Wheel of Wellness Counseling in Community Dwelling, Korean Elders: A Randomized, Controlled Trial

Abstract

Purpose: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. Methods: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. Results: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre-to post-test in the areas of sense of control (p = .033), nutrition (p = .017), exercise (p = .039), self-care (p < .001), stress management (p = .017), work (p = .011), perceived wellness (p = .019), and depression (p = .031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. Conclusions: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended. If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Intervenções educativas para promoção da saúde do idoso: revisão integrativa

“…In the present study, educational interventions performed by nurses for the health promotion of the elderly in the international context stood out. (9)(10)(11)(12)14,(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) This fact shows that Brazilian studies (13,15,24) on this theme are scarce, have low level of scientific evidence and fragile theoretical background. (31) The use of experimental design has been observed over the three previous years, with a growing trend also to 2017.…”

“…This finding raises the most effective participation of nurses in studies with greater methodological rigor, such as the randomization, which was present in nine of the studies of this review. (9)(10)(11)(12)14,20,21,23,26) This favors the scientific rigor, accuracy of results and the establishment of the cause-effect relationship. (32) Chart 2.…”

“…A15 (23) Counseling with motivational dynamics. Beneficial for improving the wellbeing of people living in the community.…”

“…Year/Country Design Level of evidence A1 (9) 2007/ USA RCT II A2 (10) 2008/ England RCT controlled I A3 (11) 2008/ Holland RCT controlled I A4 (12) 2010/ USA RCT II A5 (13) 2010/ Brazil Descriptive IV A6 (14) 2012/ Switzerland RCT II A7 (15) 2012/ Brazil Action research IV A8 (16) 2013/ USA Preclinical III A9 (17) 2014/ USA Quasi-experiment III A10 (18) 2014/ Holland Quasi-experiment III A11 (19) 2014/ China Quasi-experiment III A12 (20) 2015/ USA RCT II A13 (21) 2015/ Germany RCT controlled I A14 (22) 2015/ Sweden Quasi-experiment III A15 (23) 2015/ Korea RCT controlled I A16 (24) 2015/ Brazil Descriptive IV A17 (25) 2016/ Korea Quasi-experiment III A18 (26) 2016/ Canada RCT controlled I A19 (27) 2016/ USA Action research IV A20 (28) 2017/ USA Case study V A21 (29) 2017/ USA Pre-experimental III A22 (30) 2017/ Sweden NRT II…”

Validity and reliability of a Korean version of the wellness evaluation of lifestyle (K-WEL)

“…웰니스의 전인적이고 포괄적인 특성에도 불구하고 측정과 중재 적 접근이 용이하다는 이유로 지금까지 웰니스 프로그램은 운동이나 식이와 같이 웰니스의 속성 중 일부 에 초점을 둔 접근이 많았다. 그러나 K-WEL은 정서적, 지적, 영적, 사회적, 신체적 특성들을 포괄적으 로 측정하기 때문에 개인의 웰니스를 진단하고 다차원적인 건강증진 중재를 설계하고 성과를 측정하는 데 활용할 수 있다 (Kwon, 2015).…”