Main Article Content
This participatory action research aimed to understand the health behaviors for preventing cerebrovascular disease (CVD) among at-risk groups, and to develop a model for empowering and enhancing family and community participation in behavior modification to prevent CVD among at-risk groups. The participants comprised four groups: 1) 42 individuals who were at high risk of CVD; 2) 42 family members of individuals who were at high risk of CVD; 3) two registered nurses working at the primary care center; and 4) 10 healthcare volunteers. Data were collected through in-depth interviews and focus group discussions. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed using content analysis. The results showed that the health behaviors on CVD preventing consisted of four strategies: 1) reducing salt consumption and eating more vegetables, 2) doing exercise, 3) taking hypertension medication, and 4) participating in community activities. The model for empowering and enhancing family and community participation in behavior modification to prevent CVD comprised four steps: 1) building relationship and trust, 2) empowering and moving toward the goal, 3) synergizing the power of family, and 4) integrating support from the community. The model developed in this study provides a base guideline for healthcare providers at primary care centers to improve prevention of stroke for individuals in the community.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
2. Non-Communicable diseases Thai Health Promotion Foundation. Non-Communicable diseases situation [Internet]. Bangkok: Thai Health Promotion Foundation; 2020 [cited 2020 Sep 22]. Available from: http://hp.anamai.
3. Non-Communicable diseases Thai Health Promotion Foundation. Non-Communicable diseases [Internet]. Bangkok: Thai Health Promotion Foundation; 2020 [cited 2020 Feb 14]. Available from: https://www.thaihealth.
4. Kumpangkoew K, Somboontanant W, Leelahakul V. Relationships between perceived risk, perceived warning signs and self-care behavior in older adults at risk of cerebrovascular disease. NJPH. 2015; 25(2): 40-56. Thai.
5. Chamnanpong P, Piyabanditkul L. Stroke prevention in hypertensive patients in suburban community. CHD-KKU. 2016; 4(3): 325-40. Thai.
6. Chanagarn M, Phutthikhamin N. Perceptions on stroke risk factors warning signs treatment and preventive among health risk people. J Nurs Sci & Health. 2016; 39(1): 70-7. Thai.
7. Phatthalung Provincial Public Health Office. Public health performance [Internet]. Bangkok: Ministry Public Health; 2019 [cited 2020 Sep 2]. Available from: http://www.rh12.moph.go.th/wpcontent/uploads/2019/01/7_bookall.
8. Gibson CH. The process of empowerment in mothers of chronically ill children. J Adv Nurs. 1995; 21: 1201-10.
9. Kemmis S, McTaggart R. The action research planners. Victoria: Deakin University Press; 1988.
10. Poomsanguan K. Health empowerment: Nurses’ important role. JRTAN. 2014; 15(3): 86-90. Thai.
11. Saeko U, Jitpanya C. A study of stroke awareness among patients at risk of stroke in Bangkok metropolitan. PNUJRHUSO. 2014; 6(2): 13-23. Thai.
12. Juntanon N, Singchai B, Worawong W. Self care behavior of hypertension patients who live in Muang District, Chumphon Province. KKU Res J. 2011; 16(6): 749-58. Thai.
13. Kummak S. Self-care behaviors among hypertension patients in Tambon Nanglao Health Promoting Hospital, Amphur Satingpha, Songkhla Province. SCNJ. 2016; 2(3): 153-69. Thai.
14. Onsrinoi N, Leelukkanaveera Y, Toonsiri C. Predictive factors of hypertension preventive behaviors among people with pre-hypertension. Songklanagarind J Nurs. 2017; 37(1): 63-74. Thai.
15. Kummak P, Kummak S, Kagmmunee M. Factors related to self-care behaviors among patients with hypertension. SCNJ. 2015; 2(3): 74-91. Thai.
16. Intolo S, Peangkat S, Bunnan N, et al. Development of stroke preventive care service model for clients with chronic illness having CVD risk in context of primary care. Songklanagarind J Nurs. 2020; 40(2): 83-97. Thai.
17. Fongkerd S, Pooktisana S, Tantalanukul S. Nursing role with family health promotion based on family development theory. HCU Journal. 2016; 20-39: 133-42. Thai.
18. Boonchun N, Ucharattana P, Punsakd W, et al. Effects of an Empowerment Program on Selfcare Agency for Elders with Hypertension. J Nurs Sci. 2011; 29(2): 93-102. Thai.
19. Leangthong P, Thongcharoen V, Jitramontree N, et al. The effectiveness of empowerment program on health behavior of older adults with stroke. Songklanagarind J Nurs. 2015; 39(Suppl): 143-58. Thai.
20. Manprasong K, Tangkaw T, Tubtimtong N. The effect of empowerment program on depression in elderly. JNHS. 2013; 7(3): 79-87. Thai.
21. Yuncharoen K, Jitramontree N, Jirathummakoon S. The effects of empowerment program on postoperative recovery in older patients undergoing knee arthroplasty. J Nurs Sci. 2016; 34(1): 167-78. Thai.
22. Choksawadphinyo K. Empowerment on family caregivers for quality of life development in people living with HIV/AIDs. KKU Res J. 2011; 16(4): 416-27. Thai.
23. Jandeekaewsaku P, Watthayu N, Suwonnaroop N. Factors predicting self-management behavior among patients with uncontrolled essential hypertension. J Nurs Sci. 2018; 36(1): 31-43. Thai.
24. Thangkratok P. The role of the nurses in the chronic disease management. Songklanagarind J Nurs. 2017; 37(2): 154-59. Thai