Development of a Health Behavior Promotion Model Integrating Primary Health Care Networks and Community Participation for Individuals at Risk of Hypertension in Health Region 8

Abstract

This sequential mixed-methods quasi-experimental study aimed 1) to describe the development of a health behavior promotion model involving the participation of primary care networks and the community for individuals at risk of hypertension in Health Region 8, and 2) to compare the health outcomes of a group at risk of hypertension before and after receiving a health behavior promotion program integrated with the participation of the primary healthcare network and the community.

The sample consisted of 276 individuals at risk of hypertension, and key informants included 70 individuals, comprising 35 public health personnel and 35 community network members. The study was conducted in four phases: 1) situational and contextual analysis, 2) model development, 3) model implementation, and 4) outcome evaluation. Research instruments included questionnaires, interview guides, focus group discussions, and a salt meter. Quantitative data were analyzed using descriptive statistics and paired t-tests, while qualitative data were analyzed through content analysis.

The results showed that after the implementation of the "MONGKUTESAN 4P Model," the sample group exhibited statistically significant positive reductions (p < 0.05) in health measurements, including blood pressure, body mass index (BMI), and waist circumference. The model consists of: partnership (building collaborative networks), people (human capacity development), process (a systematic "screening-adjusting-following up" workflow), and place (environmental management and innovation through the creation of "low-salt areas"). Furthermore, mean scores for overall health behaviors and their specific domains, namely diet control, exercise, rest and stress management, reduction of alcohol consumption, and smoking cessation, showed statistically significant improvement (p < 0.05). The findings suggest that the MONGKUTESAN 4P Model should be applied to populations at risk of hypertension to achieve positive outcomes, such as reductions in blood pressure, body mass index, and waist circumference.