J Korean Acad Nurs.  2015 Jun;45(3):459-468. 10.4040/jkan.2015.45.3.459.

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

• Kwon SH

• KMID: 2164387
• DOI: http://doi.org/10.4040/jkan.2015.45.3.459

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.
CONCLUSION
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.

Keyword

Aged; Community health nursing; Health promotion; Randomized controlled trial

MeSH Terms

Adaptation, Psychological
Aged
Asian Continental Ancestry Group
*Counseling
Demography
Depression/physiopathology
Exercise
Female
Health Behavior
Health Promotion
Humans
Independent Living
Life Style
Male
Nutrition Assessment
*Program Evaluation
Quality of Life
Republic of Korea