title: Self-management improvement program combined with community involvement in Thai hypertensive population: an action research.
abstract: OBJECTIVE
  To investigate the effectiveness of a program that utilizes community involvement to improve the self-management strategies among people living with hypertension.
  
  
  METHODS
  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 1 1/2 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.
  
  
  CONCLUSIONS
  The program applied social cognitive theory (SCT) to promote self-management techniques, increased the health promoting behavior among hypertensive people.
authors: Jeamjai
authors: J
authors: Srichairattanakull
authors: Wonpen
authors: W
authors: Kaewpan
authors: Arpaporn
authors: A
authors: Powattana
authors: Panan
authors: P
authors: Pichayapinyo
mesh_terms: D000328:Adult; D003256:Community Participation; D005260:Female; D006302:Health Services Research; D006801:Humans; D006973:Hypertension / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D012648:Self Care; D020377:Self Efficacy; D012944:Social Support; D013785:Thailand