Effects of Health Literacy Promoting Program on Blood Pressure Control Behaviors among Elderly with Hypertension

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Apichaya Kongsa
Plernpit Boonyamalik
Patcharaporn Kerdmongkol


          This quasi-experimental study aimed to evaluate the effects of health literacy promoting program on blood pressure control behaviors among elderly with hypertension. The samples comprised of 60 individuals from the prominent club of Bang Phlat District, Bangkok, aged over 60 years old, both male and female who were diagnosed with unknown hypertension and could communicate in Thai. The study subjects were cluster randomly assigned into two groups. The experimental group received a 4-week program to promote health literacy that consisted of 4 activities; 1) provision of knowledge in related to hypertension and blood pressure control behaviors, 2) group discussion, 3) learning and sharing experiences, and 4) demonstration and return-demonstration as well as providing a handbook of self-care for hypertension. The comparison group that received normal health services, was also provided with knowledge related to hypertension and blood pressure control behaviors and a handbook of self-care for hypertension at the end of the study. Data were collected by an interview questionnaire before, after, and during the follow-up period after a 2-week intervention. The interview questionnaire’s content validity was .94. Cronbach’s Alpha was applied for determining a reliability of questionnaire testing as .71. The data were analyzed by using Chi - Squares test, Repeated measure one-way ANOVA and the Independent t-test.

          The results revealed that the participants in the experimental group were significantly increased the mean scores of blood pressure control behaviors higher than those in the comparison group after receiving the program at 4th week and during a follow - up period at 6th week (p < .00). The recommendations from this study are the program can be applied to promote health behaviors among healthy elderly as well as those with other chronic diseases.

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Kongsa, A., Boonyamalik, P., & Kerdmongkol, P. . (2020). Effects of Health Literacy Promoting Program on Blood Pressure Control Behaviors among Elderly with Hypertension. Kuakarun Journal of Nursing, 27(2), 90–102. Retrieved from https://he01.tci-thaijo.org/index.php/kcn/article/view/179730
Research Articles


Population Division, Department of Economic and Social Affairs, United Nations. Population ageing and sustainable development [Internet]. 2015 [cited 2017 Oct 15]. Available from: https://www.un.org/en/development/desa/population/publications/pdf/popfacts/ PopFacts_2014-4Rev1.pdf

Policy and Strategy Office, Ministry of Public Health. Statistical Thailand 2016 [Internet]. 2017 [cited 2017 Oct 15]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/For%20Website_Statistical%20Thailand%202016.pdf (in Thai)

Aekplakorn W. Report of the 5th Thai health survey by physical examination 2014. Nonthaburi: Aksorngraphic and design press; 2016. (in Thai)

World Health Organization. Health promotion. Geneva: WHO Publications; 1998.

Health Systems Research Institute. Health promotion definitions revised version 1998. Bangkok: Desire; 1998 (in Thai)

Nutbeam D. The evolving concept of health literacy. Social Sciences & Medical 2008;67(12):2072-8.

Baker DW, Gazmararian JA, Sudano J, Patterson M. The association between age and health literacy among elderly persons. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences 2000;55(6):S368-74.

Cho YI, Lee SY, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Social Science & Medicine 2008;66(8):1809-16.

Ounnapiruk L, Wirojratana V, Kongsuriyanavin W, Termsettajaroen W. The effectiveness of a health promotion program on quality of life of elderly people in the elderly club. Journal of Nursing Science 2012;30(2):35-45. (in Thai)

Nakkling Y, Raviworrakul T, Tachaboonsermsak P, Satheannoppakao W. Effects of self-efficacy theory application on diet control, exercise behaviors and blood pressure among older adults with hypertension. Journal of Boromarajonani College of Nursing, Bangkok 2012;28(1):112. (in Thai)

Bunchuai U. The effects of health promotion program for hypertension elderly: case study at Thritong Tambon health promoting hospital in Chaiburi District, Suratthani Province. Community Health Development Quarterly Khon Kaen University 2015;3(2):231-44. (in Thai)

Faul F, Erdfelder E, Lang AG, Buchner A. G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 2007;39(2):175-91.

Chaikul C. Effects of self-management and family participation enhancing program on health behavior and blood pressure among elderly with hypertension [Dissertation]. Songkla: Prince of Songkla University; 2014. (in Thai)

Cohen J. A power primer. Psychological Bulletin 1992;112(1):155-9.

Wongsuwan P. Health promotion program for complications prevention among the elderly with hypertension in Bangkok Metropolitan [Dissertation]. Nakhon Pathom: Mahidol University; 2013. (in Thai)

Health Education Division Department of Health Service Support, Ministry of Public Health. Health literacy. 3rd ed. Bangkok: The Agricultural Cooperative Federation of Thailand Press; 2013. (in Thai)

Kaewwannarat A. Methods of health education. Chiang Mai: Unity and Progress Solution; 2010. (in Thai)

Ginggeaw S, Prasertsri N. The relationship between health literacy and health behaviors among older adults who have multi-morbidity. Nursing Journal of the Ministry of Public Health 2016;25(3):43-54. (in Thai)

Seesawang J, Thongtaeng P, Yodthong D. Effectiveness of self-management supportive program among hypertensive older people. Ramathibodi Nursing Journal 2014;20(2):179-92. (in Thai)

Thamnamsil K, Amnatsatsue K, Kerdmongkol P, Artsuntae J. Effects of self-care promoting program on self-care behavior among older adults with uncontrolled hypertension in Bangkok Metropolitan. Journal of Public Health Nursing 2015;29(2):43-55. (in Thai)

Siridamrongchai L, Nanthamongkolchai S, Mansawaensub C, Thechaboonsermsak P, Yodmai K. Health promotion program to elderly with hypertension by family participation. Journal of Public Health 2018;48(2):161-73. (in Thai)

Chonsin P, Kaveevitchai C, Neelapaichit N, Piaseu N. Impact of a blood pressure regulation programme on health beliefs, health behaviour, amount of sodium intake and hypertension levels in community member with hypertension. Thai Journal of Nursing Council 2016;31(4):63-75. (in Thai)