Journal of Health Innovation and Safety (JHIS)

Effect of the Food Literacy Promotion Program on Dietary Behaviors Among at Risk Group of Hypertension in Kamphaengsaen Hospital

อังคณา แก้วมณี — 2025-05-19

This one group pre - post test quasi-experimental research aimed to compare the dietary behavior scores of individuals at risk of hypertension before and after participating in a food literacy promotion program. The sample consisted of 30 individuals aged between 35 and 59 years, identified as being at risk of hypertension, who attended the outpatient department at Kamphaengsaen Hospital, Nakhon Pathom Province. The participants were selected through purposive sampling.

The research instruments included the food literacy promotion program, developed based on Nutbeam’s health literacy concept and adapted with the food literacy framework of Fingland et al. Data was collected using a dietary behavior questionnaire with a Cronbach's alpha reliability coefficient of 0.87. Data were analyzed using descriptive statistics and the Paired T-test.

The results revealed that after participating in the food literacy promotion program, the participants' average dietary behavior score improved from a pre-program mean of 2.92 (SD = 1.02) to a post-program mean of 3.49 (SD = 0.9), with a statistically significant difference (p-value < 0.001). This indicates that the program effectively enhanced participants' skills and encouraged positive changes in their dietary behaviors, leading to improved health conditions.

This study suggests that nurses and other healthcare professionals can adapt the food literacy promotion program as a preventive strategy to reduce the incidence of hypertension and people at risk of high blood pressure in different areas.

Effect of the Health Belief Promotion Program on Stroke Prevention Behaviors of At-Risk Persons in Community in Chaokunpaiboon Phanomthuan Hospital

Kanchanaka Srivaleerat — 2025-05-28

This quasi-experimental research aimed to compare the mean scores of stroke prevention behaviors among at-risk individuals before and after participation in a health belief promotion program. The study sample comprised 30 individuals aged 35–59 years who were identified as being at risk for stroke through screening. These participants resided in the catchment area of Chaokhunphaiboon Phanomthuan Hospital, Kanchanaburi Province, and were selected using purposive sampling. Conducted between December 20 and 28, 2024. The research instrument included a health belief promotion program developed based on the Health Belief Model (HBM) proposed by Becker and Maiman (1975). Data were collected using a stroke prevention behavior questionnaire, which demonstrated good reliability with a Cronbach’s alpha coefficient of 0.85. Data analysis was performed using descriptive statistics and the Paired Sample T-test. The study findings revealed that after participating in the health belief promotion program, the mean score of stroke prevention behaviors among the participants (M = 3.21, SD = 0.96) was significantly higher than before the intervention (M = 2.88, SD = 0.79) (p-value < 0.001). These results suggest that the health belief promotion program effectively enhanced the participants’ skills and facilitated behavioral modifications to reduce stroke risk. This research highlights the potential for health promotion strategies to foster appropriate preventive behaviors before the onset of stroke, ultimately contributing to improved overall health outcomes.

The Effect of the Primary Care Service Program towards a New Approach with a Focus on People (NCDx) on Self-management of Health in Patients with Type 2 Diabetes in the Yellow and Red groups

Anong Yodying — 2025-06-10

This quasi-experimental pre-post one-group study aimed to compare the perception of severity, perceived risk of developing diabetes, body mass index (BMI), and blood sugar levels of type 2 diabetes patients in the yellow and red groups. The study population consisted of diabetes patients aged 30-65 years who received services at Ban San Mana Subdistrict Health Promoting Hospital between February 2024 and July 2024. A sample size of 30 people was calculated, and the sample was selected through purposive sampling. The tools used consisted of two parts: a questionnaire and a primary care service program with a people-centered approach. The instruments were validated by three experts, with an IOC value between 0.67 and 1.00, and the Cronbach's alpha coefficient was 0.80. Data were analyzed using descriptive statistics and the Wilcoxon Signed Ranks Test. The research findings showed that after the implementation of the primary care service program with a people-centered approach (NCDx), the experimental group had higher scores in the perception of severity and the perception of the risk of developing diabetes compared to before the intervention (p-value < 0.001). Blood sugar levels decreased after the intervention (p-value < 0.001). However, there was no significant difference in body mass index (BMI) (p-value = 0.066). Therefore, the interdisciplinary team should apply the principles of the people-centered primary care service approach by integrating self-management into their activities as a guideline for organizing programs.

Development of a Screening Model to Prevent the Elderly from Becoming Dependent by Applying the 7-Color Traffic Ping-Pong, Health Promotion Hospital, Regional Health Promotion Center 5 Ratchaburi

Chadarat Luang-Araam — 2025-08-10

This research and development (R & D) study aims to Study the current situation, problems, and needs regarding a screening model to prevent dependency among the elderly in Mueang District, Ratchaburi Province. Develop a screening model to prevent dependency among the elderly by applying the "7-color Traffic Ping Pong" approach in Mueang District, Ratchaburi Province. And Evaluate perceptions of the screening model and self-perceived health care for preventing dependency among the elderly by applying the "7-color Traffic Ping Pong" approach in Mueang District, Ratchaburi Province. The tools used for data collection. Data were analyzed using content analysis, paired sample t-tests, and calculations of percentages, means, and standard deviations.

The research findings revealed that experts and those responsible for elderly care agreed that the conventional health screening model mainly involved data collection through questionnaires, which were then processed into numerical results. This approach was found to be difficult to communicate and understand among the elderly, especially when explaining the screening results to them. Therefore, it was recommended that the screening model be improved to be more understandable, clear, and easy to communicate. A comparison between the traditional screening model and the newly developed model applying the “7-Color Traffic Light Ping-Pong” approach showed improvements in these aspects. The results showed that the mean perception score of the traditional screening model was M = 3.93, while the mean score after implementing the new model was M = 4.56. This difference was statistically significant at the 0.05 level, indicating the effectiveness of the new model in enhancing understanding of health screening among the elderly. Furthermore, the satisfaction assessment results revealed that both staff and elderly participants reported a high level of satisfaction with the newly developed screening model.

The results of the assessment of elderly individuals’ self-perception in health care showed a
high level (M = 2.85, SD = 0.45). When considering individual items, it was found that most aspects of
self-perceived health care were at a very high level.

Factors Associated with Delayed Access to Treatment for Stroke Patients in Singhanakhon Hospital

Jareerat Songdecha — 2025-08-20

This analytical cross-sectional study aimed to determine factors affecting delayed access to treatment for patients with stroke, Singhanakhon hospital. Sample were 154, recruited using stratified sampling method. Research instruments consisted of demographic factor questionnaire, access to hospital questionnaire and warning sign questionnaire which had IOC ranging from .67-1.00 and Cronbach alpha coefficient reliability of .909, .803 and .903 respectively. Data were analyzed using descriptive statistics and logistic multiple regression analysis.

Research results revealed that there were no factors affecting delayed access to treatment for patients with stroke, Singhanakhon hospital. However, when considering by percentage, it was found that patients using service in office hours having more percentage of delayed access than those who had service in after office hours by emergency medical system. The reasons were that in office hours, relatives needed to work out of home and there was no time taking patients to hospital, thereby using private car in after office hours.

Most emergency people as well as relatives or paramedic team brought patients from scenes to hospital without using emergency medical system in pre-hospital. Patients went to hospital by themselves due to understanding of hotline 1669 only for accidents. Most emergency patients going to hospital were accompanied by relatives which caused inconvenience of service of emergency medical system. From this situation, Thai emergency patients had mortality risk and complications because transferring patients to hospital by themselves in pre-hospital period resulted in lack of suggestion for practice, assistance, transfer and treatment in emergency stage.