The effects of relieving hypertension diet application on health belief among patients with hypertension


  • Atiporn Samranbua Boromarajonani College of Nursing, Nakhon Ratchasima
  • Benjamas Thamcharoentrakul Boromarajonnani College of Nursng, Nakhon Ratchasima


application, hypertension, health belief model


           The Quasi-experimental research aimed to 1) compared level of health belief among experimental group before and after the experiment, 2) compared level of health belief between experimental and compared groups, and 3) compared level of blood pressure between experimental and compared groups. 70 participants were selected by simple random sampling from two hypertension clinics at two health promoting hospitals in Nakhonratchasima Province. They were divided into the experimental and the controlled group with 35 participants in each group.  The experimental group used Relieving Hypertension Diet Application, and the controlled group learned hypertension education from brochure for two weeks. Data of pre and post intervention were collected using questionnaire of health perception of diet and hypertension. Descriptive statistic, paired t-test and Independent t-test were used for data analysis.

           The results of this study showed that the experimental group had mean scores of perceived susceptibility, perceived severity, perceived benefits higher than before using the application (p<.05), and mean scores of perceived barriers was lower than before using the application (p<.05). The experimental group had mean score of each perceived concept significantly higher than the controlled group (p< .05) after receiving the program. In addition, systolic blood pressure of the experimental group had no significant mean score higher than the controlled group, and diastolic blood pressure of the experimental group had no significant mean score lower than the controlled group (p>.05).

            Suggestion, the application can be improved and encourage patients with chronic illness to control blood pressure and have health concerns regarding severity and susceptibility of complication.


Office of the Permanent Secretary. The annual incidence rate of hypertension per population [document on the Internet]. Bangkok: The Institute; 2019 [cited 2019 May 3]. Available from: (in Thai).

Thai Hypertension Society. 2019 Thai guidelines on the treatment of hypertension. Changmai: Trickthink. 2019. p.1. (in Thai).

Supannatas S. Innovation for health behavior change in 4.0 Era. Proceedings of the 18th national health education conference. 2017 May 18-20; Jomtien Palm Beach Hotel and Resort, Chonburi, Thailand; 2017. (in Thai).

Klein M, Mogles N, van Wissen A. Intelligent mobile support for therapy adherence and behavior change. J Biomed inform. 2014;51:137-51.

Maria H, Mikko L, Ossi A, Mikael F, Raisa V. The Impact of nutrition education intervention with and without a mobile phone application on nutrition knowledge among young endurance athletes. Nutrients. 2019;11, 2249; doi:10.3390/nu1109224

Prasartkaew N, Terathongkum S, Maneesriwongkul W. The effect of a home visit and telephone follow-up program on health beliefs and blood pressure in persons with uncontrolled hypertension. Journal Public Health. 2012;42(3):19-31. (in Thai).

Strecher VJ, Rosenstock IM. The health belief model. In K. Glanz FM, Lewis BK, Rimer (Eds.), Health Behavior and Health Education 2nd Edition. California: Jossey-Bass. 1997. p.41-59.

Promjame S. The Effect of health belief model program on complication preventive behavior in hypertension older persons. Royal Thai Navy Medical Journal. 2018;45(3):561-77. (in Thai).

Kumpiriyapong N, Sasat S. The effect of health belief program on medicine used behavior in older persons with hypertension. Royal Thai Navy Medical Journal. 2017;44(3):67-83. (in Thai).

Hawong S, Thaingtham W, Nanthamongkolchai S. The health promotion program for the elderly at risk group of alzheimer’s in community. Journal of Public Health Nursing. 2017;31(1):110-128. (in Thai).

Strecher VJ, Champion VL, Rosenstock IM. (1997). The health belief model and health behavior. In D. S. Gochman (Ed.), Handbook of health behavior research 1: Personal and social determinants. Plenum Press. 1997. p.71–91.

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. BRM. 2007;39:175-91.

Sae-Tiew J. Usage behavior of smart-phone application for middle age persons. [Master Thesis of Business Administration]. Bangkok: Rajamangala University of Technology Thanyaburi.2016. (in Thai)

Gandhi S, Chen S, Hong L, et al. Effect of mobile health interventions on the secondary prevention of cardiovascular disease: systematic review and meta-analysis. Can J Cardiol. 2017;33: 219–31. doi:10.1016/j.cjca.2016.08.017.

Mira JJ, Navarro I, Botella F, Borrás F, Nuño-Solinís R, Orozco D, et al. A Spanish pillbox app for elderly patients taking multiple medications: randomized controlled trial. J Med Internet Res. 2014;16(4): e99.

Mummah S, et al. Effect of a mobile app intervention on vegetable consumption in overweight adults: a randomized controlled trial. Int. J. Behav. Nutr. Phys. Act. 2017;14(125):1-10.

Outland L. Training dieters to eat intuitively with a mobile application. CALIF J Health Promot. 2018;16(1):50-6.

Samoggia A, Bordoni B, Monticone M. Data on the potential of nutrition-information apps from a consumer behaviour perspective. Data in Brief. 2019; 30(20):1-9.

Jorvand R, Ghofranipour F, HaeriMehrzi A, Tavousi M. Evaluating the impact of HBM-based education on exercise among health care workers: the usage of mobile applications in Iran. BMC Public Health. 2019; 20(546):1-11.

Champion VL, Skinner CS. The Health Belief Model. In Glanz K, Rimmer BK, Viswanath K. (Eds.), Health Behavior and Health Education 4th Edition. California: Jossey-Bass. 2008; p.41-59.

Khorsandi M, Fekrizadeh Z, Roozbahani N. Investigation of the effect of education based on the health belief model on the adoption of hypertension-controlling behaviors in the elderly. Clin. Interv. Aging. 2017;12: 233-40.

Ramezanhkani, Ali, M. Ghaffari, K. Etemad and F. Fallah. Effect of the health belief model based education on hypertension reduction among elderly women affiliated with shahid beheshti university of medical sciences- 2018. Journal of Health in the Field. 2019; 6.

Yazdanpanah Y, Moghadam AR, Mazlom SR, Beigloo RH, Mohajer S. Effect of an educational program based on health belief model on medication adherence in elderl patients with hypertension. Evidence Based Care. 2019;9(1): 52-62.

Zengin N, Oren B, Akinci AC. Perceived benefits and barriers of hypertensive individuals in salt-restricted diet. Int. J. Caring Sci. 2018;11(1):488-501.

Chen J, Liao Y, Li Z, Tian Y, Yang S, et al. Determinants of salt-restriction-spoon using behavior in China: application of the health belief model. PLoS ONE. 2013;8(12):e83262. doi:10.1371/journal.pone.0083262.

Nondhavasi D, Meesuwan W, Tiamkaew E. The development of app-based learning on android: a case study for mattayomsuksa 4 students in Thakhumngernwittayakarn School, Lamphun. Proceedings of Graduate Research Conference. 2014 March 28; KhonKhane, Thailand; 2014. p. 2182-91. (in Thai).

Worapitbenja P, Klinhoo J, Srisom N. The development learning managements system application of virtual classrooms on mobile device. Industrial Technology Lampang Rajabhat University Journal, 2015; 8(2):58-67. (in Thai).

van Het Reve E, Silveira P, Daniel F, Casati F, de Bruin ED. Tablet-based strength-balance training to motivate and improve adherence to exercise in independently living older people: part 2 of a phase II preclinical exploratory trial. J Med Internet Res. 2014 Jun 25;16(6):e159. doi: 10.2196/jmir.3055. PMID: 24966165; PMCID: PMC4090377

DiDonato LK, et al. Community pharmacy patient perceptions of a pharmacy-initiated mobile technology app to improve adherence. Int J Pharm Pract. 2015;23: 309-19.

Knowles M. Andragogy in action. San Francisco: Jossey-Bass.1984. p. 26-43.

Prochaska JO, Redding CA, Evers K. The transtheoretical model and stages of change. In: K. Glanz FM, Lewis BK, Rimer, editors. Health behavior and health education: theory, research, and practice. 3rd Ed. San Francisco: Jossey-Bass; 2002.

Chormai P, Pranprawit A. Effect of health promotion program for promoting health behavior change in groups at high risk of high blood pressure at Bankhaodin Health Promotion Hospital, Khaopanom District, Krabi Province. Journal of Graduate School, Pitchayatat. 2016;10(1):15-24. (in Thai).

Sumthong P, Suthiphongkiart B, Kleebpratoom P, Oadpakdee W. The effect of home blood pressure monitoring program applying Transtheoretical model and social support power in hypertensive patients, Angthong hospital. 2019;2(1):1-14. (in Thai)




How to Cite

Samranbua A, Thamcharoentrakul B. The effects of relieving hypertension diet application on health belief among patients with hypertension. Thai J. Cardio-Thorac Nurs. [Internet]. 2021 Aug. 29 [cited 2024 May 22];32(1):228-42. Available from:



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