Effect of PITS-based Education to Enhance Health Literacy on Self-Management Among Older Persons with Chronic Obstructive Pulmonary Disease
Keywords:
Health literacy, Self-management, PITS-based education, Older persons, Chronic obstructive pulmonary diseaseAbstract
Appropriate self-management among older persons with chronic obstructive pulmonary disease (COPD) requires health literacy enhancement including cognitive and social skills both of which can be developed with PITS models that emphasize patient-centered care in order to achieve skill adaptation and learning. This experimental research aimed to study the effect of PITS-based education to enhance health literacy on the self-management of older persons with COPD. The sample consisted of older persons with COPD receiving services at sub-district health promoting hospitals in Maelao district, Chiang Rai province. Fifty-four subjects were randomly selected and equally assigned into either a control or an experimental group, with 27 subjects in each group. The experimental group was provided with group education 4 times, twice a week, and one session for individual education resulting in a total education period of 5 times over 3 weeks. The control group was given routine care. The research instruments included a teaching plan, the health literacy manual for chronic obstructive pulmonary disease patients, teaching for health literacy enhancement via the COPD patients’ video, an understanding personal perception scale, and a health literacy for COPD questionnaire. Data collection tools consisted of a personal and illness data recording form and a questionnaire on self-management behaviour for older persons with COPD. Data were analysed using descriptive statistics, independent t-test, and dependent t-test.
The results revealed that the mean score for self-management of older persons with chronic obstructive pulmonary disease receiving PITS-based education was higher than the score for those receiving routine care (p < .001), and higher than before, at a significant level (p < .001).
The results indicate that PITS-based education can enhance health literacy and self-management among older persons with chronic obstructive pulmonary disease. Hence, healthcare personnel can apply PITS-based education as a guideline for enhancing self-management among older persons with chronic obstructive pulmonary disease.
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