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cohort·public health, family medicine, psychiatry, epidemiology, observational study·PMC10049337

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

International Journal of Environmental Research and Public Health · 10 authors, 7 centres

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TL;DR

Limitations include the observational design, which cannot establish causation, and the reliance on self-reported data.

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Limitations include the observational design, which cannot establish causation, and the reliance on self-reported data.

STUDY TYPE

cohort

SPECIALTY

public health

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100% · A

ORIGINAL PAPER

PMC10049337

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

International Journal of Environmental Research and Public Health

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ABSTRACT

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. Keywords: empowerment, self-care enablement, low-income families, health-related quality of life, mental health

CITATION EXPORT

Fangcao Lu, Carlos King Ho Wong, Emily Tsui Yee Tse et al.. 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. International Journal of Environmental Research and Public Health. (2023). https://doi.org/10.3390/ijerph20065168

AUTHORS

10 · 7 CENTRES

Fangcao Lu, Carlos King Ho Wong, Emily Tsui Yee Tse, Amy Pui Pui Ng, Lanlan Li, Joyce Sau Mei Lam, Laura Bedford, Daniel Yee Tak Fong, Patrick Ip, Cindy Lo Kuen Lam

1Department of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong 999077, China
2Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong 999077, China
3Laboratory of Data Discovery for Health (D24H), Hong Kong Science and Technology Park, Hong Kong 999077, China
4Department of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518000, China
5School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong 999077, China
6Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong 999077, China
7Department of Paediatrics and Adolescent Medicine, Hong Kong Children’s Hospital, Hong Kong 999077, China