Effects of Self-Management Program with Family Participation on Perceived Self Efficacy, Healthy Lifestyle Behaviors and Blood Pressure among Adults with Hypertension
This quasi-experimental research with two-group pretest-posttest design aimed to evaluate the effectiveness of a self-management program with family participation on perceived self-efficacy, healthy lifestyle behaviors and blood pressure among adults with hypertension. Participants consisted of 60 hypertensive patients who lived in Tha Chang, Ban Lad, Phetchaburi. They were divided into an experimental group and a comparison group with 30 individuals each. The experimental group participated in the eight-week program that was developed according to the concepts of positive psychology and self-regulation based on social cognitive theory and support from their family, while the comparison group received only routine care. Data were collected using a validate questionnaire on perceived self-efficacy and healthy lifestyle behaviors. The content validity of the questionnaire was assessed by five experts with index of item objective congruence of .90, and the reliability was tested by Cronbach’s alpha coefficient with a result of .84. The data were analyzed using descriptive statistics, paired and independent samples t-tests with alpha set at .05.
Results showed that after experiment: 1) mean scores of perceived self-efficacy and healthy lifestyle behaviors in the intervention group were significantly higher than that before the experiment (t=34.75, p<.001 and t=24.40, p<.001, respectively), and were significantly higher than that in the comparison group (t=17.62, p<.001 and t=11.16, p<.001, respectively); and 2) means of systolic and diastolic blood pressures in the intervention group were significantly lower than that before the experiment (t= -6.67, p<.001 and t= -3.38, p=.001, respectively), and were significantly lower than that in the comparison group (t= -4.04, p<.001 and t= -3.41, p=.001, respectively). The results indicated that the program could promote and support hypertensive adults to change their health behaviors and enhance their ability to control blood pressure. The findings suggest that this program should be implemented in other communities.
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