Information from the abstract
Background: 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. Methods: 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 t -tests, Wilcoxon signed-rank tests, and repeated measures ANOVA. Results: 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’ g = 2.65, P < .001). Health literacy scores increased by 10 points (HLHBQ; Hedges’ g = 1.05, P = .005) and 32.5 points (ISHA-Q; r = 0.66, P = .037). Systolic blood pressure decreased from 129.3 to 123.9 mmHg (η 2 p = 0.43, P < .004) and diastolic from 83.9 to 79.9 mmHg (η 2 p = 0.41, P < .001). Conclusion: The results provide evidence that the intervention was both feasible and acceptable for implementation in a rural Thai community.
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Related topics: Health Literacy and Information Accessibility · Blood Pressure and Hypertension Studies · Diabetes Management and Education
Thai researcher and institutional participation
Pataporn Bawornthip · Decha Tamdee · Chiang Mai University
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