Effects of Self Efficacy Promotion Program on Behavioral Modification for levels of Blood Pressure Among Elderly People with Hypertension

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1 Effects of Self Efficacy Promotion Program on Behavioral Modification for levels of Blood Pressure Among Elderly People with Hypertension Asst. Prof. Sununta Srisiri D.S.M., Lect. Pimporn Tirathumcharoen, Lect. Supranee Khunkiti Health Education Department, SWU, Thailand

2 Introduction Hypertension or high blood pressure (HBP) is an important public health challenge. Increased chronic disease burden The awareness, treatment & control is lagging behind. Lifestyle modification is recommended for control of high BP (Guideline for management HT, 2007)

3 Problem Statement Prevalence of chronic diseases among the Thai elderly Age group > 90 Knee arthralgia Low back pain Hypertension Vision problem Diabetes mellitus Ischemic heart dis Stroke Dementia Source: NSO from Thailand,2008.

4 Problem Statement (continue) * How to promote life-long behavior change? * Perceived self-efficacy, self care and self regulation could be a tool?

5 Objectives To assess the effect of self-efficacy Intervention program to control BP in elderly people with HT. To compare the effect of self-efficacy intervention program between intervention and control group; BP, BMI, health responsibility, physical activity, nutrition, interpersonal relations and stress management.

6 Conceptual Framework

7 Study Population Criteria: Un-control hypertension patient from Health Centre 19, Bangkok, Thailand Aged between 60 yrs and over. Duration of illness less than 5 years without complication. Voluntary Participation. The sample = 100 elderly with hypertension

8 Measurement Tools: The Structured questionnaire * Demographic * Health responsibility * Physical activity * Nutrition * Interpersonal relations and * Stress management * Physical Examination: Weight, Height, BP

9 Research Design: Experimental Group Prog. Entry/ Pre-test 12 weeks Prog. Exit/ Post-test No.1 July 1, 2009 No.2 July 22, 2009 No.3 Aug 5, 2009 No.4 Sep 2, 2009 No.5 Sep 23, 2009

10 Procedure of Program: Session Activities (3 hours) Treatment Group Evaluation 1 1. Physical check up [Pre-test] 2. Ice breaking; introduction session and sharing the history of illness. 3. Self Evaluation of individual behavior 4. Encourage methods to maintain daily self records by the elderly. Physical test, Questionnaire, blood pressure Observation: participation and contribution 2 1. Orientation how to select and analysis the good menu for HT 2. Orientation cooking healthy foods 3. Positive role model by competition in order to find out the best model 1. Assess the understanding by asking questions randomly. 2.Observation: participation and contribution

13 Procedure of Program: (continue) Session Activities (3 hours) Evaluation 3 1. Orientation the exercise 2. Practice skills on exercise 3. Group seminar for maintain daily self records and discussion on risk factor, problem solving and sharing experience 4 1. Training about regular medication 2. Practice skills on exercise 3. Practice laughter therapy 4. Review daily record (food, exercise & Medication) 5 1. Physical check up [posttest] 2. Give rewards to patients who will successful and congratulated them for their efforts, and encourage them to maintain behaviors Observation: participation and contribution Observation: participation and contribution Physical test, Questionnaire, blood pressure

17 Souvenir in each activity

18 Results General Characteristics Gender Age %

19 Education Level Choice for cure Undergraduate or higher Secodary school 35 universal coverage (UC) % Primary school 56 Social Security (SS) Civil Servant Medical Benefit (CSMBS) %

20 Health responsibility Before the program After the program

21 Physical activity Before the program After the program

Nutrition 4.06 4.1 4 3.9 3.8 3.7 3.6 3.5 3.5 3.4 3.3 3.

22 Nutrition Before the program After the program

23 Interpersonal relations Before the program After the program

Stress management 3.94 3.93 3.92 3.9 3.88 3.86 3.84 3.

24 Stress management Before the program After the program

BMI & Blood Pressure 160 140 148.98 130.75 120 100 90.

25 BMI & Blood Pressure Before After BMI Systolic BP Diastolic BP

26 Expected benefits and Applications To ensure life style modifications with inner motivation to improve health seeking behaviors. The effectiveness of Self-efficacy in controlling BP among elderly with hypertensive patients and preventing oneself from the secondary complications. It is recommended that this program be provided to other patients with chronic diseases at another Hospital.

Analysis Plan Submission Form

Analysis Plan Submission Form DMHT : Analysis Plan #00410222 Date submitted: 03 January 2014 at 15:19:09 Date approved: Analysis Plan Title: Achievement of metabolic goals among different health insurance