The Effectiveness of a Self-Management and Multifactorial Program for Blood Pressure Control Among Older Home-Based Workers in Urban Bangkok, Thailand 10.55131/jphd/2024/220311
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Abstract
Older adults aged between 50-65 years old have a high risk of hypertension. With the growing numbers of home-based workers among adults and older adults in Thailand, this study aimed to evaluate the effectiveness of self-management with a multifactorial program to control blood pressure among older adults. A randomized controlled trial was conducted. Participants who worked as home-based workers aged between 50-65 years old were recruited from a community in the western area of Bangkok. Approximately 70 participants were randomly and equally assigned to the intervention and control groups (35 participants in each group). Participants in the intervention group received the program that consisted of education regarding food selection, work time management and arm swinging; a practical protocol, an exercise program, a heart rate monitor, a recorded book for facilitating participants’ progress to ensure their safety and efficiency in a health professional manner for a week/month. While those in the control group received usual care. A Knowledge Attitude Practice questionnaire was utilized to assess their knowledge, attitude, and practice, which demonstrated a content validity index and Cronbach alpha of 0.80, respectively. The Citizen CH-403C was utilized to measure blood pressure and heart rate. Two-way Repeated Measures ANOVA was employed to analyze the differences in outcome scores at baseline, 3-month after program, and 6-month follow up.
The results showed a significant increase in participant’s knowledge, attitudes, and behaviors toward hypertension and a decrease in blood pressure to nearly normal after 3months following the completion of the program and 6-month follow-up. Therefore, the self-management and multifactorial program could be an effective preventive intervention for older adults with pre-hypertension conditions to offer them valuable knowledge on work-life balance as well as to help prevent hypertension, and related stroke complications.
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References
Steyn K, Sliwa K, Hawken S, Commerford P, Onen C, Damasceno A, et al. Risk factors associated with myocardial infarction in Africa: the INTERHEART Africa study. Circulation. 2005;112(23):3554-3561. doi: 10.1161/ CIRCULATIONAHA.105.563452
Ferri CP, Schoenborn C, Kalra L, Acosta D, Guerra M, Huang Y, et al. Prevalence of stroke and related burden among older people living in Latin America, India and China. J Neurol Neurosurg Psychiatry. 2011;82(10): 1074-1082. doi: 10.1136/jnnp.2010. 234153
Ikeda N, Saito E, Kondo N, Inoue M, Ikeda S, Satoh T, et al. What has made the population of Japan healthy?. Lancet. 2011;378(9796):1094-1105. doi: 10.1016/S0140-6736(11)61055-6
World Health Organization. Active ageing: A policy framework. World Health Organization; 2013.
Chantakeeree C, Sormunen M, Jullamate P, Turunen H. Health-promoting behaviors among urban and rural older Thai adults with hypertension: a cross-sectional study. PRIJNR. 2021;25(2):242-254.
Prasartkul P. The Projection of Population, Thailand, 2000-2025. Bangkok: Health System Research Institute and Institute for Population and Social Research, Mahidol University; 2002.
Foundation of Thai Gerontology Research and Development Institute (TGRI). Situation of Thai Elderly 2016. Bangkok; 2016:3-4. (In Thai)
Bureau of Policy and Strategy. Public Health Statistics 2015. Ministry of Public Health; 2015.
Sakboonyarat B, Rangsin R, Kantiwong A, Mungthin M. Prevalence and associated factors of uncontrolled hypertension among hypertensive patients: a nation-wide survey in Thailand. BMC Res Notes. 2019;12(1): 380. doi: 10.1186/s13104-019-4417-7
Chongthawonsatid S. Demographic factors and health care behavior of hypertension disease in Thailand. SEHS. 2015;9(1):9-16. doi: 10.14456/ sustj.2015.5
Lwin-Mm-Khin, Tassanee S, Oranut P, Chaweewon B. Risk factors for hypertension among rural Thais. Southeast Asian J Trop Med Public Health. 2011;42(1):208-17.
Puavilai W, Laorugpongse D, Prompongsa S, Sutheerapatranont S, Siriwiwattnakul N, Muthapongthavorn N, et al. Prevalence and some important risk factors of hypertension in Ban Paew District, second report. J Med Assoc Thai. 2011;94(9):1069-1076.
Laohasiriwong W, Puttanapong N, Singsalasang A. Prevalence of hypertension in Thailand: Hotspot clustering detected by spatial analysis. Geospat Health. 2018;13(1) :608. doi: 10.4081/gh.2018.608
Bureau of Non-Communicable Diseases, Ministry of Public Health. Manual for Preventing Chronic Non-communicable Diseases of Tambon Health Promotion Hospital. 3rd ed. Bangkok: Office of Veterans Organization Printing Office; 2013. (in Thai)
Nieman DC. Exercise testing and prescription. A health-related approach. 5th ed. Mountain View (CA): Mayfield; 2003:63–5.
Miles L. Physical activity and health. Nutrition bulletin. 2007;32(4):314-363. doi: 10.1111/j.1467-3010.2007.00668.x
International Agency for Research on Cancer. IARC Handbooks for Cancer Prevention, Volume 6: Weight Control and Physical Activity. Lyon: IARC Press; 2002.
Lwin-Mm-Khin TS, Oranut P, Chaweewon B. Risk factors for hypertension among rural Thais. Southeast Asian J Trop Med Public Health. 2011;42(1):208-217.
Lorig K. Living a healthy life with chronic conditions. Palo Alto, CA: Bull Publishing Company; 1996.
Zimmerman BJ, Schunk DH. Educational psychology: A century of contributions: A Project of Division 15 (educational Psychology) of the American Psychological Society. Routledge; 2014 Aug 13.
Sardinha LB, Santos DA, Silva AM, Baptista F, Owen N. Breaking-up sedentary time is associated with physical function in older adults. J Gerontol A Biol Sci Med Sci. 2015; 70(1):119-124. doi: 10.1093/gerona/ glu193
Xiao Z, Cruz M, Hojo E, Eungpinichpong W, Wang X, Xiao L, et al. The benefits of Shuai Shou Gong (SSG) demonstrated in a Randomised Control Trial (RCT) study of older adults in two communities in Thailand. PLos One. 2023;18(5):e0282405. doi: 10.1371/journal.pone.0282405
Prasertsri P, Singsanan S, Chonanant C, Boonla O, Trongtosak P. Effects of arm swing exercise training on cardiac autonomic modulation, cardiovascular risk factors, and electrolytes in persons aged 60–80 years with prehypertension: A randomized controlled trial. J Exerc Sci Fit. 2019;17(2):47-54. doi: 10.1016/ j.jesf.2018.11.002
Oliveros E, Patel H, Kyung S, Fugar S, Goldberg A, Madan N, Williams KA. Hypertension in older adults: Assessment, management, and challenges. Clin Cardiol. 2020;43(2): 99-107. doi: 10.1002/clc.23303
Fuchs FD, Whelton PK. High blood pressure and cardiovascular disease. Hypertension. 2020 Feb;75(2):285-292. doi: 10.1161/HYPERTENSION AHA.119.14240
He FJ, Brown M, Tan M, MacGregor GA. Reducing population salt intake—An update on latest evidence and global action. J Clin Hypertens (Greenwich). 2019;21(10):1596-1601. doi: 10.1111/ jch.13664
Lloyd-Sherlock P, Beard J, Minicuci N, Ebrahim S, Chatterji S. Hypertension among older adults in low-and middle-income countries: prevalence, awareness and control. Int J Epidemiol. 2014;43(1):116-28. doi: 10.1093/ ije/dyt215
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116(9): 1081-93. doi: 10.1161/CIRCULATION AHA.107.185649