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Effects of the preventive hypertension self-management education program for deaf and hard of hearing adults: a
Yujin Park1,2, Yeo Wool Kim1,2, Gi Won Choi3
1College of Nursing, Seoul National University, Seoul, Republic of Korea.
Abstract:
Deaf and hard of hearing (DHH) individuals often experience limited access to health information due to communication barriers, increasing their risk for hypertension. This randomized controlled trial evaluated PRE-H-SMILE (PREventive Hypertension Self-Management Intervention using sign LanguagE), an 8-week, sign language-based program for DHH adults without prior hypertension. It was hypothesized that the intervention group would exhibit higher levels of health-promoting behaviors and show a trend toward blood pressure reduction compared with the control group. The program included weekly sign language educational videos and two in-person sessions. A total of 37 participants completed the study (intervention = 20, control = 17). Total health-promoting behavior scores increased significantly in the intervention group (χ2 = 5.530, p = .019), and sedentary time decreased significantly (F = 4.766, p = .039). No significant changes were observed in blood pressure. Findings suggest that PRE-H-SMILE can effectively support healthier behaviors among DHH adults.
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