Development of a Model for Promoting Health Literacy Using a process of Motivation for Health Behavior Modification for Hypertensive Patients
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Abstract
This research and development aimed to 1) study the situation of hypertension, hypertensive patient’s self-care behaviors and health literacy, 2) develop a model for promoting hypertensive health literacy using the motivation process, and 3) evaluate the developed model. The participants included 560 patients with hypertension, and 30 participants from representative of families, communities, and healthcare providers in Lampang Province were recruited using purposive sampling. The instrument included four parts: a model for promoting health literacy using a process of motivation, health literacy knowledge, self-care behaviors, and hypertensive knowledge questionnaires. Cronbach’s alpha coefficients were .85, .74, and .68, respectively. Data were analyzed using descriptive statistics, t-tests, and content analysis.
Results: The majority of participants were females with an average age of 59.71 years old (SD =11.17), married, and had completed primary education, high level of health literacy knowledge (51.60%), and self-care behaviors (73.40%). The model for promoting health literacy using a motivation process was highly appropriate ( = 4.35, SD = .28). The results of applying the developed model showed that the average health literacy levels between the two groups were not statistically significant. However, the average of self-care behavior between the groups showed a statistically significant difference at a higher level than that of the control group (
=80.06, SD= 2.19,
=76.20, SD = 2.24). The average hypertension knowledge scores of the two groups were highly significant (
= 26.72, SD = 1.18,
= 21.85, SD = 2.02).
Health care professionals should motivate and encourage patients with hypertension individually to raise awareness of their behavioral changes.
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