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Small-group hypertension health education programme: a process and outcome evaluation
Cynthia M Leung1, Georgina K H Ho, Mary Foong
1School of Psychology, Victoria University, Victoria, Australia.
Journal of Advanced Nursing
|November 30, 2005
Summary
This study on hypertension health education found that both clients and nurses benefited, improving their relationship. However, clarifying program objectives is crucial to manage client expectations and enhance health behavior adoption.
Area of Science:
- Public Health
- Health Education
- Nursing
Background:
- Effective blood pressure control is vital for reducing cerebrovascular morbidity and mortality.
- A small-group hypertension education program has been used in Hong Kong general outpatient clinics since 2000.
- A process evaluation was conducted to determine the benefits and impact of this hypertension education program.
Purpose of the Study:
- To explore participant expectations, achievements, and opinions.
- To understand nurse facilitators' objectives and experiences.
- To assess changes in the nurse-client relationship post-program.
Main Methods:
- Two focus groups with eight nurse facilitators.
- Individual semi-structured interviews with 16 program participants.
- Data collected in 2001 following program implementation.
Main Results:
- Both clients and nurses reported positive experiences and improved relationships.
- Approximately half of the clients adopted health-enhancing behaviors.
- Discrepancies were noted between nurse and client perceptions of program objectives.
Conclusions:
- Clarifying the program's educational goals versus support group functions is necessary.
- Conducting a needs assessment before recruitment can improve group homogeneity.
- Addressing unrealistic expectations through clear objective communication is recommended.
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