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Evaluation of a diffusion strategy for school-based hypertension education
1Department of Health Promotion and Behavior, University of Georgia, Athens 30602.
Health Education Quarterly
|January 1, 1989
Summary
The "3Rs and HBP" curriculum effectively improved sixth graders' knowledge and blood pressure measurement skills. The program, especially with a home component, enhanced health information diffusion to parents.
Area of Science:
- Public Health
- Health Education
- Pediatric Hypertension
Background:
- High blood pressure (HBP) is a significant health concern with early onset potential.
- Effective HBP education strategies are needed for adolescents and their families.
- Utilizing students as health messengers can facilitate family health behavior change.
Purpose of the Study:
- To evaluate the effectiveness of the "3Rs and HBP" curriculum for sixth-grade students and their parents.
- To assess the impact of a home blood pressure measurement component on HBP education diffusion.
- To investigate family interactions as potential intervening variables in health information diffusion.
Main Methods:
- Quasi-experimental design with 21 schools randomly assigned to three conditions: curriculum only, curriculum with home BP measurement, and control.
- Data collected from 1204 students and 1446 parents post-intervention.
- Evaluated student knowledge, BP measurement skills, and diffusion activities; parental knowledge, risk factor reduction, BP, care-seeking, and compliance behaviors.
Main Results:
- The "3Rs and HBP" curriculum significantly increased student knowledge, BP measurement skills, and diffusion of information to parents, particularly with the home component.
- Parental knowledge improved in specific groups, but broader behavioral effects beyond diffusion were limited.
- Family interaction levels and style significantly influenced the health information diffusion process.
Conclusions:
- The "3Rs and HBP" curriculum, especially with integrated home blood pressure monitoring, is an effective strategy for improving adolescent HBP knowledge and skills.
- Leveraging students as health messengers can facilitate family-level health education, though parental behavioral impact requires further investigation.
- Family dynamics play a crucial role in the success of school-based health education programs aimed at hypertension prevention.
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