Effectsof Self-Management Program with Family Participation on Perceived Self Efficacy, Healthy Lifestyle Behaviors and Blood Pressure among Adults with Hypertension
Keywords:self-management, family participation, perceived self-efficacy, health behavior, 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 patientswho 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 comparisongroup received only routine care. Data were collected using validate questionnaireson perceived self-efficacy and healthy lifestyle behaviors. The data were analyzed using descriptive statistics, paired and independent samples t-tests. 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.
Ahn, O., Cha, H., Chang, S., Cho, H-C, & Kim, H. (2015). Effect of an integrated health management program based on successful aging in Korean women. Public Health Nursing, 32(4), 307–315. https://doi.org/10.1111/phn.12177
Baiya, N., Chaumsang, C., Paechaiyaphoom, N., & Tangsungworadham, J. (2013). The effects of family nursing intervention program based on the illness belief model on the health behaviors of the hypertensive patients and health care behaviors of their family. Bangkok: Faculty of Medicine, Srinakharinwirot University. [In Thai].
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. New Jersey: Prentice-Hall.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155
Department of Disease Control. (2017). Nursing course program for chronic non-communicable disease coordinators in the community. Bangkok: Bureau of Non-Communicable Diseases. [In Thai].
Division of Non Communicable Diseases. (2019). Non-communicable diseases data 2016-2018. Retrieved 20 June 2020 from http://www.thaincd.com/2016/mission/documents.php?tid=32&gid=1-020. [In Thai].
Harnden, K. E., Frayn, K. N., & Hodson, L. (2010). Dietary approaches to stop hypertension (Dash) diet: Applicability and acceptability to a UK population. Journal of Human Nutrition and Dietetics, 23(1), 3-10. https://doi.org/10.1111/j.1365-277X.2009.01007.x.
Huffman, J. C., Millstein, R. A.., Mastromauro, C. A., Moore, S. V., Celano, C. M., Bedoya, C. A., …Januzzi, J. L. (2016). A positive psychology intervention for patients with an acute coronary syndrome: Treatment development and proof-of-concept trial. Journal of Happiness Studies, 17(5), 1985-2006. https://doi.org/10.1007/s10902-015-9681-1.
Maxine, A. N., Hossein, Y., & Marcella, N. (2011). Self-management among patients living with diabetes in the United States Virgin Islands. Journal Health Care Poor Underserved, 22(1), 271-283. https://doi.org/ 10.1353/hpu.2011.0024.
Naik, A., Palmer, N., Petersen, N., Street, R., Rao, R., Suarez-Almazor, M., ...Haidet, P. (2011). Comparative effectiveness of goal setting in diabetes mellitus group clinics: Randomized clinical trial. Archives of Internal Medicine, 171(5), 453-459. https://doi.org/10.1001/archinternmed.2011.70.
Prompan, C., Khlewkhern, S., & Chanaboon, S. (2018). The effect of the health promotion program to improve behavior control of hypertension patient with hypertension in Noen Yang Sub-District, Kham Muang District, Kalasin Province. Journal of Nursing and Health Sciences, 12(4), 100-114. [In Thai].
Seesawang, J., Thongtaeng, P., & Yodthong, D. (2014). Effectiveness of self-management supportive program among hypertensive older people. Ramathibodi Nursing Journal, 20(2), 179-192. [In Thai].
Seligman, M. (2000). Positive psychology: An introduction. American Psychologist, 55, 5-14.
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].
Songwatthanayuth, P., Watthanakorn, K., Klinhom, K., & Ratanapat, P. (2016). Effects of family and village health volunteer participation program on health promoting behaviors, and blood pressure in pre-hypertension adults. Veridian E-Journal, Science and Technology Silpakorn University, 3(3), 1-14. [In Thai].
Sutipan, P. (2016). Research and development of a self-management program on healthy lifestyle behaviors and health outcomes for the elderly with hypertension. Doctoral Dissertation (Applied Behavioral Science Research), Behavioral Science Research Institute, Srinakharinwirot University, Bangkok. [In Thai].
Tha Chang Health Promoting Hospital. (2016). Annual report on operation results 2016. Phetchaburi: Tha Chang Health Promoting Hospital. [In Thai].
Thai Hypertension Society. (2019). 2019 Thai guidelines on the treatment of hypertension. Bangkok: Author. [In Thai].