Development and evaluation of a health literacy promotion program using line application on self-care behavior and lower low-density lipoprotein levels in persons with chronic coronary syndrome

Authors

  • Chatchapong Samutalai Lerdsin Hospital
  • Ratsiri Thato Faculty of Nursing, Chulalongkorn University

Keywords:

Health literacy, self-care behavior, low-density lipoprotein, chronic coronary syndrome, LINE application

Abstract

Purpose: To develop and test a health literacy promotion program using the LINE application for individuals with chronic coronary syndrome (CCS).

Design: This study involved the development of a health literacy promotion program via the LINE application and examined its effects on self-care behaviors and LDL-C levels in patients with CCS.

Methods: The program development process was divided into three phases: 1) Identifying challenges faced by patients with CCS through a literature review, 2) Designing and developing the health literacy promotion program using the LINE application, and 3) Testing the program with a group of CCS patients. The program was evaluated for appropriateness, content continuity, and linguistic clarity. The sample consisted of 15 CCS patients receiving treatment at Lerdsin Hospital. Research instruments included the health literacy promotion program, a satisfaction survey, and the Self-Care of Coronary Heart Disease Inventory. Data were analyzed using descriptive statistics (percentages, means, and standard deviations).

Results: The health literacy promotion program using the LINE application received average scores of 4.6 (±0.48) for ease of use, 5.0 (±0.00) for practical utility, 4.53 (±0.51) for safety, and 4.8 (±0.35) for overall satisfaction. These results suggest that the program is feasible and appropriate for future studies with larger sample sizes.

Author Biography

Ratsiri Thato, Faculty of Nursing, Chulalongkorn University

Corresponding Author, Professor, Faculty of Nursing, Chulalongkorn University, and Research Advisor.

References

American Heart Association. 2023 Heart disease and stroke statistics update fact Sheet.2023. Available from: https://professional.heart.org/-/media/PHD-Files-2/Science-News/2/2023-Heart-and-Stroke-Stat-Update/2023-Statistics-At-A-Glance-final_1_17_23.pdf.

Ministry of Public Health. Public Health Statistics 2021 - 2022. Available from: Available from: https://spd.moph.go.th/wp-content/uploads/2022/11/Hstatistic64.pdf.

Knuuti J, Wijns W, Saraste A, Capodanno D, Barbato E, Funck-Brentano C, et al. 2019 ESC guidelines for the diagnosis and management of chronic coronary syndromes: The Task force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC). European Heart Journal. 2020; 41(3): 407-77.

The Heart Association of Thailand. Thai chronic coronary syndromes Guideline 2021. 1, editor2021.

Domanski MJ, Tian X, Wu CO, Reis JP, Dey AK, Gu Y, et al. Time course of LDL cholesterol exposure and cardiovascular disease event risk. Journal of the American College of Cardiology. 2020; 76(13): 1507-16.

Kanbuala W, Aiadsuy N, Deenan A. The effects of a health literacy promotion program on Coronary Artery Disease preventive behaviors and serum lipid levels among people with dyslipidemia. The Journal of Faculty of Nursing Burapha University. 2021; 29(3): 1-14.

Riegel B, Jaarsma T, Strömberg A. A middle-range theory of self-care of chronic illness. Advances in Nursing Science. 2012; 35(3): 194-204.

Rattanaprom A, Srisuk N, Koson N. Self-care behaviors among patients with Coronary Heart Disease after percutaneous coronary intervention. Nursing Science Journal of Thailand. 2023; 41(4): 56-72.

Valaker I, Fridlund B, Wentzel-Larsen T, Nordrehaug JE, Rotevatn S, Råholm M-B, et al. Continuity of care and its associations with self-reported health, clinical characteristics and follow-up services after percutaneous coronary intervention. BMC Health Services Research. 2020; 20(1): 1-15.

Nachai L, Sarinrut S, Saneha C. Factors predicting self-care behaviors in patients with Coronary Artery Disease. Thai Journal of Nursing Council. 2022; 37(03): 93-108.

Buppha S, Tharadol K, Mondha K, Thamarath C. Health literacy andSelf-care behaviors among patients with ischemic heart disease at central chest institute of Thailand. Thai Journal of Health Education. 2021; 44(2).

Zaben K, Khalil A. Health literacy, self-care behavior and quality of life in acute coronary syndrome patients: An integrative review. Open Journal of Nursing. 2019; 9(4): 383-95.

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000; 15(3):259-67.

Nutbeam D. The evolving concept of health literacy. Social Science & Medicine. 2008; 67(12): 2072-8.

Richey RC, Klein JD. Design and development research. Handbook of research on educational communications and technology. 2014: 141-50.

Kanbuala W, Aiadsuy N, Deenan A. The effects of a health literacy promotion program on health literacy, food consumption behavior, exercise behavior and waist circumference of people with dyslipidemia. The Journal of Prapokklao Hospital Clinical Medical Education Center. 2023; 40(2): 241-9.

De Melo Ghisi GL, da Silva Chaves GS, Britto RR, Oh P. Health literacy and coronary artery disease: A systematic review. Patient Education and Counseling. 2018; 101(2): 177-84.

Magnani JW, Mujahid MS, Aronow HD, Cené CW, Dickson VV, Havranek E, et al. Health literacy and cardiovascular disease: fundamental relevance to primary and secondary prevention: A scientific statement from the American Heart Association. Circulation. 2018; 138(2): e48-e74.

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Published

2025-07-24

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Research articles