The Effectiveness of Behavior Modification Complying with 3E 2S Programs to Knowledge Health Behaviors and Blood Pressure in People at Risk of Hypertension, Nongphok Hospital Nongphok District, Roi-Et Province

Abstract

Purposes : To compare knowledge, self-care behaviors and blood pressure levels before and after the implementation of the program.

Study design  : Quasi-experimental research.

Materials and Methods : The sample consisted of 40 individuals at high risk for hypertension, residing in the service area of the Primary Care and Holistic Health Unit at Nong Phok Hospital. The study was conducted from July to September 2024. Data were collected using a knowledge test, a self-care behavior questionnaire and a satisfaction assessment form, all of which were validated for content accuracy by experts. The reliability was determined using Cronbach’s alpha, with values of 0.71 and 0.80, respectively. Interviews were also conducted. Data analysis employed frequency, percentage, mean, median, standard deviation and paired t-test, with statistical significance set at a 95% confidence interval.

Main findings : After intervention, participating in hypertension risk group program, participants demonstrated a significantly higher mean knowledge scores on hypertension compared to their before program scores (p<.001), with an increase of 5.50 (95% CI: 3.38, 7.16). Additionally, mean scores of self-care behavior improved significantly (p<.001), showing an increase of 37.28 (95% CI: 34.69, 39.85). The mean scores systolic blood pressure were also significantly lower after the program (p<.001), with an mean reduction of 2.56 mmHg. (95% CI: 9.57, 16.32). Furthermore, the mean scores diastolic blood pressure were decreased significantly (p<.001), with a reduction of 12.95 mmHg. (95% CI: 9.57, 16.32) and the satisfaction level with after program participation was high (Mean = 2.84, SD. = 0.30).

Conclusion and Recommendations : The findings demonstrate positive outcomes for the participants. However, further follow-up, including home visits or monitoring through community health volunteers, is recommended to provide continuous reinforcement and motivation.