Achieving Whole Health: A Preliminary Study of TCMLH, a Group-Based Program Promoting Self-Care and Empowerment among Veterans

Autor/inn/en	Abadi, Melissa; Richard, Bonnie; Shamblen, Steve; Drake, Connor; Schweinhart, April; Bokhour, Barbara; Bauer, Rachel; Rychener, David
Titel	Achieving Whole Health: A Preliminary Study of TCMLH, a Group-Based Program Promoting Self-Care and Empowerment among Veterans
Quelle	In: Health Education & Behavior, 49 (2022) 2, S.347-357 (11 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Abadi, Melissa) ORCID (Bauer, Rachel)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/10901981211011043
Schlagwörter	Daily Living Skills; Mental Health; Well Being; Veterans; Empowerment; Health Programs; Satisfaction; Motivation; Anxiety; Goal Orientation; Program Evaluation; Peer Groups; Peer Teaching; Chronic Illness; Outcomes of Treatment; Health Behavior + Suchen Sie Ihr Suchwort? Alltagsfertigkeit; Psychohygiene; Well-being; Wellness; Wohlbefinden; Kriegsteilnehmer; Veteran; Zufriedenheit; psychologische; Motivation (psychologisch); Angst; Zielorientierung; Zielvorstellung; Programme evaluation; Programmevaluation; Gleichaltrigengruppe; Peer Group; Peer group teaching; Peer Group Teaching; Chronic disease; Chronische Krankheit; Health behaviour; Gesundheitsverhalten
Abstract	Objective: An emerging literature suggests patients with chronic illnesses can benefit from integrated, person-centric approaches to health care, including group-based programs. However, much of the research in this area is disease specific. The objective of this study was to collect preliminary evidence on the efficacy of Taking Charge of My Life and Health (TCMLH), a Whole Health group-based program that emphasizes self-care and empowerment on the overall health and well-being of veterans, a population burdened with high rates of multiple chronic conditions. Method: Self-reported outcomes, including standardized survey measures, were collected at pretest, posttest, and 2-month follow-up from 77 participants across 15 groups at four VA sites. Random intercept mixed-model regressions were used to analyze data. Results: Results from this initial study showed high satisfaction with the program and facilitators, and high attendance. There were significant pre-post gains in self-care attitudes and behaviors, patient motivation, meaning and purpose, mental health, perceived stress, goal progress, and goal-specific hope. Outcomes were maintained at 2-month follow-up for patient motivation, perceived stress, goal-specific hope, and goal progress. Significant gains were observed in health care empowerment and physical health from pretest to follow-up. Conclusions: Preliminary findings support the efficacy of TCMLH, a Whole Health group-based program that emphasizes patient empowerment, self-care practices, and peer support. Future research priorities include a rigorous evaluation with a larger sample size and control group to assess effectiveness. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01