Effects of a Herb Usage Health Literacy Program on Health Literacy and Health Behavior in Persons with Chronic Kidney Disease Stage 3-4
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Abstract
This Randomized Controlled Trial (RCT) aimed to examine the effects of a herb usage health literacy program on health literacy and health behavior in persons with chronic kidney disease stage 3-4. The study participants were randomly assigned into two groups, each consisting of 30 participants. The control group received usual nursing care, while the experimental group received usual nursing care and the 8 weeks health literacy program. The program consisted of conversations, information sharing, video clips, and 9 sets of questions that promote health literacy, through the individual LINE application. Data were assessed before and after the experiment using questionnaires related to the herb usage health literacy and health behavior of persons with chronic kidney disease. Both instruments were examined for content validity yielding a similar value of 0.91 and for reliability of the scale yielding a similar Cronbach’ alpha coefficient of 0.94. Data were analyzed using descriptive statistics, Chi-square test, Fisher's exact test and t-test. The result showed that at the end, the experimental group had a higher mean score health literacy and health behavior than the control group (p<.01). The mean score of health literacy and health behavior in the experimental group after receiving the program was statistically higher than at the starting point (p<.01). This implies that the herb usage health literacy program should be applied by integration with the usual care for persons with chronic kidney disease to improve their health literacy and ability to use an appropriate herb.
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