A Development of Health Literacy Enhancement Program on Coronary Heart Disease Prevention Behaviors of Cardiovascular risk group in Hua Wiang Community Health Center, Lampang Province
Keywords:
Health Literacy Enhancement Program., Coronary Heart Disease Prevention Behaviors., Cardiovascular risk group.Abstract
This research and development study aimed to: 1) examine health literacy and cardiovascular disease prevention behaviors in the cardiovascular risk group 2) developing the program, and 3) evaluating its effectiveness using a quasi-experimental design with two groups, pre- and post-test, with 35 participants in each group. The intervention tool was the developed program, while data collection tools included (1) questionnaires on general information, health literacy, and cardiovascular disease prevention behavior. The Cronbach’s alpha coefficients were 0.97 and 0.70. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.
Results showed that, in Phase 1, experimental group health literacy was at a high level, while preventive behaviors were at a moderate level. In Phase 2, the program consisting of six skill-development activities was implemented over 12 weeks. In Phase 3, the experimental group had significantly higher post-intervention scores in both health literacy and preventive behaviors compared to pre-intervention and the control group (p < 0.01). The Thai CV Risk Score of the experimental group significantly decreased after the intervention (p < 0.01) and was also lower than that of the control group (p < 0.01). However, there were no significant differences in weight, height, or waist circumference between the two groups after the program (p > .05).
The findings suggest that primary care units should adopt and adapt the developed program for other at-risk populations, as it effectively enhances both health literacy and preventive behaviors related to cardiovascular disease.
References
Barkhordari-Sharifabad, M., Saberinejad, K., & Nasiriani, K. (2021). The effect of health literacy promotion through virtual education on the self-care behaviors in patients with heart failure: A clinical trial. Journal of Health Literacy, 6(1), 51-60.
Chahardah-Cherik, S., Gheibizadeh, M., Jahani, S., & Cheraghian, B. (2018). The relationship between health literacy and health promoting behaviors in patients with type 2 diabetes. International Journal of Community Based Nursing and Midwifery, 6(1), 65.
Joynt Maddox, K. E., Elkind, M. S., Aparicio, H. J., Commodore-Mensah, Y., de Ferranti, S. D., Dowd, W. N., ... & American Heart Association. (2024). Forecasting the burden of cardiovascular disease and stroke in the United States through 2050—prevalence of risk factors and disease: A presidential advisory from the American Heart Association. Circulation, 150(4), e65-e88.
Hakimzadeh, Z., & Adib-Hajbaghery, M. (2021). The effects of a health literacy training intervention on self-care behaviors and treatment adherence in patients with ischemic heart diseases. Eurasian Journal of Medicine and Oncology, 5(4), 341–349. https://doi.org/10.14744/ejmo.2021.61673
Khamkhuan, M., Piumngam, K., Rerksngarm, T., & Siripurkpong, P. (2023). A study of relationship between HbA1c level and riskof cardiovascular disease. Journal of the Office of disease prevention and control, 7 Khon Kaen, 30(3), 171–180. [In Thai]
Kongbunkird, K., Sawasdee, P., Chuaintha, E., Inchaithep, S., Thinwang, W., & Punsawat, M. (2024). Health literacy and self-care behaviorsof hypertension personsin Lampang province. Journal of Health Sciences Scholarship, 10(2), 207–224. [In Thai]
Kronsut, P. (2015). Statistics for behavioral science research. Bangkok: Chulalongkorn University Book Center.
Maneepong, P., Singjuy, W., Sookham, S., & Sriputphong., P. (2021). The relationship between health literacy and health behaviors 3E-2S in people, Suphanburi province. The Journal of Boromarjonani College of Nursing Suphanburi, 4(1), 84-93. [In Thai]
Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67, 2072–2078.
Praditkitkul, C., Wattanakitkrileart, D., Phligbua, W., & Srimahachota, S. (2024). The effect of a self care program via Line application on self care in patients undergoing Percutaneous Coronary Intervention. Journal of The Royal Thai Army Nurses, 25(1). [In Thai]
Premsuk, W., Thato, R., & Polsook, R. (2019). Factors predicting preventive behaviors for coronary artery disease among middle-Aged men in Bangkok metropolitan. Kuakarun Journal of Nursing, 26(1), 24-39. [In Thai]
Rodkaew, S., Nontapet, O., & Petsirasan, R. (2021). The relationship between body mass index and cardiovascular disease risks in hypertensive patients. Thai Journal of Cardio-Thoracic Nursing, 32(2), 120-130. [In Thai]
Songwatthanayuth, P., Klinhom, P., & Sirikulwiwat, J. (2023). Development of the health literacy and family support model to enhance hypertension preventive behaviors and control blood pressure among persons with pre-hypertension in Phetchaburi province. The Journal of Faculty of Nursing Burapha University. 31(4), 91-106. [In Thai]
Tongdee, S,. (2019). An association between obesity and cardiovascular risk diseases among healthcare workers in SOMDEJPHRAJAOTAKSIN MAHARAJ HOSPITAL. Journal of the Phrae Hospital, 27(1), 38-50.
Thai Hypertension Society. (2024). 2024 2024 Thai guidelines on the treatment of hypertension. Journal of Clinical Hypertension. Chiang Mai: Trick Think Printing House. Retrieved from https://www.thaihypertension.org/guideline.html
World Health Organization. (2021). cardiovascular-diseases. Retrieved from https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1
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