J Med Assoc Thai 2014; 97 (4):456

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Self-Management Improvement Program Combined with Community Involvement in Thai Hypertensive Population: An Action Research
Srichairattanakull J , Kaewpan W Mail, Powattana A , Pichayapinyo P

Objective: To investigate the effectiveness of a program that utilizes community involvement to improve the self-management strategies among people living with hypertension.

Material and Method: Forty-four subjects, aged 35 to 59-year-old, with hypertension in Nakhon Pathom Province, Thailand, were randomly allocated to either an experimental group (n = 22) or a control group (n = 20). The experimental group attended a program to improve self-management methods based on social cognitive theory (SCT). The program lasted 12 weeks, consisted of 1½ hours meeting once a week, including group meetings and home visit monitoring. Mann-Whitney U test and Friedman test were employed to analyze the program’s effectiveness.

Results: After the program, the mean rank of the perceived self-efficacy for the self-management strategies was statistically different between the two groups (p = 0.023). In the experimental group, after the twelve week, the mean rank of perceived self-efficacy and outcome expectancy increased and diastolic blood pressure decreased after the eight week.

Conclusion: The program applied social cognitive theory (SCT) to promote self-management techniques, increased the health promoting behavior among hypertensive people.

Keywords: Hypertension, Self-management strategies, Family support, Community involvement


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