Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial
Objective: This study aimed to investigate the effect of empowerment-based interventions on self-efficacy and self-care capacity among adults with sickle cell disease (SCD). Methods: A randomized control trial was conducted [NCT06296654]. A total of 76 patients were recruited by using a cluster samp...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | International Journal of Nursing Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013224001340 |
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| author | Zohour Ibrahim Rashwan Hasan Abdali Khalil Leena Mohamed Khonji Gayathripriya Narayanan Marwan Kamal Altheeb Roseben Pradeep Rajeswari Krishnasamy Magda Mohamed Bayoumi |
| author_facet | Zohour Ibrahim Rashwan Hasan Abdali Khalil Leena Mohamed Khonji Gayathripriya Narayanan Marwan Kamal Altheeb Roseben Pradeep Rajeswari Krishnasamy Magda Mohamed Bayoumi |
| author_sort | Zohour Ibrahim Rashwan |
| collection | DOAJ |
| description | Objective: This study aimed to investigate the effect of empowerment-based interventions on self-efficacy and self-care capacity among adults with sickle cell disease (SCD). Methods: A randomized control trial was conducted [NCT06296654]. A total of 76 patients were recruited by using a cluster sampling technique in the two health centers in Bahrain from February to May 2022 and randomly allocated to the intervention group (n = 38) or control group (n = 38). The intervention group received the empowerment-based intervention implemented through structured small-group discussion sessions, individualized consultations (5A model: assess, advise, agree, assist, and arrange), and follow-up sessions, while the control group received routine health education. The Sickle Cell Self-Efficacy Scale (SCSES) and the Appraisal of the Self-Care Agency Scale-Revised (ASA-R) were measured at baseline and one month after the intervention among two groups of patients. Results: A total of 68 patients completed the study (36 patients in the intervention group and 32 patients in the control group). After the intervention, the score of SCSES in the intervention group was 37.0 (35.0, 39.8) higher than the control group 28.0 (25.2, 32.0) (U = − 6.121, P < 0.001); the score of ASA-R in the intervention group was 61.0 (58.3, 65.0) higher than the control group 49.0 (43.3, 53.0) (U = 0.653, P < 0.001). Conclusion: Adopting the empowerment-based intervention using the 5As model effectively improves self-efficacy and self-care capacity among patients with SCD. |
| format | Article |
| id | doaj-art-b1342238204f4474ab0f150b1301c1e3 |
| institution | Kabale University |
| issn | 2352-0132 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj-art-b1342238204f4474ab0f150b1301c1e32025-01-26T05:04:01ZengElsevierInternational Journal of Nursing Sciences2352-01322025-01-011214250Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trialZohour Ibrahim Rashwan0Hasan Abdali Khalil1Leena Mohamed Khonji2Gayathripriya Narayanan3Marwan Kamal Altheeb4Roseben Pradeep5Rajeswari Krishnasamy6Magda Mohamed Bayoumi7Pediatric Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain; Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt; Corresponding author. Building 255, Road 2904, Block 329, Salmaniya, ManamaShaikh Jaber Al-Ahmed Al-Subah Health Centre, Primary Health Care Centres, Barbar, Kingdom of BahrainMidwifery Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of BahrainMidwifery Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of BahrainNursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of BahrainMidwifery Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of BahrainMental Health Nursing Speciality, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of BahrainMedical-Surgical Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain; Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef University, EgyptObjective: This study aimed to investigate the effect of empowerment-based interventions on self-efficacy and self-care capacity among adults with sickle cell disease (SCD). Methods: A randomized control trial was conducted [NCT06296654]. A total of 76 patients were recruited by using a cluster sampling technique in the two health centers in Bahrain from February to May 2022 and randomly allocated to the intervention group (n = 38) or control group (n = 38). The intervention group received the empowerment-based intervention implemented through structured small-group discussion sessions, individualized consultations (5A model: assess, advise, agree, assist, and arrange), and follow-up sessions, while the control group received routine health education. The Sickle Cell Self-Efficacy Scale (SCSES) and the Appraisal of the Self-Care Agency Scale-Revised (ASA-R) were measured at baseline and one month after the intervention among two groups of patients. Results: A total of 68 patients completed the study (36 patients in the intervention group and 32 patients in the control group). After the intervention, the score of SCSES in the intervention group was 37.0 (35.0, 39.8) higher than the control group 28.0 (25.2, 32.0) (U = − 6.121, P < 0.001); the score of ASA-R in the intervention group was 61.0 (58.3, 65.0) higher than the control group 49.0 (43.3, 53.0) (U = 0.653, P < 0.001). Conclusion: Adopting the empowerment-based intervention using the 5As model effectively improves self-efficacy and self-care capacity among patients with SCD.http://www.sciencedirect.com/science/article/pii/S2352013224001340Activities of daily livingSickle cell diseaseSelf-efficacySelf-care |
| spellingShingle | Zohour Ibrahim Rashwan Hasan Abdali Khalil Leena Mohamed Khonji Gayathripriya Narayanan Marwan Kamal Altheeb Roseben Pradeep Rajeswari Krishnasamy Magda Mohamed Bayoumi Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial International Journal of Nursing Sciences Activities of daily living Sickle cell disease Self-efficacy Self-care |
| title | Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial |
| title_full | Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial |
| title_fullStr | Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial |
| title_full_unstemmed | Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial |
| title_short | Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial |
| title_sort | effect of empowerment based interventions on self efficacy and self care capacity among patients with sickle cell disease a randomized controlled trial |
| topic | Activities of daily living Sickle cell disease Self-efficacy Self-care |
| url | http://www.sciencedirect.com/science/article/pii/S2352013224001340 |
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