THE EFFECT OF A PERCEIVED HEALTH BELIEF-PROMOTING PROGRAM COMBINED WITH A MOBILE APPLICATION ON PREVENTIVE BEHAVIORS IN YOUNG ADULTS AT RISK OF STROKE

Authors

  • Yohanna Ritthichai Kuakarun Faculty of Nursing, Navamindradhiraj University
  • Khachee Pongsathonviboon Kuakarun Faculty of Nursing, Navamindradhiraj University

Keywords:

young stroke, health belief model, stroke preventive behaviors

Abstract

            The purpose of this quasi-experimental research was to examine the effects of a perceived health belief-promoting program combined with a mobile application on preventive behaviors. The Health Belief Model was used as a conceptual framework in this study. The sample consisted of 50 patients who were at risk for stroke, age range between 18-45 years at the outpatient department of a super tertiary hospital in Bangkok. The first 25 patients in the experimental group received the health belief-promoting program combined with the mobile application, and the other 25 patients in the control group received standard treatment. The tools were a health belief program with a mobile application and a stroke preventive behavior questionnaire, with the validity of the content validation index (CVI) at .96 and the reliability of Cronbach’s alpha coefficient at .72. The data were analyzed using descriptive statistics and t-tests.

            The results revealed that the mean on stroke preventive behaviors in the experimental group after receiving the health belief-promoting program combined with the mobile application was higher than before joining the study (M = 37.72, SD = 5.48 and M = 29.96, SD = 4.69; t = 6.588, p = .000) and that of the control group with statistical significance (M = 30.36, SD = 4.98; t = -4.968, p = .000). Therefore, nurses and healthcare providers should implement the program to promote health beliefs in young adults with stroke risks so that they can practice appropriate stroke prevention behaviors.

Downloads

Download data is not yet available.

References

Aigner, A., Grittner, U., Rolfs, A., Norrving, B., Siegerink, B., & Busch, M. A. (2017). Contribution of established stroke risk factors to the burden of stroke in young adults. Stroke, 48(7), 1744–1751. https://doi.org/10.1161/STROKEAHA.117.016599

Boot, E., Ekker, M. S., Putaala, J., Kittner, S., De Leeuw, F. E., & Tuladhar, A. M. (2020). Ischemic stroke in young adults: A global perspective. Journal of neurology, neurosurgery, and psychiatry, 91(4), 411–417. https://doi.org/10.1136/jnnp-2019-322424

Bunset, P., & Piyabanditkul, L. (2018). Effectiveness of stroke prevention program for high risk group at Hoiybong subdistrict, Muang district, Chaiyaphum province. Journal of Sakon Nakhon Hospital, 21(2), 28-41.

Chantra, R., Sansuwan, R., & Heeaksorn, C. (2017). Care for stroke patients with a multidisciplinary team. Journal of The Royal Thai Army Nurses, 18(Supplement), 49-55.

Chirasatienpon, T. (2021). Young stroke prevention program for university lecturers with risk factors via smartphone application. Open Journal of Social Sciences, 9(8), 108-119.

Dharma, K. K. (2020). Use of mobile-stroke risk scale and lifestyle guidance promote healthy lifestyles and decrease stroke risk factors. International journal of nursing sciences, 7(4), 401-407. https://doi.org/10.1016/j.ijnss.2020.08.001

Electronic Transactions Development Agency. (2020). Thailand internet user behavior 2019. Retrieved from https://www.etda.or.th/th/NEWS/ETDA-Revealed-Thailand-Internet-User-Behavior-2019.aspx

George, M. G. (2020). Risk factors for ischemic stroke in younger adults: A focused update. Stroke, 51(3), 729-735. https://doi.org/10.1161/STROKEAHA.119.024156

Hirungerd, S., Vutiso, P., & Srimongkol, M. (2021). The effects of health belief model program on knowledge, stroke prevention behavior and blood pressure levels in hypertensive patients the responsibility area of Kaeng Khro hospital, Chaiyaphum province. Journal of The Royal Thai Army Nurses, 22(1), 478-487.

International Health Policy Program Foundation. (2018). Disability-adjusted life years: DALYs, report burden of disease and injury on Thailand’s population 2014. Nonthaburi: The Graphico Systems.

Kanbuala, W., Aiadsuy, N., & Deenan, A. (2021). The effects of a health literacy promotion program on coronary artery disease preventive behaviors and serum lipid levels among people with dyslipidemia. The Journal of Faculty of Nursing Burapha University, 29(3), 1-14.

Kang, H. (2021). Sample size determination and power analysis using the G*Power software. Journal of Educational Evaluation for Health Professions, 18(1), 17-28. http://dx.doi.org/10.3352/jeehp.2021.18.17

Klinsakorn, C., & Saetan, S. (2020). Factors related to self-protective behavior of stroke with controlled hypertension patients who live in Danchang district, Suphanburi province. Journal of Council of Community Public Health, 2(2), 62-77.

Kumtip, P., & Jitpanya, C. (2014). Relationships among knowledge, belief, and behavioral awareness in young adult at high risk of stroke. Journal of The Police Nurses, 6(2), 44-55.

Lokawit, K., & Promla, W. (2018). Factors influencing the behaviors of young adult patients with stroke. Journal of Suvarnabhumi Institute of Technology, 4(Special), 401-411.

Mandalenakis, Z., Rosengren, A., Lappas, G., Eriksson, P., Hansson, P. O., & Dellborg, M. (2016). Ischemic stroke In children and young adults with congenital heart disease. Journal of the American Heart Association, 5(2), e003071. https://doi.org/10.1161/JAHA.115.003071

Murthy, M. K., Thomas, P. T., & Dasgupta, M. (2019). Potential for a comprehensive stroke education: Assessing awareness about stroke among community health workers-a qualitative study from Urban Bangalore, Karnataka, India. Journal of family medicine and primary care, 8(7), 2424-2428. https://doi.org/10.4103/jfmpc.jfmpc_303_19

National Health Security Office. (2007). Risk of stroke. Bangkok: Ministry of Public Health.

Non-Communicable Diseases Division. (2019). Number and mortality rate of non-communicable diseases in 2016-2018. Retrieved from http://www.thaincd.com/2016/mission/documents-detail.php?id=13653&tid=32&gid=1-020

Phanphop, S., Jantacumma, N., & Nuysri, M. (2020). Effects of stroke prevention program among elderly high risk group KoKha district, Lampang province. Research and Development Health System Journal, 13(2), 528-538.

Pragodpol, P., & Intana, J. (2019). The effect of the stroke warning signs program on stroke’s awareness, knowledge, and practice to decrease the stroke risk in hypertensive patients. Journal of Phrapokklao Nursing College, 30(2), 88-100.

Siriraj Stroke Center. (2019). Prevention of cerebrovascular disease. Retrieved from https://www.sirirajstrokecenter.org/2019/2910.html

Stretcher, V., & Rosenstock I. M. (1997). The health belief model. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.). Health behavior and health education: Theory, research and practice (pp. 31-44). Jossey-Bass.

Singco, T., Changmai, S., & Toskulkao, T. (2020). The effects of promoting perception of health beliefs program on stroke preventive behaviors and perceived benefit of sustained behaviors in elderly at risk. Journal of Charoenkrung Pracharak Hospital, 16(2), 42-60.

Suthirit, S., Pinchaleaw, D., & Keskomon, T. (2018). The effectiveness of self regulation program with line application among overweight health volunteers, Tharongchang district, Suratthani province. Journal of the Police Nurses, 10(2), 330-339.

Suwanno, J., Suwanno, J., Angkoon, K., & Rajborirug, K. (2018). Cardiovascular risk factors in young adult patients with acute ischemic stroke. Journal of Thai Stroke Society, 17(2), 5-17.

Thipluis, K., & Khuanphet, P. (2019). Effectiveness of providing health education to patients with high risk of stroke in Mae Lao district, Chiang Rai, Thailand. Chiangrai Medical Journal, 11(2), 19-24.

Wichaiyo, W., Chongsamak, P., Chaitong, S., & Khotabutda, S. (2021). The effect of the applying health belief model program of vascular disease preventive in patients with hypertension and diabetes mellitus at Namon district, Kalasin province. Research and Development Health System Journal, 14(2), 25-35.

World Stroke Organization. (2022). Lean about stroke. Retrieved from https://www.world-stroke.org/world-stroke-day-campaign/why-stroke-matters/learn-about-stroke

Application Line

Downloads

Published

2022-12-28

How to Cite

Ritthichai, Y., & Pongsathonviboon, K. (2022). THE EFFECT OF A PERCEIVED HEALTH BELIEF-PROMOTING PROGRAM COMBINED WITH A MOBILE APPLICATION ON PREVENTIVE BEHAVIORS IN YOUNG ADULTS AT RISK OF STROKE. JOURNAL OF THE POLICE NURSES AND HEALTH SCIENCE, 14(2), 254–267. Retrieved from https://he01.tci-thaijo.org/index.php/policenurse/article/view/258220

Issue

Section

Research Articles