Effect of Health Model‐Based Menopausal Self‐Care Training on Quality of Life and Health: A Randomised Controlled Trial.

Background: Menopause is a natural biological transition in a woman's life, often accompanied by various physical and emotional challenges. Enhancing postmenopausal women's health and quality of life requires empowerment, particularly through self‐care strategies. The present study aimed to evaluate...

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Publicado en:Health Expectations Vol. 28; no. 6; pp. 1 - 15
Autores principales: Khademi, Khadijeh, Kaveh, Mohammad Hossein, Nazari, Mahin, Asadollahi, Abdolrahim
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Effect of Health Model‐Based Menopausal Self‐Care Training on Quality of Life and Health: A Randomised Controlled Trial.
      aug:
        au:
          Khademi, Khadijeh
          Kaveh, Mohammad Hossein
          Nazari, Mahin
          Asadollahi, Abdolrahim
        affil: Student Research Committee, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
      sug:
        subj:
          Quality of Life Education
          Self Care Education
          Health Behavior Education
          Postmenopause Psychosocial Factors
          Health Promotion
          Women's Health Iran
          Outcomes of Education Evaluation
          Empowerment
          Program Evaluation
          Community Health Services
          Health Services Research
          Human
          Iran
          Female
          Randomized Controlled Trials
          Random Assignment
          Conceptual Framework
          Questionnaires
          Action Research
          Middle Age
          Aged
          Multi-Stage Cluster
          Data Analysis Software
          Descriptive Statistics
          Chi Square Test
          T-Tests
          Repeated Measures
          Analysis of Variance
          Coefficient alpha
          Correlation Coefficient
          Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Background: Menopause is a natural biological transition in a woman's life, often accompanied by various physical and emotional challenges. Enhancing postmenopausal women's health and quality of life requires empowerment, particularly through self‐care strategies. The present study aimed to evaluate the effectiveness of a training programme based on Longwe's Empowerment Framework and a Community‐Based Participatory Research approach. Methods: A randomised controlled trial was conducted involving 140 postmenopausal Iranian women, with 70 women in each control and intervention group. The intervention group received a 6‐week training programme, with weekly 120‐min sessions, designed using Longwe's framework in combination with the PRECEDE‐PROCEED model. Data were collected at three time points: baseline, 2 weeks post‐intervention and 4 months post‐intervention, using validated questionnaires. Statistical analyses were performed using SPSS version 27, with significance set at p < 0.05. Results: The training intervention significantly improved participants' quality of life (η² = 0.23, p < 0.001) and overall health (η² = 0.12, p < 0.001), with large and moderate effect sizes, respectively. Notably, the programme had a large effect on menopausal self‐care behaviours (η² = 0.42, p < 0.001) and a small but significant effect on internal health locus of control (η² = 0.05, p < 0.001). Conclusion: This study demonstrates that a structured self‐care training programme, based on empowerment theory and community engagement, can effectively enhance the health outcomes and quality of life of postmenopausal women. The findings indicate that integrating participatory and empowerment‐based educational interventions into public health initiatives for midlife women is advantageous. Patient or Public Contribution: This study employed a community‐based participatory research approach, actively engaging postmenopausal women as collaborators throughout the intervention process. Participants were involved in the initial needs assessment, where they shared their self‐care priorities and preferences. They also provided input on the structure, scheduling, and delivery format of the educational sessions. Furthermore, they collaborated to develop and participate in weekly group activities that promoted self‐care behaviours. Ongoing feedback from participants was incorporated into refining of the intervention, improving its cultural relevance, feasibility and alignment with the lived experiences of the target population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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