10.1177/1056789514562152

Vollständiger Abstract

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<h4>Background</h4>Engaging end users through co-design is essential for developing effective and sustainable hypertension prevention interventions, while rigorous evaluation helps identify and address barriers to enhance acceptability and impact.<h4>Methods</h4>A feasibility study was conducted using a convergent mixed-methods design. A convenience sample participated in a community-based Health Literacy Program. Instruments included the Thai Hypertensive Health Literacy and Health Behaviors Questionnaire (Thai HLHBQ), the Information and Support for Health Action Questionnaire (ISHA-Q), a hypertension knowledge test, a satisfaction survey, and an interview guide. Data were analyzed using paired <i>t</i>-tests, Wilcoxon signed-rank tests, and repeated measures ANOVA.<h4>Results</h4>The sample comprised ten adults with prehypertension, one nurse practitioner, and one public health officer. The attendance rate of participants with prehypertension during the 6-week period was 100%. Participants completed a baseline assessment at Week 0. The intervention was delivered over a 5-week period (Weeks 1-5), and post-intervention assessments were conducted at Week 6. Post-intervention, significant improvements were observed in knowledge, health literacy, and blood pressure readings. Knowledge increased from 6.8 to 9.3/10 (Hedges' <i>g</i> = 2.65, <i>P</i> < .001). Health literacy scores increased by 10 points (HLHBQ; Hedges' <i>g</i> = 1.05, <i>P</i> = .005) and 32.5 points (ISHA-Q; <i>r</i> = 0.66, <i>P</i> = .037). Systolic blood pressure decreased from 129.3 to 123.9 mmHg (η 2 p = 0.43, <i>P</i> < .004) and diastolic from 83.9 to 79.9 mmHg (η 2 p = 0.41, <i>P</i> < .001).<h4>Conclusion</h4>The results provide evidence that the intervention was both feasible and acceptable for implementation in a rural Thai community.

Abstract: PubMed · Datensatz