Effect of the Application of Health Belief Model Program on Health Behaviors Among Persons at Risk of Stroke in Communities
Article Sidebar
Main Article Content
Abstract
This quasi-experimental study aimed to examine the effect of a health belief model application program on health behaviors among persons at risk of stroke in communities. The sample consisted of 52 individuals aged 35-59 years who were at risk of stroke. They were randomly assigned into an experimental group or a control group, with 26 participants in each group. The research instruments included 1) a health belief model application program by Stretcher and Rosenstock (1997), 2) a health behavior questionnaire. The instruments were validated by six experts, yielding a content validity index of .94 and a Pearson’s correlation coefficient of .95 for reliability. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.
The study results showed that: 1) the experimental group had higher mean health behavior scores after participating in the health belief model application program ( = 108.53, SD = 4.08) compared to before the program (
= 53.65, SD = 14.38), with statistical significant (t = 18.347, p <.001) and 2) after participating in the program, the experimental group had higher mean health behavior scores (
= 108.53, SD = 4.08) compared to the control group, which received standard care (
= 67.11, SD = 5.63), with a statistically significant (t = 30.371, p <.001).
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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
Bunset, P. & Piyabanditkul, L. (2018). Effectiveness of stroke prevention program for high risk group at Hoiybong sub-district, Muang district, Chaiyaphum province. Journal of Sakon Nakhon Hospital, 21(2), 28-41. (in Thai).
Chantaraprapabkun, S., Mayotarn, S., Chompoonuch, S. & Pongpakdee, S. (2018). Prevalence and etiologies of ischemic stroke in young patients in Bhumibol Adulyadej hospital. Journal of Thai Stroke Society, 17(3), 5-14. (in Thai).
Department of Disease Control, Ministry of Public Health. (2023). Stroke awareness campaign 2023. Retrieved (2023, March 12). from
https://ddc.moph.go.th/brc/news.php?News=29284&dep t code= (in Thai).
Estruch, R., Ros, E., Salas-Salvadó, J., Covas, M. I., Corella, D., Arós, F., ... & Martínez-González, M. Á. (2018). Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts. The New England Journal of Medicine, 378(25), e34.
Gillen, Z. M., Wisloff, U. & Hansen, B. H. (2020). Physical activity and stroke prevention. Frontiers in Neurology, 11, 482.
He, F. J., Li, J. & Macgregor, G. A. (2013). Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials. BMJ (Clinical research ed.), 346, f1325.
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. (in Thai).
Lacombe, J., Armstrong, M. E. G., Wright, F. L. & Foster, C. (2019). The impact of physical activity and an additional behavioural risk factor on cardiovascular disease, cancer and all-cause mortality: a systematic review. BMC public health, 19(1), 900.
Lawes, C. M., Vander Hoorn, S., Rodgers, A. & International Society of Hypertension (2008). Global burden of blood-pressure-related disease, 2001. Lancet (London, England), 371(9623), 1513–1518.
Lloyd, J. et al. (2010). Defining and setting national goals for cardiovascular health promotion and disease reduction. Circulation, 121(4), 586-613.
Murphy, S. J. & Werring, D. J. (2020). Stroke: causes and clinical features. Medicine (Abingdon, England: UK ed.), 48(9), 561–566.
Ngendee, K., Juwa, S., Manoton, A., Srisookkum, T & Takaew, T. (2021). The effectiveness of the applied of health belief model program for stroke prevention behavior among hypertensive patients at Muang district, Phayao province. Thai Journal of Health Education, 44(2), 171-186. (in Thai).
Nilayon, D. (2020). Cardioembolic stroke in non-vulvular atrial fibrillation. Journal of The Police Nurses, 12(2), 447-456. (in Thai).
Nilnate, N. (2019). Risk factors and prevention of stroke in hypertensive patients. Journal of The Royal Thai Army Nurses, 20(2), 51-57. (in Thai).
Phopa, Y., Prasertsong, C. & Durongritichai, V. (2015). Factors associated health behaviors of uncontrolled dysLlpidemia. Journal of The Royal Thai Army Nurses, 16(1), 123-130. (in Thai).
Pimmasan, B. & Janchaiwit, P. (2019). Family health behavior among hypertension patients at Xiengkhouang provincial hospital Lao people’s democratic republic. Journal of Nursing and Health Care, 31(1), 167-174. (in Thai).
Pomountip, O. (2020). Self- care behavior among workingaged people in primary care Muangya 4 Hau-ta-lay Mueang District, Nakhon Ratchasima Province. Burapha Journal of Medicine, 7(2), 65-76. (in Thai).
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 Sstroke. Journal of the police nurses and health science, 14(2), 254-267. (in Thai).
Sarasean, K., Kalampakorn, S. & Sillabutra, J. (2019). Stroke of cerebrovascular disease among bank office at risk and factors-related. Journal of Public Health Nursing, 33(1), 32-106. (in Thai).
Schetter, C. D. & Dolbier, C. (2011). Stress and coping. The Oxford handbook of health psychology, (pp. 931-957). Oxford University Press.
Seaharatanapatum, B. (2020). Acute ischemic stroke prevention among smoking workers in the urban establishment. Vajira Medical Journal: Journal of Urban Medicine, 64(6), 419-428. (in Thai).
Shabibi, P., Zavareh, M. S. A., Sayehmiri, K., Qorbani, M., Safari, O., Rastegarimehr, B. & Mansourian, M. (2017). Effect of educational intervention based on the health belief model on promoting self-care behaviors of type-2 diabetes patients. Electronic physician, 9(12), 5960–5968.
Showsungnoen, N. (2017). Promoting health behaviors for working-age individuals to prevent hypertension. Primary Health Care Division Journal, 12(1), 9-16. (in Thai).
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. (in Thai).
Sombatchotsin, A., Panomai, N. & Sanchaisuriya, P. (2021). Food consumption behavior for high risk of stroke in diabetes mellitus patients in Phakhao hospital, Phakhao district, Loei province. KKU Journal for Public Health Research, 14(4), 90–110. (in Thai).
Srimonkol, T., Kengganpanich, T., Kengganpanich, M., Benjakul, S. & Lattanand, K. (2017). Food consumption behavioral modification program in high-risk group of hypertension, tambol Tajun, Khong district, Nakhonratchasima province. Journal of Boromarajonani College of Nursing, Bangkok, 33(1), 77-89. (in Thai).
Stretcher, V. & Rosenstock I.M. (1997). The health belief model. In Glanz K., Lewis F.M. & Rimer B.K., (Eds.). Health behavior and health education: Theory, research and practice. San Francisco: Jossey-Bass. Reprinted with permission.
Suttisrisin, C. (2019). Factors effecting to disease prevention behaviors in risk group for stoke at Chaloem Phra Kiat hospital, Nakhon Ratchasima province. The Office of Disease Prevention and Control 9th Nakhon Ratchasima Journal, 25(1), 5–15. (in Thai).
Thai PBS. (2023, November 2). Direct experience from a stroke patient [Video]. YouTube. Retrieved (March 18, 2023). from
https://www.youtube.com/watch?v=9zpZX0Msraw&t=622s. (in Thai).
Tiamkao, S. (2023). Stroke incidence in Thailand. Thai Journal of Neurology, 39(2), 39-46.(in Thai).
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. (in Thai).
Yatsuya, H., Li, Y., Hilawe, E. H., Ota, A., Wang, C., Chiang, C. & Aoyama, A. (2010). Global trend in overweight and obesity and its association with cardiovascular disease incidence. Circulation Journal, 74(6), 1122-1128.
Zhang, C., Qin, Y., Chen, Q., Wu, H., Liao, X., Cai, M. & Wu, H. (2020). Alcohol consumption and risk of stroke: A dose-response meta-analysis. Journal of the American Heart Association, 9(13), e014491.
Zhou, Q., Peng, B., Liu, L. & Wang, W. (2021). Diet and stroke: Recent evidence supporting the Mediterranean diet. Journal of Clinical Neuroscience, 86, 22-27.
