Effects of Self-management Program on Healthy Lifestyle Behaviors among Elderly with Hypertension
Article Sidebar
Main Article Content
Abstract
This research aimed to evaluate whether a self-management program promoted healthy lifestyle behaviors (HLBs) and improved health outcomes among Thai elderly with hypertension. Participants were randomly allocated to either an intervention group (n=20), that received an 8-week self-management program that included home visits, or a control group (n=20). The data were analyzed by a chi-square analysis, a mixed-model repeated measure MANOVA, and MANCOVAs. There were significant differences in the mean scores of healthy lifestyle behaviors at posttest and follow-up between the two groups (p <0.01). Moreover, the experimental participants showed statistically significant decrease in BMI as compared to the control group participants in posttest and follow-up (p <0.001). There was a statistically significant reduction in blood pressure in the experimental participants, compared with the control participants at follow-up (p <0.001). Furthermore, healthy lifestyle behaviors increased significantly in the experimental participants compared with the control participants and baseline (p < 0.001). In addition, BMI and blood pressure decreased in the experimental participants compared with the control participants and baseline (p < 0.001). The self-management program resulted in improved healthy lifestyle behaviors, and health outcomes among the elderly with hypertension, and has implications for health promotion.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Aekplakorn, W., Abbott-Klafter, J., Khonputsa, P., Tatsanavivat, P., Chongsuvivatwong, V., Chariyalertsak, S., & Lim, S. S. (2008). Prevalence and management of prehypertension and hypertension by geographic regions of Thailand: the Third National Health Examination Survey 2004. Journal of hypertension, 26(2), 191-198. doi: 10.1097/HJH.0b013e3282f09f57
Aspinwall, L. G., & Tedeschi, R. G. (2010). The value of positive psychology for health psychology: Progress and pitfalls in examining the relation of positive phenomena to health. Annals of Behavioral Medicine, 39(1), 4-15. doi: 10.1007/s12160-009-9153-0
Bandura, A. (1991). Social cognitive theory of self-regulation. Organizational Behavior and Human Decision Processes, 50(2), 248-287. doi: 10.1016/0749-5978(91)90022-L
Bandura, A. (2005). The primacy of self‐regulation in health promotion. Applied Psychology, 54(2), 245-254.
Brahmawong, C. (2013). Developmental Testing of Media and Instructional Package. Silapakorn Educational Research Journal, 5(1), 7-20.
Bell, K., Twiggs, J., & Olin, B. R. (2015). Hypertension: The Silent Killer: Updated JNC-8 Guideline Recommendations.
Brady, T. J., Murphy, L., O’Colmain, B. J., Beauchesne, D., Daniels, B., Greenberg, M., House, M. & Chervin, D. (2013). A meta-analysis of health status, health behaviors, and health care utilization outcomes of the chronic disease self-management program. Preventing chronic disease, 10, 1-14. doi: 10.5888/pcd10.120112
Brahmawong, C. (1977). Instructional Media System. Bangkok: Chulalongkorn University.
Brill, J. B. (2011). Lifestyle intervention strategies for the prevention and treatment of hypertension: A review. American Journal of Lifestyle Medicine, 5(4), 346-360. doi:10.1177/1559827610392873
Clark, N. M., Becker, M. H., Janz, N. K., Lorig, K., Rakowski, W., & Anderson, L. (1991). Self-management of chronic disease by older adults: a review and questions for research. Journal of Aging and Health, 3(1), 3-27. doi: 10.1177/089826439100300101
Cornelissen, V. A., & Fagard, R. H. (2005). Effect of resistance training on resting blood pressure: a meta-analysis of randomized controlled trials. Journal of Hypertension, 23(2), 251-259.
Cohen, J. (1988). Statistical power analysis for the behavioural sciences. NY: Academic Press.
D’Amico, E. J., Neilands, T. B., & Zambarano, R. (2001). Behavior Research Methods. Instruments, & Computers, 33(4), 479. doi: 10.3758/BF03195405
Fishbach, A., & Labroo, A. A. (2007). Be better or be merry: How mood affects self-control. Journal of Personality and Social Psychology, 93(2), 158-173. doi:10.1037/0022-3514.93.2.158
Goyal, S., Morita, P., Lewis, G. F., Yu, C., Seto, E., & Cafazzo, J. A. (2016). The Systematic Design of a Behavioural Mobile Health Application for the Self-Management of Type 2 Diabetes. Canadian Journal of Diabetes, 40(1), 95-104. doi:10.1016/j.jcjd.2015. 06.007
Heinrich, E., Schaper, N. C., & Vries, N. K. D. (2010). Self-management interventions for type 2 diabetes: a systematic review. European Diabetes Nursing, 7(2), doi: 10.1002/ edn.160
Huffman, J. C., Millstein, R. A., Mastromauro, C. A., Moore, S. V., Celano, C. M., Bedoya, C. A., & Januzzi, J. L. (2015). A positive psychology intervention for patients with an acute coronary syndrome: treatment development and proof-of-concept trial. Journal of Happiness Studies, 17(5), 1985-2006. doi: 10.1007/s10902-015-9681-1
James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., & Ortiz, E. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the eighth joint national committee (JNC 8). The Journal of the American Medical Association, 311(5), 507-520. doi: 10.1001/jama.2013.284427
Jolly, K., Majothi, S., Sitch, A. J., Heneghan, N. R., Riley, R. D., Moore, D. J., & Singh, S. J. (2016). Self-management of health care behaviors for COPD: a systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 11, 305-326. doi: 10.2147/COPD.S90812
Ku, P. W., Fox, K. R., & Chen, L. J. (2016). Leisure-time physical activity, sedentary behaviors and subjective well-being in older adults: An eight-year longitudinal research. Social Indicators Research, 127(3), 1349-1361. doi: 10.1007/s11205-015-1005-7
Lyu, J, Lee, S. H., & Kim, H. Y. (2016). Associations between healthy lifestyles and health outcomes among older Koreans. Geriatrics & Gerontology International, 16(6), 663-669. doi: 10.1111/ggi.12531
Melchart, D., Doerfler, W., Eustachi, A., Wellenhofer-Li, Y., & Weidenhammer, W. (2015). The talent study: a multicentre randomized controlled trial assessing the impact of a ‘tailored lifestyle self-management intervention’ (talent) on weight reduction. BMC Obesity, 2(1), 38-44. doi: 10.1186/s40608-015-0069-x
Merrill, R. M., Hyatt, B., Aldana, S.G., & Kinnersley, D. (2011). Lowering employee health care costs through the Healthy Lifestyle Incentive Program. Journal of Public Health Management and Practice, 17(3), 225-232. doi: 10.1097/PHH.0b013e3181f54128
Park, Y. H., Chang, H., Kim, J., & Kwak, J. S. (2012). Patient-tailored self-management intervention for older adults with hypertension in a nursing home. Journal of Clinical Nursing, 22(5-6), 710-722. doi: 10.1111/j.1365-2702.2012.04236.x
Pressman, S., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131(6), 925-971. doi: 10.1037/0033-2909.131.6.925
Seligman, M. E. P., Steen, T., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60, 410-421.
Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5-14.
Sutipan, P., & Intarakamhang, U. (2017). Healthy Lifestyle Behavioral Needs among the Elderly with Hypertension in Chiang Mai, Thailand. International Journal of Behavioral Science, 12(1), 1-12.
Thutsaringkarnsakul, S., Aungsuroch, Y., & Jitpanya, C. (2011). Self-Management Program on Blood Pressure Control in Thai Hypertensive Patients at Risk for Stroke: a Randomized Controlled Trial. Journal of Health Research, 26(5), 243-249.
Torgerson, D. J. (2001). Contamination in trials: is cluster randomisation the answer? British Medical Journal, 322(7282), 355–357. doi: 10.1136/bmj.322.7282.355
World Health Organization. (2016). A global brief on hypertension: silent killer, global public health crisis. Retrieved from http://www.who.int/cardiovascular_diseases/ publications/global_brief_hypertension/en/
World Health Organization. (2000). Obesity: preventing and managing the global epidemic Report of a WHO Consultation (WHO Technical Report Series 894) (pp.221-222). Retrieved from http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/
Yamaoka, K., & Tango, T. (2012). Effects of lifestyle modification on metabolic syndrome: a systematic review and meta-analysis. BMC Medicine, 10(1), 138-148. doi:10.1186/17 41-7015-10-138