Effects of V-Shape health literacy media on knowledge, belief, and self-care behaviors among patients with diabetes mellitus and hypertension complicated by chronic kidney disease
Keywords:
beliefs, hypertension, knowledge, patient, diabetes mellitus, self-care behaviors, chronic kidney disease, health literacy media V-ShapeAbstract
This quasi-experimental study with a two-group pretest-posttest design aimed to examine the effects of V-Shape Health Literacy Media on knowledge, beliefs, and self-care behaviors among patients with diabetes mellitus and hypertension complicated by chronic kidney disease. A total of 30 patients with diabetes mellitus and hypertension complicated by chronic kidney disease were purposively selected and randomly assigned to the experimental (n = 15) or control group (n = 15). The experimental group received the V-Shape health literacy media for four weeks, while the control group received standard care. The data collection tools included a questionnaire assessing demographics, knowledge, beliefs, and self-care behaviors. Reliability test revealed Kuder-Richardson 20 (KR-20) of 0.80 and Cronbach’s alpha coefficients of 0.85–0.88. Descriptive statistics, paired t-tests, and independent t-tests were used for data analysis.
Results showed that post-intervention, the experimental group had significantly higher mean scores of knowledge, belief, and self-care behavior scores compared to pre-intervention (p<0.05). Additionally, the experimental group had significantly higher mean scores of knowledge, beliefs, and self-care behaviors than the control group after the study (p<0.05). The findings suggested that the V-Shape Health Literacy Media effectively enhanced knowledge, beliefs, and self-care behaviors in NCD patients. Its continued use is recommended, with potential application to other patient groups. Therefore, V-Chef health literacy media should be used to promote self-care behaviors of patients continuously and be applied to other patient groups in the community.
References
World Health Organization (WHO). The WHO global action plan for the prevention and control of NCDs 2013–2030. Geneva: WHO Press;2023.
Department of disease control, Ministry of Public Health. Situation of NCDs: diabetes, hypertension, and related risk factors 2019. Bangkok: Aksorn Graphic and Design Publishing;2019. (in Thai)
Ekpalakorn W, Puckcharern H, Satheannoppakao W. Survey of Thai people's health by physical examination, 2019-2020. Bangkok: Akson Graphic and Design;2021. (in Thai)
Khon Kaen Hospital. Data of non-communicable diseases: NCDs. Khon Kaen: Khon Kaen hospital;2019. (in Thai)
Supapan S. Development of a model to delay renal impairment in patients with diabetes and hypertension using case management process in Phusing Hospital, Sisaket Province. Journal of Health Science 2019;28:857-66. (in Thai)
Duanphon S, Phajan T, Srimuang P. Prevalence and factors associated with chronic kidney disease among patients with diabetes mellitus and hypertension at Ban Kha Yai Tambon Health Promoting Hospital, Chaturaphak Piman District, Roi Et province. Regional Health Promotion Center 9 Journal 2020;14(34):142-57. (in Thai)
Department of Disease Control Division of non-communicable disease strategy and planning group. 5-Year national NCDs prevention and control strategic and action plan (2017-2021). Nonthaburi: Ministry of Public Health;2017. (in Thai)
Hfocus news agency delves into health systems. 11 th National Health Assembly ‘12-14 December’ prevent disease in age of 4.0 NCC [Internet]. 2018 October 23 [updated 2018; cited 2025 Mar 10]. Available from: https://www.hfocus.org/content/2018/10/16465
Office of the Department of Health 4.0 for Public Health Literacy Project. The main concept of a health literate organization. Bangkok: department of health; 2018. (in Thai)
Pengchan W. Health literacy. Nonthaburi: department of health, ministry of public health;2017. (in Thai)
Office of the Royal Society. Transliteration [Internet]. Bangkok: Office of the royal society; 2026 [update 2026; cited 2025 Mar 10]. Available from: https://www.orst.go.th/iwfm_list.asp?i=0040002104011001%2F63ERJ5716056 (in Thai)
Tanasugarn C. Health literacy organization. Nonthaburi: Department of Health, Ministry of Public Health; 2017. (in Thai)
Pengchan W, Tanasugarn C. Concept, principles of health literacy organization 2018. Nonthaburi: Department of Health, Ministry of Public Health; 2018. (in Thai)
Cho YI, Lee SYD, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med 2008;66(8):1809-16.
Lee E-H, Lee YW, Lee KW, Nam M, Kim SH. A new comprehensive diabetes health literacy scale: development and psychometric evaluation. Int J Nurs Stud 2018;88:1–8.
Polit DF, Hungler BP. Nursing research: principles and methods. 6th ed. Lippincott: Williams and Wilkins;1999.
Morasakul B, Punthasee P, Ponakorn V, Treebumrung S. Health behavior regarding hypertension and diabetes mellitus: a case study of the legacy community, Sananrak Municipality Office, Pathum Thani Province. Journal of Public Health Nursing 2021;35(1):69-89. (in Thai)
Jangwang S, Pittayapinune T, Chutipattana N. Factors related to self-care behavior for prevention of diabetes mellitus and hypertension among population groups at risk. The Southern College Network Journal of Nursing and Public Health 2016;3(1):110-28. (in Thai)
Srita N, Aungwattana S, Tamdee D. Factors related to health behaviors among persons with chronic kidney disease in community. Journal of Nursing and Health Science Research 2023;15(1):139-59. (in Thai)
Srina S. Development of care model for diabetic type 2 by Line application. Journal of Research and Health Innovative Development 2021;2(1):123-33. (in Thai)
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