolescent Sexual Health Promotion. Journal of Youth and Adolescence, 48(9), 1686–1706. https://doi.org/10.1007/s10964-019-01077-0

McKay, F. H., Cheng, C., Wright, A., Shill, J., Stephens, H., & Uccellini, M. (2018). Evaluating mobile phone applications for health behaviour change: A systematic review. Journal of Telemedicine and Telecare, 24(1), 22–30. https://doi.org/10.1177/1357633X16673538

Möhler, R., Wartha, O., Steinacker, J. M., Szagun, B., & Kobel, S. (2020). Parental Self-Efficacy as a Predictor of Children’s Nutrition and the Potential Mediator Effect between the Health Promotion Program “Join the Healthy Boat” and Children’s Nutrition. International Journal of Environmental Research and Public Health, 17(24), 9463. https://doi.org/10.3390/ijerph17249463

Morales, A., Garcia-Montaño, E., Barrios-Ortega, C., Niebles-Charris, J., Garcia-Roncallo, P., Abello-Luque, D., Gomez-Lugo, M., Saavedra, D. A., Vallejo-Medina, P., Espada, J. P., Lightfoot, M., & Martínez, O. (2019). Adaptation of an effective school-based sexual health promotion program for youth in Colombia. Social Science & Medicine, 222, 207–215. https://doi.org/10.1016/j.socscimed.2019.01.011

Morales-Palomo, F., Ramirez-Jimenez, M., Ortega, J. F., & Mora-Rodriguez, R. (2019). Effectiveness of Aerobic Exercise Programs for Health Promotion in Metabolic Syndrome. Medicine & Science in Sports & Exercise, 51(9), 1876–1883. https://doi.org/10.1249/MSS.0000000000001983

Naseri Salahshour, V., Abredari, H., Sajadi, M., Sabzaligol, M., & Karimy, M. (2019). The Effect of Oral Health Promotion Program on Early Dental Decay in Students: A Cluster Randomized Controlled Trial. Journal of Caring Sciences, 8(2), 105–110. https://doi.org/10.15171/jcs.2019.015

Netea, M. G., Domínguez-Andrés, J., Barreiro, L. B., Chavakis, T., Divangahi, M., Fuchs, E., Joosten, L. A. B., Van Der Meer, J. W. M., Mhlanga, M. M., Mulder, W. J. M., Riksen, N. P., Schlitzer, A., Schultze, J. L., Stabell Benn, C., Sun, J. C., Xavier, R. J., & Latz, E. (2020). Defining trained immunity and its role in health and disease. Nature Reviews Immunology, 20(6), 375–388. https://doi.org/10.1038/s41577-020-0285-6

Nichols, E., Szoeke, C. E. I., Vollset, S. E., Abbasi, N., Abd-Allah, F., Abdela, J., Aichour, M. T. E., Akinyemi, R. O., Alahdab, F., Asgedom, S. W., Awasthi, A., Barker-Collo, S. L., Baune, B. T., Béjot, Y., Belachew, A. B., Bennett, D. A., Biadgo, B., Bijani, A., Bin Sayeed, M. S., … Murray, C. J. L. (2019). Global, regional, and national burden of Alzheimer’s disease and other dementias, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(1), 88–106. https://doi.org/10.1016/S1474-4422(18)30403-4

Oliffe, J. L., Rossnagel, E., Bottorff, J. L., Chambers, S. K., Caperchione, C., & Rice, S. M. (2020). Community-based men’s health promotion programs: Eight lessons learnt and their caveats. Health Promotion International, 35(5), 1230–1240. https://doi.org/10.1093/heapro/daz101

Ornek, O. K., & Esin, M. N. (2020). Effects of a work-related stress model based mental health promotion program on job stress, stress reactions and coping profiles of women workers: A control groups study. BMC Public Health, 20(1), 1658. https://doi.org/10.1186/s12889-020-09769-0

Otto, A.-K., Bischoff, L. L., & Wollesen, B. (2019). Work-Related Burdens and Requirements for Health Promotion Programs for Nursing Staff in Different Care Settings: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 16(19), 3586. https://doi.org/10.3390/ijerph16193586

Preti, E., Di Mattei, V., Perego, G., Ferrari, F., Mazzetti, M., Taranto, P., Di Pierro, R., Madeddu, F., & Calati, R. (2020). The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. Current Psychiatry Reports, 22(8), 43. https://doi.org/10.1007/s11920-020-01166-z

Santos-Beneit, G., Bodega, P., De Miguel, M., Rodríguez, C., Carral, V., Orrit, X., Haro, D., Carvajal, I., De Cos-Gandoy, A., Peñalvo, J. L., Gómez-Pardo, E., Oliva, B., Ibañez, B., Fernández-Alvira, J. M., Fernández-Jiménez, R., & Fuster, V. (2019). Rationale and design of the SI! Program for health promotion in elementary students aged 6 to 11 years: A cluster randomized trial. American Heart Journal, 210, 9–17. https://doi.org/10.1016/j.ahj.2018.12.011

Schmidt, S. K., Reinboth, M. S., Resaland, G. K., & Bratland-Sanda, S. (2020). Changes in Physical Activity, Physical Fitness and Well-Being Following a School-Based Health Promotion Program in a Norwegian Region with a Poor Public Health Profile: A Non-Randomized Controlled Study in Early Adolescents. International Journal of Environmental Research and Public Health, 17(3), 896. https://doi.org/10.3390/ijerph17030896

Somantri, S., Fazriawan, I., Laila Putri, A., & Ariaty Maulani, R. (2022). Self Services And Monitoring Of Weak Heart Disease Based On The Internet Of Things And Mobile Apps Using Certainty Factors. JOURNAL OF INFORMATICS AND TELECOMMUNICATION ENGINEERING, 5(2), 384–394. https://doi.org/10.31289/jite.v5i2.6195

Tsai, R., Alterman, T., Grosch, J. W., & Luckhaupt, S. E. (2019). Availability of and Participation in Workplace Health Promotion Programs by Sociodemographic, Occupation, and Work Organization Characteristics in US Workers. American Journal of Health Promotion, 33(7), 1028–1038. https://doi.org/10.1177/0890117119844478

Warnick, J. L., Pfammatter, A., Champion, K., Galluzzi, T., & Spring, B. (2019). Perceptions of Health Behaviors and Mobile Health Applications in an Academically Elite College Population to Inform a Targeted Health Promotion Program. International Journal of Behavioral Medicine, 26(2), 165–174. https://doi.org/10.1007/s12529-018-09767-y

Authors

Tiar Erawan
tiarerawan@poltekkesmks.ac.id (Primary Contact)
Shanshan Xu
Ismed Ismed
Herlina Lidiyawati
Emdat Suprayitno
Erawan, T., Xu, S., Ismed, I., Lidiyawati, H., & Suprayitno, E. (2024). Evaluation of the Effectiveness of a Health Promotion Program in Clinical Practice with Elderly Patients . Journal of World Future Medicine, Health and Nursing, 2(3), 431–443. https://doi.org/10.70177/health.v2i3.1039

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