Effectiveness of Health Behavior Modification Model for the Hypertensive Risk Group Using Participatory Approach in the Community of Wang Daeng Sub-district, Tron District, Uttaradit Province

Abstract

The present research aimed to examine the effectiveness of health behavior modification model for the risk group of hypertensions using participatory approach in the community of Wang Daeng Sub-district at Tron District in Uttaradit Province. The research was designed to carry out with two groups of samples to measure before and after the experiment (Quasi - Experimental research). The research samples were performed and selected with purposive sampling by screening the community members as the risk group with high blood pressure, resulting in the total number of 60 persons which were equally divided into the experimental and controlled groups under PRECEDE Framework. The experimental group participated in the 4-weeks program of behavior modification for the hypertensive risk groups, which included problem assessment, group process, health education about hypertension disease, information perception, reporting channel, advisory and encouragement skills, stress management skills, individual modification plans and knowledge exchange, adaptive activity planning and evaluation. The research instruments included 1) health behavior modification model for hypertensive risk group of the experimental group and 2) the questionnaire on effectiveness of health behavior modification model for hypertensive risk group which was adapted from Sumolrat (2017) and Pender's health promotion model consisting of 6 parts. The data analysis was calculated with descriptive statistics such as frequency, percentage, mean, and standard deviation and inferential statistics such as independent t-test and dependent t-test.

                 The research results showed that in the experimental group had higher average scores after implementation of health behavior modification model compared to before the implementation in access to services in the health system, the skills in communicating in case of emergency illness, encouragement and urgement towards practice and prevention of high blood pressure and health promoting behaviors with statistical significance level at 0.05. It was also found that the experimental group had higher average scores on knowledge, encouragement and urgement towards practice and prevention of high blood pressure and health promoting behaviors than that of the controlled group with statistical significance level at .01.