The Effects of a Health Literacy Program for Recurrent-Stroke Prevention on Preventive Behaviors and Blood Pressure of Stroke Patients

Authors

  • Kannaphat Kaentaen Student of Master of Public Health Program, Sirindhorn College of Public Health, Trang, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute
  • Yupawan Thongtanunam Faculty of Nursing, Burapha University
  • Kannika Ruangdej Chaosuansreecharoen Sirindhorn College of Public Health, Trang, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute
  • Kwanmuang Kaeodumkoeng Faculty of Public Health, Mahidol University
  • Phayong Thepaksorn Sirindhorn College of Public Health, Trang, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute

Keywords:

health literacy; health promotion program; preventive behavior; stroke

Abstract

Health literacy is a fundamental basis that enables patients to access, understand, question, make informed decisions, and take appropriate actions. This quasi-experimental research aimed to evaluate the effects of a health literacy program for recurrent stroke prevention on preventive behaviors and blood pressure among stroke patients. The sample consisted of 60 individuals (both male and female), aged 35 years and older, who were diagnosed with a first-time stroke. They were divided into an experimental group and a control group, with 30 participants in each group, selected through simple random sampling combined with pair matching. The experimental group participated in the program for 12 weeks, while the control group received standard care. Research instruments included a health literacy program for recurrent-stroke prevention with a health literacy manual, a health literacy questionnaire, and a preventive behavior assessment form. All assessment tools were validated for content validity (I-CVI = .86–1.00), and reliability was confirmed with Cronbach’s alpha coefficients of .93 for the health literacy questionnaire and .89 for the preventive behavior assessment form. Data were analyzed using descriptive statistics and t-tests. The results showed that the experimental group had significantly higher post-intervention scores in health literacy and preventive behaviors compared to their pre-intervention scores and those of the control group. Additionally, their blood pressure was significantly lower than that of the control group. In conclusion, the program was effective in promoting health and can be applied as recurrent stroke prevention guidelines.

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Published

2026-04-28

How to Cite

1.
Kaentaen K, Thongtanunam Y, Ruangdej Chaosuansreecharoen K, Kaeodumkoeng K, Thepaksorn P. The Effects of a Health Literacy Program for Recurrent-Stroke Prevention on Preventive Behaviors and Blood Pressure of Stroke Patients. NJPH (วารสาร พ.ส.) [internet]. 2026 Apr. 28 [cited 2026 May 4];36(1):41-54. available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/281888

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บทความวิจัย