Effect of PITS-Based Education to Enhance Health Literacy on Self-Management Among Older Persons with Hypertension
Keywords:
PITS-based education, Health literacy, Self-management, Older persons with HypertensionAbstract
Promoting health literacy is important for older persons with hypertension as it leads to appropriate self-management. This experimental research aimed to investigate the effect of PITS-based education for enhancing health literacy on self-management among older persons with hypertension. The participants were older persons with hypertension attending three sub-district health promoting hospitals in Phayao province. Fifty-four participants were selected through simple random sampling and were then equally assigned into either the control or the experimental group with 27 participants in each. The experimental group was given group education four times, twice a week, and one session for individual education resulting in a total of five educational sessions over three weeks. The control group was given routine care. The experimental instruments included a teaching plan, the hypertensive health literacy manual, a hypertensive knowledge video, an understanding personal perception scale, and a health literacy questionnaire for older persons with hypertension. The data collection tools used in this study were a demographic and illness data recording form and a questionnaire on self-management behavior for older persons with hypertension. The data were analyzed using descriptive statistics, independent t-test, and dependent t-test.
The results showed that the mean score for self-management of older persons with hypertension receiving PITS-based education (M = 91.89, SD = 10.16) was higher than those receiving routine care (M = 80.03, SD = 8.25) with a statistically significant difference (t = 4.70, p < .001), and higher than that before experiment (M = 82.25, SD = 9.59) with a statistically significant difference (t = 14.67, p < .001).
The results indicate that PITS-based education can enhance health literacy and self-management among older persons with hypertension, and therefore, can be applied by healthcare professionals with this population.
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