Effects of a Health Literacy Exercise Program on the Exercise Behaviors and Health Literacy of Older Adults with Hypertension in the Communities, Bangkok Metropolis
Article Sidebar
Main Article Content
Abstract
Purpose: To study the effects of health literacy exercise program on the exercise behaviors and health literacy of older adults with hypertension.
Design: Quasi-experimental.
Methods: The sample was comprised of 102 older adults with hypertension. Samples were obtained through simple random sampling from two districts of central Bangkok; one district was randomized to be experimental group and the other control group with 51 participants each. The experimental group received the health literacy exercise program applied the health literacy concept of the Division of Health Education, Department of Health Service Support, Ministry of Public Health. The program contained with developing skills in accessing reliable exercise behaviors, demonstrations and searching for exercise information, communication practices, practices in evaluating exercise information reliability, exercise teaching and demonstration, and joint decision-making with set exercise goals and plans. In addition, the older adults were instructed to exercise at home for a period of eight weeks, while the control group received only routine care. The data were analysis using Independent t-test, paired t-test, and ANCOVA.
Main findings: After participating in the program, the experimental group had significantly higher means of exercise behaviors and health literacy than the control group (p = .002 and p < .001, respectively).
Conclusion and recommendations: Health literacy exercise program helps to improve exercise behaviors. The monitoring time for exercise behaviors after the end of the program should be increased to six months in order to assess the continuance of exercise behaviors. Moreover, the program should be adapted for older adults with other chronic diseases.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
World Health Organization, International Society of Hypertension. Hypertension [Internet]. Geneva: World Health Organization; 2019 [cited 2021 Sep 12] Available from: https://apps.who.int/iris/bitstream/handle/10665/79059/WHO_DCO_WHD_2013.2_eng.pdf.
Social Statistics Division, National Statistical Office. Health behaviour of population survey 2021 [Internet]. Nonthaburi: National Statistical Office; 2020 [cited 2021 Nov 8]. Available from: http://www.nso.go.th/sites/2014/Pages/ActivityNSO/2563/12/A22-12-63-3.aspx/report_2501_64.pdf. (in Thai).
Assantachai P. Common health problem in elderly and prevention. 4nd ed. Bangkok: Union Creation Publishers; 2015. 462 p. (in Thai).
Thai Hypertension Society. Thai guidelines on the treatment of hypertension [Internet]. Bangkok: Thai Hypertension Society; 2019 [cited 2021 Nov 2]. Available from: http://www.thaihypertension.org/guideline.html.pdf. (in Thai).
Public Health Center 20. Home visiting report 2019. Bangkok: Community Health Centers, Public Health Center 20; 2019. 91 p. (in Thai).
Kim KB, Han HR, Huh B, Nguyen T, Lee H, Kim MT. The effect of a community-based self-help multimodal behavioral intervention in Korean American seniors with high blood pressure. Am J Hypertens. 2014;27(9):1199-208. doi: 10.1093/ajh/hpu041.
Arahung R, Hoontrakul S, Roojanavech S. The effects of health literacy enhancement program on hypertensive prevention behavior of pre-hypertion risk group at a community in Nakhon Pathom province. Royal Thai Navy Medical Journal. 2018;45(3):509-26. (in Thai).
Sookpool A, Kingmala C, Pangsuk P, Yeanyoun T, Wongmun W. Effectiveness of health literacy and health behavior development program for working people. Journal of Health Science. 2020;29(3):419-29. (in Thai).
Health Education Division, Department of Health Service, Ministry of Public Health. Promotion and evaluation of health literacy and health behavior. Nonthaburi: Ministry of Public Health; 2018. 74 p. (in Thai).
Strategy and Planning Division, Strategy and Planning Office. Health behaviour of popualation survey 2020 [Internet]. Nonthaburi: Strategy and Planning Office; 2021 [cited 2021 Nov13]. Available from: https://bps.moph.go.th/new_bps.pdf. (in Thai).
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988. 579 p.
Seesawang J, Thongtang P, Yodthong D. Effectiveness of self-management supportive program among hypertensive older people. Ramathibodi Nursing Journal. 2014;20(2):79-92. (in Thai).
Wannakhao S, Danyuthasilpe C, Siripornpibul T. Effects of a self-management program on blood pressure levels and self-management behaviors among elderly with hypertension in Uttaradit province. Boromarajonani College of Nursing, Uttaradit Journal. 2019;11(1):126-41. (in Thai).
Punyathanachaikhul K, Moolsart S. The effectiveness of health literacy developmental program in hypertension patients risking to chronic kidney disease. Nursing Public Health and Education Journal. 2020;21(1):41-54. (in Thai).