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Feasibility and Acceptability of a Community-Based Health Literacy Program for Individuals With Prehypertension
Pataporn Bawornthip1,2,3, Jo Mcdonall4, Decha Tamdee3
1School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia.
Western Journal of Nursing Research
|August 1, 2026
Summary
This study shows a community-based health literacy program significantly improved hypertension knowledge, health literacy, and blood pressure control in rural Thailand. The intervention was feasible and well-accepted by participants.
Area of Science:
- Public Health
- Health Education
- Hypertension Management
Background:
- Co-design is crucial for effective hypertension prevention interventions.
- Rigorous evaluation is key to identifying and overcoming barriers to intervention success.
Purpose of the Study:
- To assess the feasibility and acceptability of a community-based health literacy program for hypertension prevention in a rural Thai setting.
- To evaluate the intervention's impact on participants' hypertension knowledge, health literacy, and health behaviors.
Main Methods:
- Convergent mixed-methods design utilizing a convenience sample in a community-based Health Literacy Program.
- Data collection via Thai Hypertensive Health Literacy and Health Behaviors Questionnaire (Thai HLHBQ), Information and Support for Health Action Questionnaire (ISHA-Q), knowledge tests, satisfaction surveys, and interviews.
- Statistical analysis included paired t-tests, Wilcoxon signed-rank tests, and repeated measures ANOVA.
Main Results:
- 100% attendance in the 6-week program for participants with prehypertension.
- Significant improvements in hypertension knowledge (P < .001), health literacy (Thai HLHBQ: P = .005; ISHA-Q: P = .037), and blood pressure readings (systolic P < .004; diastolic P < .001).
- Post-intervention, knowledge increased by 2.5/10 points, Thai HLHBQ scores by 10 points, and ISHA-Q scores by 32.5 points.
Conclusions:
- The health literacy intervention demonstrated feasibility and acceptability in a rural Thai community.
- The program effectively improved participants' health literacy and hypertension management.
- Findings support the integration of similar programs for hypertension prevention in similar settings.
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