An Action Research about Using Strengths-Based Perspective to Develop an Educational Program to Empower Volunteers to Assist Older Adults with Knee Osteoarthritis Self-Management
In this study, combining the strengths-based perspective and chronic disease self-management model, used the method of action research to develop an educational program and volunteer learning manual which aimed at improving the capacity of community volunteers to assist older adults with knee osteoarthritis (OA) to care for them. The subjects were volunteers aged over 50 who had served at least one year in community centers for the elderly in Chia-Yi County. By action research method, this study used qualitative and quantitative mixed design to record and analyzes this process. First, 59 volunteers were randomly selected to take questionnaire to explore the community volunteers’ awareness of this disease and their willingness and effectiveness in assisting the elderly in self-management of this disease, so as to develop training programs and teaching materials and inviting 11 experts to assess their appropriateness. Following, recruited 30 volunteers to carry out training and practical community teaching, as well as evaluating effectiveness before and after the training and evaluating curriculum satisfaction. The last conducted volunteer and community leaders’ focus group interview. According to the results of interviews revised the educational programs. The results show that the strengths of volunteers are that the willingness to assist elderly people in self-management is high and the motivation for learning is also very strong. It is easier for volunteers to communicate with elderly people. The disadvantages are that the program is very time-consuming, the retention rate of trained volunteers is low, and volunteers are not self-confident in helping elderly people with knee OA to take care of themselves, skills of self-management are not very proficient, and the teaching for the ill-literate elderly people is more difficult. Finally, suggestions are put forward to improve the educational program, including improvements of volunteer’s training curriculum and delivery of educational services.
|關鍵詞||志工教育方案、鄉村社區、慢性病自我管理、volunteer’s educational program、rural area、chronic disease self-management|