title: Effectiveness of a community-based health promotion program targeting people with hypertension and high cholesterol.
abstract: The purpose of this study was to evaluate the effectiveness of a community-based health promotion program targeting people with hypertension and high cholesterol. A pre-experimental study was conducted. A total of 60 residents were recruited to participate. Participants were assessed at baseline and at a 6 month follow up at a regional hospital in northern Taiwan. The questionnaires used for data collection consisted of an assessment of self-efficacy, self-care activities, health outcomes, and physical fitness. Several teaching resources were used, including a DVD, a self-care booklet, group support (exercise and counseling sessions), and telephone follow up. A significant decrease in waist circumference (t = 2.20, P = 0.03) and high density lipoprotein-cholesterol level (t = 4.71, P < 0.00) was found at follow up. Moreover, the level of physical fitness activity, and sit-ups specifically (t = 3.10, P < 0.00), was increased. Participants also showed significant increases between baseline and 6 month follow up in their efficacy expectation score (t = -5.81, P < 0.00), outcome expectation scores (t = -4.76, P < 0.00) and self-care behavior scores (t = -2.78, P = 0.007). The community-based health promotion program is an effective means of helping people with hypertension and high cholesterol and should be instituted regularly and evaluated in clinical practice.
authors.affiliation: Nursing Department, Main Taipei City Hospital, Taipei, Taiwan.
authors.forename: Meng-Ping
authors.initials: MP
authors.lastname: Wu
authors.forename: Shu-Fang Vivienne
authors.initials: SF
authors.lastname: Wu
authors.forename: Tsu-Chi
authors.initials: TC
authors.lastname: Wang
authors.forename: Mu-Jung
authors.initials: MJ
authors.lastname: Kao
authors.forename: Wen-Li
authors.initials: WL
authors.lastname: Yang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services; D005260:Female; D005500:Follow-Up Studies; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D006937:Hypercholesterolemia / Q000451:nursing / Q000628:therapy*; D006973:Hypertension / Q000451:nursing / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015403:Nursing Evaluation Research; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D013624:Taiwan; D016896:Treatment Outcome