Effect of the Health Literacy Promoting Program on Self-Management Behaviors Among Older Persons with Uncontrolled Hypertension
Keywords:
Health literacy promoting program, Older persons, Uncontrolled hypertension, Self-managementAbstract
Self-management behaviors are important for older persons with uncontrolled hypertension in order to control their disease. This quasi-experimental research with two groups measured results, before and after the experiment, aiming to study the results of a health literacy promotion program on self-management behaviors among older persons with uncontrolled hypertension. The participants included older persons diagnosed with hypertension and uncontrolled hypertension who received services at the health-promoting hospital in Nakae district, Nakhon Phanom province. A total of 48 participants were randomly selected and assigned to either the experimental or control group (24 in each). The experimental group participated in the health education program, while the control group received routine care. The tools used in the study consisted of two parts: 1) a health literacy promotion program and 2) a data collection tool, including a personal and illness data recording form, and a measurement of self-management behaviors among older persons with uncontrolled hypertension. The health literacy promotion program was checked for content validity by six experts. Regarding the measurement tool for self-management behavior, the researcher tested the internal consistency and obtained a Cronbach's correlation coefficient of .91. Data were analyzed by descriptive statistics, independent t-test statistics, and dependent t-test statistics.
The research results found that the experimental group had a higher self-management behaviors mean score (M = 93.25, SD = 5.23) than before participating in the intervention (M = 70.67, SD = 7.46), with a statistically significant difference (t = 22.75, p < .001) as well as a higher mean score than that of the control group (M = 74.04, SD = 4.71), with a statistically significant difference (t = 13.37, p < .001).
Healthcare providers can apply this model for promoting health literacy as a guideline for health education in older persons with uncontrolled hypertension to improve their self- management.
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