The Effects of a Health Literacy Enhancement Program on Stroke Prevention Behavior of High-Risk Individuals Living in a Community
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Abstract: This quasi-experimental research aimed to examine the effects of a health literacy enhancement program on stroke preventive behavior of a high-risk group. Sixty participants were working-age adults (aged 35-59 years) with high-risk of stroke in a community of Phetchaburi province. A risk assessment form based on the seven risk factor assessment criteria was used to screen this group for cardiovascular disease risk. They were purposefully selected and divided into two groups. Thirty participants in the experimental group received the health literacy enhancement program on stroke prevention behavior based on Nutbeam, Sorensen' s health literacy concept and Stretcher, Rosentock, and Becker's health belief model for 7 weeks. Another 30 participants in the control group received routine health promotion. Data were collected before and after the intervention period using two questionnaires: health literacy and stroke preventive behavior of high-risk groups, with reliabilities of 0.91 and 0.96 respectively. Data were analyzed using descriptive statistics and inferential statistics for comparisons using t-tests and ANCOVA. The research results revealed that, after participating in the program, the experimental group had significantly higher mean scores of health literacy and stroke preventive behavior than before receiving the program, and higher than the comparison group (p < .01) Therefore, the health literacy enhancement program is effective in modifying behavior for stroke prevention. This program should be used in integrating healthcare services for prevention of stroke in high-risk groups in other communities.
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