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Article: The Impact of a Health Empowerment Program on Self-Care Enablement and Mental Health among Low-Income Families: Evidence from a 5 Year Cohort Study in Hong Kong

TitleThe Impact of a Health Empowerment Program on Self-Care Enablement and Mental Health among Low-Income Families: Evidence from a 5 Year Cohort Study in Hong Kong
Authors
Keywordsempowerment
health-related quality of life
low-income families
mental health
self-care enablement
Issue Date15-Mar-2023
PublisherMultidisciplinary Digital Publishing Institute (MDPI)
Citation
International Journal of Environmental Research and Public Health, 2023, v. 20, n. 6, p. 1-16 How to Cite?
Abstract

Health empowerment can be an effective way to reduce health inequities. This prospective cohort study evaluated the 5 year impact of a health empowerment program (HEP) on health outcomes among adults from low-income families. The Patient Enablement Instrument version 2 (PEI-2), Depression, Anxiety and Stress Scale 21 (DASS-21), and 12 item Short-Form Health Survey version 2 (SF-12v2) were administered at baseline and follow-up for both intervention and comparison groups. A total of 289 participants (n = 162 for intervention group, n = 127 for comparison group) were included in the analysis. Most of the participants were female (72.32%), and aged from 26 to 66 years old (M = 41.63, SD = 6.91). Linear regressions weighted by inverse probability weighting using the propensity score showed that, after follow-up of 5 years, the intervention group demonstrated significantly greater increases in all items and total scores for the PEI-2 (all B > 0.59, p < 0.001), greater decreases in the DASS depression score (B = −1.98 p = 0.001), and greater increases in the Mental Component Summary score of the SF-12v2 (B = 2.99, p = 0.027) than the comparison group. The HEP may be an effective intervention enabling adults from low-income families to manage their health-related issues and improve their mental health, as evidenced by our study.


Persistent Identifierhttp://hdl.handle.net/10722/329062
ISSN
2021 Impact Factor: 4.614
2023 SCImago Journal Rankings: 0.808

 

DC FieldValueLanguage
dc.contributor.authorLu, Fangcao-
dc.contributor.authorWong, Carlos King Ho-
dc.contributor.authorTse, Emily Tsui Yee-
dc.contributor.authorNg, Amy Pui Pui-
dc.contributor.authorLi, Lanlan-
dc.contributor.authorLam, Joyce-
dc.contributor.authorBedford, Laura-
dc.contributor.authorFong, Daniel Yee Tak-
dc.contributor.authorIp, Patrick-
dc.contributor.authorLam, Cindy Lo Kuen-
dc.date.accessioned2023-08-05T07:54:59Z-
dc.date.available2023-08-05T07:54:59Z-
dc.date.issued2023-03-15-
dc.identifier.citationInternational Journal of Environmental Research and Public Health, 2023, v. 20, n. 6, p. 1-16-
dc.identifier.issn1660-4601-
dc.identifier.urihttp://hdl.handle.net/10722/329062-
dc.description.abstract<p>Health empowerment can be an effective way to reduce health inequities. This prospective cohort study evaluated the 5 year impact of a health empowerment program (HEP) on health outcomes among adults from low-income families. The Patient Enablement Instrument version 2 (PEI-2), Depression, Anxiety and Stress Scale 21 (DASS-21), and 12 item Short-Form Health Survey version 2 (SF-12v2) were administered at baseline and follow-up for both intervention and comparison groups. A total of 289 participants (n = 162 for intervention group, n = 127 for comparison group) were included in the analysis. Most of the participants were female (72.32%), and aged from 26 to 66 years old (M = 41.63, SD = 6.91). Linear regressions weighted by inverse probability weighting using the propensity score showed that, after follow-up of 5 years, the intervention group demonstrated significantly greater increases in all items and total scores for the PEI-2 (all B > 0.59, p < 0.001), greater decreases in the DASS depression score (B = −1.98 p = 0.001), and greater increases in the Mental Component Summary score of the SF-12v2 (B = 2.99, p = 0.027) than the comparison group. The HEP may be an effective intervention enabling adults from low-income families to manage their health-related issues and improve their mental health, as evidenced by our study.<br></p>-
dc.languageeng-
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)-
dc.relation.ispartofInternational Journal of Environmental Research and Public Health-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectempowerment-
dc.subjecthealth-related quality of life-
dc.subjectlow-income families-
dc.subjectmental health-
dc.subjectself-care enablement-
dc.titleThe Impact of a Health Empowerment Program on Self-Care Enablement and Mental Health among Low-Income Families: Evidence from a 5 Year Cohort Study in Hong Kong-
dc.typeArticle-
dc.identifier.doi10.3390/ijerph20065168-
dc.identifier.scopuseid_2-s2.0-85151111479-
dc.identifier.volume20-
dc.identifier.issue6-
dc.identifier.spage1-
dc.identifier.epage16-
dc.identifier.issnl1660-4601-

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