Health Promoting Behaviors in Stroke Prevention Among Risk People in the Community: Action Research
Keywords:
Health Promoting Behaviors, Stroke Prevention, Risk PeopleAbstract
Stroke is an important preventable cause of death and long-term disability worldwide. Preventing through having health promoting behaviors might be easier and more effective than reversing existing damage. This study aimed to develop and evaluate a model of health promoting behaviors in stroke prevention among risk people in community. These action research participants were purposively selected including 20 village health volunteers at risk of stroke, and 100 stroke risk people. The study involved three main phases: look, think, and act based on Stringer (2014). Data collection was performed using focus group discussions, stroke risk scorecard, stroke knowledge questionnaires, and the Health Promoting Behaviors among People at Risk of Stroke’s Questionnaire. The reliability of the research instruments was 0.74 and 0.75 respectively. Qualitative data were analyzed using content analysis while quantitative data were analyzed using descriptive statistics, t-test, and Mann - Whitney U. The main findings reflected the model of health promoting behaviors in stroke prevention among risk people in the community consisted of raising awareness of stroke risk people, improving capacity, providing education material, and building self-confidence for village health volunteers. An evaluation was performed after the implementation indicating that village health volunteers and stroke risk people modified their health promoting behaviors, median scores of health promoting behaviors, and stroke prevention knowledge before and after an intervention differed significantly (p < .001). The results indicate that the model of health promoting behaviors in stroke prevention among risk people in the community through the village health volunteers is useful to enhance stroke prevention knowledge and modify health promoting behaviors among stroke risk people.
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