The Effects of a Motivational Program Using a Mobile Application for Adherence Behaviors in the Prevention of Recurrent Stroke and Blood Pressure Among Stroke Patients with Hypertension
Keywords:
Motivation program, Mobile application, Adherence behaviors, Preventing recurrent strokes, Stroke patients, HypertensionAbstract
Adherence behaviors in stroke patients are essential for preventing recurrent stroke. This quasi-experimental research aimed to examine the effects of a motivational program using a mobile phone application for adherence behaviors to prevent recurrent stroke and the blood pressure values of stroke patients with hypertension, based on Maddux and Roger’s protection motivation theory. The samples included 60 patients. Purposive sampling was used to assign participants to one of two groups: the control group or the experimental group. The research instruments consisted of the following: 1) a motivational program combined with a mobile application; 2) a personal data questionnaire; and 3) an adherence behaviors questionnaire regarding the prevention of recurrent stroke. Data were analyzed using descriptive statistics, the chi-squared test, the independent t-test, the Mann-Whitney U test, the Wilcoxon signed rank test, and repeated measures ANOVA.
The results revealed that the mean scores of adherence behaviors for preventing recurrent stroke in the experimental group were statistically significantly higher than those before participating in the program (p < .001) and also were statistically significantly higher than those of the control group (p < .001). The mean scores for systolic blood pressure and diastolic blood pressure in the experimental group were statistically significantly lower than those before participating in the program (p < .001). Furthermore, the mean scores for systolic blood pressure in the experimental group were statistically significantly lower than those of the control group (p < .05).
Therefore, nurses and healthcare personnel should consider applying a motivational program using a mobile application for adherence behaviors to prevent recurrent stroke for stroke patients in stroke units and for outpatients at medical departments.
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