Effects of a Health Literacy Exercise Program on the Exercise Behaviors and Health Literacy of Older Adults with Hypertension in the Communities, Bangkok Metropolis

Main Article Content

Tippawan Pieasakran
Yupa Jiewpattanakul
Juntima Rerkluenrit


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

How to Cite
Pieasakran, T., Jiewpattanakul, Y., & Rerkluenrit, J. (2023). Effects of a Health Literacy Exercise Program on the Exercise Behaviors and Health Literacy of Older Adults with Hypertension in the Communities, Bangkok Metropolis. Nursing Science Journal of Thailand, 41(4), 44–55. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/261445
Research Papers


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