Effects of a Health Promotion Program on Mothers’ Behaviors for Preventing Recurrent Respiratory Tract Infections among Children Under Five
Keywords:
Children under five years of age , Health promotion program, Maternal behaviors, PRECEDE-PROCEED Model, Respiratory tract infectionsAbstract
Respiratory tract infections (RTIs) are a significant health concern in children under five years old, a high-risk group due to their immature immune systems. This study aimed to evaluate the effect of a health promotion program based on the PRECEDE-PROCEED Model on maternal behaviors in preventing recurrent RTIs in their children. A quasi-experimental, two-group pretest-posttest design was employed. The sample consisted of 62 mothers of children with RTIs admitted to a tertiary hospital in Chiang Mai, Thailand. They were purposively assigned to an experimental group (n=31) and a control group (n=31). The experimental group received the health promotion program, while the control group received routine nursing care. Data were collected using a questionnaire on maternal behaviors which had a content validity index of 0.96 and a Cronbach’s alpha of 0.76. Data were analyzed using descriptive statistics, Paired-Samples t-test, and Independent-Samples t-test. Results: After the intervention, the mean behavior score on preventing recurrent respiratory tract infections of the experimental group was significantly higher than their pre-intervention score (p < .05). However, when comparing the post-intervention scores between the two groups, the experimental group's score was higher than the control groups, but the difference was not statistically significant (p > .05).
The findings suggest that the developed health promotion program has the potential to improve maternal care behaviors. However, its effectiveness over standard care could not be definitively concluded in this study. Future research should consider extending the follow-up period or studying populations with more limited access to health information to more clearly evaluate the program's effectiveness
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