Effectiveness of a Health Literacy Developmental Program in Patients with Uncontrolled Hypertension
Article Sidebar
Main Article Content
Abstract
The purpose of a quasi-experimental study with two-group pre-test and post-test design was to study the effects of a health literacy development program on health literacy, self-care behaviors and mean arterial pressure of patients with uncontrolled hypertension. The sample was patients with uncontrolled hypertension who receiving services at Faktha hospital and had systolic blood pressure 140-179 mmHg or diastolic blood pressure 90-109 mmHg. The sample was selected by the simple random sampling and put into the experimental and comparative groups. Each group included 30. The research instruments were 1) a health literacy development program that was developed based on the health literacy concept of Process-knowledge model. The duration of the program was 10 weeks. The activities comprised challenging the processing capacity, developing general verbal communication and specific health knowledge. 2) A “Health literacy and hypertension control” handbook, 3) a questionnaire of health literacy and self-care behaviors, and 4) a digital blood pressure monitor was used. The content validity indexes of health literacy and self-care behavior questionnaire were .95 and 1.00, respectively. Kuder-Richardson of health literacy test was 1.00 and Cronbach’s alpha coefficients of self-care behaviors questionnairewas .80. Data were analyzed by descriptive statistics and t-test
The result revealed that after enrolling the program, mean of health literacy and self-care behaviors of hypertension in the experimental group were significantly higher than before enrolling the program and higher than the comparison group at p-value .05. Mean arterial pressure of the experimental group was significantly lower than before enrolling the program and lower than the comparison group at p-value .05.
Article Details
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
2 Bloom, B. S. (1971). Hand book on formative and summative evaluation of student learning. New York: Graw-Hill Book Company.
3 Bureau of non communicable disease, Ministry of Public Health. (2017). Annual report 2017. Bangkok: Graphic & Design. (in Thai)
4 Chin, J., Morrow, D. G., Stine-Morrow, E. A., Connner-Garcia, T., Graumlich, J. F., & Murray, M. D. (2011). The process-knowledge model of health literacy: evidence from a componential analysis of two commonly used measures. Journal of health Communication, 16, 222-241. doi: 10.1080/10810730.2011.604702
5 Ekstrom, R. B., French, J. W., Harmon, H. H., & Dermen, D. (1976). Manual for the kit of factor-referenced cognitive tests. Princeton, NJ: Educational Testing Service.
6 Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191.
7 Halladay, J. R., Donahue, K. E., Cene, C. W., Quefeng, L., Cummings, D. M., Hinderliter, A. L.,…Darren, D. (2017). The association of health literacy and blood pressure reduction in a cohort of patients with hypertension: The heart healthy lenoir trial. Patient Education and Counseling, 100(3), 542-549. Retrieved fromhttps://dx.doi.org/10.1016/j.pec.2016.10.015
8 Health data center Ministry of Public Health. (2017). Report group criteria for noncommunicable disease. Retrieved fromhttps://hdcservice.moph.go.th/hdc/main/index_pk.php (in Thai)
9 Health systems development group, Bureau of non communicable disease. (2018). World campaign on high blood pressure day 2018. Retrieved from https://www.thaincd.com/document/file/info/non-communicable-disease/ (in Thai)
10 Ko, Y., Balasubramanian, T. D., Wong, L., Tan, W. L., Lee, E., Tang, W. E., … Toh, M. P. (2013). Health literacy and its association with disease knowledge and control in Patients with hypertension in Singapore. International Journal of Cardiology, 168, 116-117. Retrieved from https://dx.doi.org/10.1016/j.ijcard.2013.08.041
11 Levinthal, Morrow, Tu, Wu, & Murray. (2008). Cognition and health literacy in patients with hypertension. Journal of General Internal Medicine, 23, 1172–1176. doi: 10.1007/s11606-008-0612-2
12 Non communicable disease clinic of Faktha hospital. (2017). Patient with hypertension care report of Faktha hospital. N.P. (in Thai)
13 Office of the national economic and social development board, Ministry of Public Health, & Mahidol University. (2010). Strategic health plan 2011-2020. Retrieved from https://wops.moph.go.th/ops/oic/data/20110316100703_1_.pdf (in Thai)
14 Shi, D., Li, J., Wang, Y., Wang, S., Liu, K., Shi, R., … Chen, K. (2017). Association between health literacy and hypertension management in a Chinese community: aretrospective cohort study. Internal and Emergency Medicine, 12, 765-776. doi: 10.1007/s11739-017-1651-7
15 Thai hypertension society. (2016). Guidelines for treatment of hypertension in medicine. General Update 2012. Bangkok: Thai hypertension society. (in Thai)
16 Tnanachikhan, N. (2012). Preliminary statistics for research. Bangkok: Wittayapat. (in Thai)
17 Wang, Lang, Xuan, Li & Zhang. (2017). The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: a cross-sectional study. International Journal for Equity in Health, 16, 1-11. doi: 10.1186/s12939-017-0551-9
18 World Health Organization. (2004). Reducing risk, promoting health life. Geneva, Switzerland: World Health Organization Retrieved from https://www.who.int//whr/2004/.(2009).
