Feasibility and Acceptability of a Community-Based Health Literacy Program for Individuals With Prehypertension
Pataporn Bawornthip, Jo Mcdonall, Decha Tamdee, Andrea Driscoll, Anastasia HutchinsonBackground:
Engaging end users through co-design is essential for developing effective and sustainable hypertension prevention interventions, while rigorous evaluation helps identify and address barriers to enhance acceptability and impact.
Methods:
A feasibility study was conducted using a convergent mixed-methods design. A convenience sample participated in a community-based Health Literacy Program. Instruments included the Thai Hypertensive Health Literacy and Health Behaviors Questionnaire (Thai HLHBQ), the Information and Support for Health Action Questionnaire (ISHA-Q), a hypertension knowledge test, a satisfaction survey, and an interview guide. Data were analyzed using paired
Results:
The sample comprised ten adults with prehypertension, one nurse practitioner, and one public health officer. The attendance rate of participants with prehypertension during the 6-week period was 100%. Participants completed a baseline assessment at Week 0. The intervention was delivered over a 5-week period (Weeks 1-5), and post-intervention assessments were conducted at Week 6. Post-intervention, significant improvements were observed in knowledge, health literacy, and blood pressure readings. Knowledge increased from 6.8 to 9.3/10 (Hedges’
Conclusion:
The results provide evidence that the intervention was both feasible and acceptable for implementation in a rural Thai community.