Breaking the cycle of frailty: The impact of health promotion training on older family caregivers


Demirdaş F. B., KORKMAZ YAYLAGÜL N.

Geriatric Nursing, cilt.70, 2026 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 70
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.gerinurse.2026.104058
  • Dergi Adı: Geriatric Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, AgeLine, CINAHL, MEDLINE
  • Anahtar Kelimeler: Frailty, Health promotion, Informal care, Older caregiver
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Introduction The frailty of older family caregivers is a rising concern that negatively impacts both their health and the quality of care they provide. Interventions that promote healthy behaviors may reduce frailty and enhance well-being. This study investigates the effect of a health promotion and development training program on frailty and healthy lifestyle behaviors in family caregivers aged 60+ with frailty. Methods Eighty-four caregivers were initially recruited and stratified according to frailty status (pre-frail/frail) before randomization. During the study, nine caregivers were lost to follow-up, resulting in a final sample of 75 participants. The intervention group received a structured health promotion training program delivered in three sessions, while the control group received no intervention. Assessment scales were administered to both groups before and after the intervention. Data were analyzed to assess within- and between-group differences, with significance set at p ' 0.05. Results Posttest comparisons showed higher HPLP-II scores in the intervention group than in the control group (p ' 0.001; d = 1.0). Frailty scores decreased significantly and HPLP-II scores increased in the intervention group (p ' 0.001; d = 1.3–1.8), whereas no significant change in frailty was observed in the control group (p = 0.205). Discussion The findings indicate that health promotion and development training can enhance lifestyle behaviors and mitigate frailty in older family caregivers. These findings underscore the value of incorporating structured health promotion programs into caregiver support strategies and highlight the need for further research to expand their implementation and evaluate long-term outcomes.