A Health Promoting Program on Health Behaviors, Body Mass Index and Blood Pressure among People at Risk of Hypertension.


  • Siriphorn Kangkeeree คณะพยาบาลศาสตร์ มหาวิทยาลัยนเรศวร
  • Chuleekorn Danyuthasilpe
  • Taweesak Siripornpibul


People at Risk of Hypertension, Health Promoting Program, Health Behavior, Body Mass Index, Blood Pressure


This quasi-experimental research aimed to study the effects of a ealth promoting program on health behaviors, body mass index and blood pressure among people at risk of hypertension. The sample consisted of 60 participants who were people at risk of hypertension which were divided into an experimental group and a comparison group with 30 persons each. The experimental group received a health promoting program according to Pender's Health Promotion Model for 12 weeks whereas the comparison group received usual care. The content validity was checked by 5 experts with index of item objective congruence which was equal to 0.93. The reliability of health behavior questionnaire was tested by Cronbach's alpha coefficient with a result of 0.78. Data were analyzed using frequency, percentage, mean, standard deviation, differences were compared using statistics. The results revealed that, A mean score of health behaviors, systolic and diastolic blood pressure after the experiment was better than before the experiment and among the comparison group with statistical significance (p < 0.05), The body mass index after the experiment was better than before the experiment with statistical significance (p < 0.05) but there was no difference with the experimental group and the comparison group (p > 0.05)


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Bansator Health Promoting Hospital, Tumbon Masin. (2016). Summary of population data 35 years. Sukhothai: Narisara printing. [In Thai].

Burankitcharoen, P. (2010). Primary hypertension. Bangkok: Folk doctor. [In Thai].

Chaikul, Ch. (2014). Effects of self-management and family participation enhancing program on health behavior and blood pressure among elderly with hypertension. Master Thesis (Nursing), Prince of Songkla University, Songkla. [In Thai].

Chomai, P., & Pranpawit, A. (2015). Effect of health promotion programs for promoting health behavior change in group at high risk of high risk of high blood pressure. Journal of Graduate School, Pitchayalat, 10(1), 15-24. [In Thai].

Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98-101.

Danyuthasilpe, C. (2018). Pender’s health promotion model and it applications in nursing practice. Songklanagarind Journal, 38(2), 132-141. [In Thai].

Gerlach, V.S., & Ely, D.P. (1980). Teaching & media: A systematic approach (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall Incorporated.

Jaikamwang, N. (2015). Risk behavior of diabetes and hypertension risk group. Journal Community Development and Quality of Life, 3(2), 173-184. [In Thai].

Keawwandee, K., Siriwang, W., & Katanyu, G. (2013). Health promotion hospital Wiangoonglong District Lumphun Province. National and International Conference Interdisciplinary Research for Local Development Sustainability, 15(1), 13-20. [In Thai].

Kiatpao, R. (2015). Outcomes of health behavior modification program toward risk reduction for hypertension and diabetes mellitus. Journal of Health Science, 24(3), 405-412. [In Thai].

Kritworpat, W. (2010). Conquer the fat and cconquer the belly. Bangkok: National buddhism publishing house. [In Thai].

Ministry of Education. (2009). Teaching system. Retrieved 1 July 2018 from https://www.moe.go.th/moe/th/news/detail.php?NewsID=11195&Key=news_research. [In Thai].

Moonsarnand, S., & Sompowthong, K. (2016). Effect of dietary behavior modification program guideline of the DASH with self-efficacy theory and social support on reducing the risk of hypertension among pre hypertensive patients. The Public Health Journal of Burapha University, 11(1), 88-98. [In Thai].

Panyasai, K., Phucharoen, P., & Piayoo, N. (2017). Evaluation of health promotion for people at risk of diabetes mellitus and hypertension. Journal of Phrapokklao Nursing College, 28(1), 51-62. [In Thai].

Pender, N. J., Murdaugh, C., & Parsons, M. A. (2011). Health promotion in nursing practice (6th ed.). Boston, MA: Pearson.

Phoemphun, N., Thongbai, W., &Numkham, L. (2016). Effect of a behavior change programs on the health behavior and nutrition of overweight employees in the work place. Rama Journal, 22(2), 177-191. [In Thai].

Phromwong, Ch. (1980). Teaching media system in education technology and communication. Bangkok: Agricultural cooperative assembly of Thailand. [In Thai].

Phunsuwan, N., Glangkarn, S., & Tewthong, K. (2015). Effectiveness of change management health beliefs and health behaviors self risk essential hypertension disease at Kokmamaung Subdistrict, Pakham district, Buriram Province . Thaksin Uinversity Journal, 18(2), 69-78. [In Thai].

Ponghan, P., Suntayakom, Ch., Pachanban, P., & Wannapira, W. (2011). Effects of health promotion program on metabolic syndrome preventive behaviors among health volunteers. Journal of Nursing and Health Sciences, 5(3), 54-64. [In Thai].

Prasertthai, P., Suwanno, J., & Sonpaweeravong, J. (2010). Effect of a home-based moderate intensity excerise on the reduction of blood pressure in persons with prehypertension. Thai Journal of Nursing Council, 25(4), 80-95. [In Thai].

Powattana, A., Krumpakorn, S., & Lakumpun, S. (2011). Health promotion and disease prevention in community. Khonkaen: Klang nana witthaya. [In Thai].

Russamee, P., Udthanapon, P., & Durongridthichai, W. (2013). Factors predicting pre hypertension and nonessential hypertension hypertension in Thai adult at Snakier community Prasamut Jade District, Smut Prakarn Province. Journal of Public Health Nursing, 27(1), 102-114. [In Thai].

Singha, S., & Hingkanont, P. (2016). The effect of self-efficacy program on disease prevention behavior of high blood pressure risk group. Journal of Nursing and Health Sciences, 11(3), 81-92. [In Thai].

Songthap, A. (2016). Prevalence risk factors and factors affecting hypertension among population in a rural southern. EAU Heritage Journal Science and Technology, 10(3), 104-117. [In Thai].

Srimonkol, T., Kengganpanich, T., Kengganpanich, M., Benjakul, S., & Lattanand, K. (2017). Food consumption behavior modification program in high risk group of hypertension, Tambol Tajan, Kong District, Nakhonratchasima Province. Journal of Boromarajonani College of Nursing, Bangkok, 33(1), 77-89. [In Thai].

Sukhothai Provincial Health Office. (2018). Response information service plan non-communicable disease. Retrieved 1 may 2018 from https://sti.hdc.moph.go.th/hdc/reports/page. [In Thai].

Thai Hypertension Society. (2015). Thai guidelines on the treatment of hypertension 2012 update 2015. Retrieved 20 April 2018 from http://www.pharcpa.com/files/. [In Thai].

Valisathien, J., &Phatisena, T. (2013). Effect of health behavior modification program among personal with hypertension risky group in the office of disease prevention and control regions Nakhon Ratchasima. Retrieved1 May 2018 from https://gsbooks.gs.kku.ac.th/58/the34th/pdf/MMO1.pdf. [In Thai].

Wassan, K., &Seharak, W. (2015). Prehypertension effect of health promoting programs on blood pressure body mass index and waist circumference in prehypertensive person. Journal of Nursing and Health Care, 33(4), 65-73. [In Thai].

World Health Organization. (2015). Hypertension. Retrieved 1 May 2018 from https://www.who.int/health topics/hypertension/




How to Cite

Kangkeeree, S. ., Danyuthasilpe, C. ., & Siripornpibul, T. . (2020). A Health Promoting Program on Health Behaviors, Body Mass Index and Blood Pressure among People at Risk of Hypertension. NU Journal of Nursing and Health Sciences, 14(1), 80–96. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/233418