Effects of The Application of Health Belief Model and Behavior of Hermit Contortion Exercise for Chronic Upper Back Pain at Nongchok District, Bangkok

Abstract

This study was a quasi-experimental research; randomized control group-pretest posttest group design. To study the effects of application of Health Belief Model and Hermit Contortion Exercise for patients with chronic upper back pain, age > 30 years who resided in the areas responsible by the Public Health Services Center No. 44, Lumphugchee, Nongchok, Lumbanchado Branch, Bangkok. The data were collected from 59 sampled patients, 29 from the experimental group and 30 from the comparison group by using the interview schedule which was the reliability value =0.7004.The experimental group received the health education program for 7 times, 1-2 hours each time every Sunday. For the comparison group, before the experimentation, the patients received the manual of 2 sets of Hermit Contortion Exercise and the poster on the 2 sets of Hermit Contortion Exercise for the upper back muscle group. Difference comparison analysis of the mean scores within the experimental and the comparison groups, before and after the experimentation, was done by computing Paired Sample t-test and Independent t-test. After the experimentation, the perceived susceptibility, perceived severity, perceived benefits, the perceived barriers, the perceived self-efficacy, hermit contortion behavior and shoulder range of motion mean score of the experimental group was found to be significantly better than before the experimentation (p<0.05) and than the comparison group (p<0.05). The significantly lower level of pain of the experimental group was found (p-value < 0.001). The hermit contortion behavior was found to be significantly differentiate from the comparison group (p<0.05). Effects of the application of Health Belief Model and Hermit Contortion Exercise can change hermit contortion behavior, shoulder range of motion, and pain level.