An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand

Sawitree Visanuyothin,1,2 Samlee Plianbangchang,1 Ratana Somrongthong1 1College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand; 2Social Medicine Department, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand Purpose: Hypertension (HT) is accountable for death in...

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Main Authors: Visanuyothin S, Plianbangchang S, Somrongthong R
Format: Article
Language:English
Published: Dove Medical Press 2018-04-01
Series:Integrated Blood Pressure Control
Subjects:
Online Access:https://www.dovepress.com/an-integrated-program-with-home-blood-pressure-monitoring-and-village--peer-reviewed-article-IBPC
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spelling doaj-404b60f7572b41488f6952c860b8b4c62020-11-24T23:17:12ZengDove Medical PressIntegrated Blood Pressure Control1178-71042018-04-01Volume 11253537849An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of ThailandVisanuyothin SPlianbangchang SSomrongthong RSawitree Visanuyothin,1,2 Samlee Plianbangchang,1 Ratana Somrongthong1 1College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand; 2Social Medicine Department, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand Purpose: Hypertension (HT) is accountable for death in half of the patients suffering from heart disease and stroke. Many treatment strategies have been used, but little research exists on an integrated program with home blood pressure monitoring (HBPM) and village health volunteers (VHVs) in an urban area of Thailand. The present study aims to determine the effectiveness of the integrated program, HBPM, and VHVs in supporting the target population. Patients and methods: This quasi-experiment was conducted from July to November 2017. Patients with poorly controlled HT were randomly selected from each of the two primary care units in Nakhon Ratchasima, Thailand. The participants were separated into an experiment (n=63) and control group (n=65). The experiment group participated in the integrated program, which was based on the 20-item Health Literate Care Model. A valid and reliable questionnaire was used to collect data from participant interviews. Blood-pressure monitoring was used to measure systolic home blood pressure and diastolic home blood pressure. Descriptive statistics, chi-squared tests, Fisher’s exact test, the independent t-test, and the Wilcoxon–Mann–Whitney test were used to compare the baseline data. Multiple logistic regression was used to compare the differences between the mean changes in the outcomes. Results: At the end of the 3-month follow-up appointment, significant statistical changes were found. Systolic home blood pressure, diastolic home blood pressure, and body mass index changed −4.61 (95% CI −8.32, −0.90) mmHg (P-value=0.015), −3.5 (95% CI −5.31, −1.72) mmHg (P-value <0.001), and −0.86 (95% CI −1.29, −042) (P-value <0.001) respectively. Participant scores in lifestyle and management knowledge, and self-management behaviors significantly increased by 0.76 (95% CI 0.15–1.38) point (P-value=0.016) and 0.15 (95% CI 0.06, 0.24) point (P-value=0.001), respectively. Conclusion: The integrated program, HBPM, and VHVs were effective in decreasing blood pressure and body mass index, and increasing knowledge and self-management behaviors among urban patients with poorly controlled HT. Keywords: self-management behaviors, lifestyle and management knowledge, health literacy of chronic diseases, adherence of hypertension patientshttps://www.dovepress.com/an-integrated-program-with-home-blood-pressure-monitoring-and-village--peer-reviewed-article-IBPCSelf-managementknowledgehealth literacyadherence
collection DOAJ
language English
format Article
sources DOAJ
author Visanuyothin S
Plianbangchang S
Somrongthong R
spellingShingle Visanuyothin S
Plianbangchang S
Somrongthong R
An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand
Integrated Blood Pressure Control
Self-management
knowledge
health literacy
adherence
author_facet Visanuyothin S
Plianbangchang S
Somrongthong R
author_sort Visanuyothin S
title An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand
title_short An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand
title_full An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand
title_fullStr An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand
title_full_unstemmed An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand
title_sort integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of thailand
publisher Dove Medical Press
series Integrated Blood Pressure Control
issn 1178-7104
publishDate 2018-04-01
description Sawitree Visanuyothin,1,2 Samlee Plianbangchang,1 Ratana Somrongthong1 1College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand; 2Social Medicine Department, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand Purpose: Hypertension (HT) is accountable for death in half of the patients suffering from heart disease and stroke. Many treatment strategies have been used, but little research exists on an integrated program with home blood pressure monitoring (HBPM) and village health volunteers (VHVs) in an urban area of Thailand. The present study aims to determine the effectiveness of the integrated program, HBPM, and VHVs in supporting the target population. Patients and methods: This quasi-experiment was conducted from July to November 2017. Patients with poorly controlled HT were randomly selected from each of the two primary care units in Nakhon Ratchasima, Thailand. The participants were separated into an experiment (n=63) and control group (n=65). The experiment group participated in the integrated program, which was based on the 20-item Health Literate Care Model. A valid and reliable questionnaire was used to collect data from participant interviews. Blood-pressure monitoring was used to measure systolic home blood pressure and diastolic home blood pressure. Descriptive statistics, chi-squared tests, Fisher’s exact test, the independent t-test, and the Wilcoxon–Mann–Whitney test were used to compare the baseline data. Multiple logistic regression was used to compare the differences between the mean changes in the outcomes. Results: At the end of the 3-month follow-up appointment, significant statistical changes were found. Systolic home blood pressure, diastolic home blood pressure, and body mass index changed −4.61 (95% CI −8.32, −0.90) mmHg (P-value=0.015), −3.5 (95% CI −5.31, −1.72) mmHg (P-value <0.001), and −0.86 (95% CI −1.29, −042) (P-value <0.001) respectively. Participant scores in lifestyle and management knowledge, and self-management behaviors significantly increased by 0.76 (95% CI 0.15–1.38) point (P-value=0.016) and 0.15 (95% CI 0.06, 0.24) point (P-value=0.001), respectively. Conclusion: The integrated program, HBPM, and VHVs were effective in decreasing blood pressure and body mass index, and increasing knowledge and self-management behaviors among urban patients with poorly controlled HT. Keywords: self-management behaviors, lifestyle and management knowledge, health literacy of chronic diseases, adherence of hypertension patients
topic Self-management
knowledge
health literacy
adherence
url https://www.dovepress.com/an-integrated-program-with-home-blood-pressure-monitoring-and-village--peer-reviewed-article-IBPC
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