Effects of Technology-Based Education on Health Literacy Among Elderly Monks with Hypertension

Authors

  • Chatree Seedacam Faculty of Nursing, Chiang Mai University
  • Jittawadee Rhiantong Faculty of Nursing, Chiang Mai University
  • Sirirat Panuthai Faculty of Nursing, Chiang Mai University

Keywords:

Technology-based education, Health literacy, Elderly monks, Hypertension

Abstract

Hypertension has been found to have a high incidence among elderly monks. Technology-based education through a health literacy program may help elderly monks with hypertension to improve their health literacy. This experimental research aimed to study the effects of technology-based education on health literacy among this group. The sample group consisted of elderly monks diagnosed with hypertension who received care at Health Promoting Hospitals in Mueang Nakhon Sawan District, Nakhon Sawan Province. A total of 54 participants selected by simple random sampling were divided into a control group and an experimental group of 27 each. The experimental group received four sessions of group teaching and one session of individual teaching throughout a span of three weeks, while the control group received usual care. Data collection instruments included 1) an interview form on personal and illness data and 2) an interview form on health literacy for elderly monks with hypertension. The program on technology-based education for health literacy was checked for content validity by five experts. Regarding the measurement tool, an interview form on health literacy for elderly monks with hypertension, the researcher tested its internal consistency and obtained a Cronbach's correlation coefficient of .85. The data were analyzed using descriptive statistics, independent t-test, and dependent t-test.

The results showed that after receiving the technology-based education program, the experimental group had higher mean scores for health literacy (M = 45.41, SD = 2.64) than those of the control group who received usual care (M = 19.93, SD = 3.03) with a statistically significant difference (t = 33.01, p < .001) and a higher mean score than before receiving the program (M = 20.74, SD = 3.21) with a statistically significant difference (t = -46.68, p < .001).

In conclusion, the technology-based education program effectively improves health literacy. Healthcare professionals can apply the technology-based education program to promote health literacy promotion among elderly monks with hypertension.

References

Arahung, R., Hoontrakul, S., & Roojanavech, S. (2018). The effects of health literacy enhancement program on hypertensive prevention behavior of pre-hypertension risk group at a community in Nakhon Pathom Province. Royal Thai Navy Medical Journal, 45(3), 509-526. (in Thai)

Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence (6th ed.). Elsevier.

Chiangmai Provincial Public Health Office. (2018). Health screening guide for the elderly with health promotion. Chiangmai Provincial Public Health Office. (in Thai)

Chotjirawatthana, S., Tantrarungroj, P., & Suwanmonkma, S. (2021). Technology utilization model to promote health literacy in the learning resource center for the elderly. Kasetsart Journal of Social Sciences, 42(3), 535-541. (in Thai)

Codrington, S., Panuthai, S., & Khampolsiri, T. (2021). Health literacy and self- management among elderly monks with hypertension. Nursing Journal, 48(4), 268-280. (in Thai)

Darwis, S., Russeng, S. S., & Amiruddin, R. (2021). Intervention based on integration of health literacy and health outcomes in hypertension “a systematic review”. Open Access Macedonian Journal of Medical Sciences, 9(F), 486-491.

Department of Health. (2022). Health status of the group of monks and novices. https://hdcservice.moph.go.th/hdc/reports/page.php (in Thai)

Department of Medical Services. (2014). Guideline for screening/evaluating seniors. Office of the Printing Service for the Veterans Organization.

Department of Medical Services Priest Hospital. (2021). Annual report 2020 priest hospital. https://www.priest-hospital.go.th/report/reportYear

Janchai, N., & Deoisres, W. (2020). Factors affecting health literacy in hypertensive elder adults: An integrative review. Thai Journal of Cardio-Thoracic Nursing, 31(1), 17-26. (in Thai)

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267.

Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072–2078. https://doi.org/10.1016/j.socscimed.2008.09.050

Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23(10), 433-441.

Srithong, K., Jearajit, C., Suksatit, B., & Promjittiphong, C. (2021). Health literacy situation of monks in Thai society. Journal of MCU Peace Studies, 9(5), 1793-1804. https://so03.tci-thaijo.org/index.php/journalpeace/article/view/254370 (in Thai)

Stewart, M. N. (2012). Practical patient literacy: The medagogy model. McGraw-Hill Medical.

Weber, M. A., Schiffrin, E. L., White, W. B., Mann, S., Lindholm, L. H., Kenerson, J. G., Flack, J. M., Carter, B. L., Materson, B. J., Ram, C. V., Cohen, D. L., Cadet, J. C., Jean-Charles, R. R., Taler, S., Kountz, D., Townsend, R. R., Chalmers, J., Ramirez, A. J., Bakris, G. L., … Harrap, S. B. (2014). Clinical practice guidelines for the management of hypertension in the community: A statement by the American Society of Hypertension and the International Society of Hypertension. Journal of Clinical Hypertension (Greenwich), 16(1), 14-26. https://doi.org/10.1111/jch.12237

Yakong, N., Panuthai, S., & Suwankruhasn, N. (2022). Effect of PITS-based education on health literacy among older persons with type-2diabetes. Nursing Journal CMU, 49(3), 70-82.(in Thai)

Downloads

Published

2024-12-27

How to Cite

Seedacam, C., Rhiantong, J., & Panuthai, S. (2024). Effects of Technology-Based Education on Health Literacy Among Elderly Monks with Hypertension. Nursing Journal CMU, 51(4), 133–145. retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/266012

Issue

Section

RESEARCH  ARTICLES