Co‐Designing a Community‐Based Health Literacy Programme for Individuals With Prehypertension: An Application of Ophelia (Optimise Health Literacy and Access) Process.

Background: The rising prevalence of non‐communicable diseases, especially hypertension, presents a significant public health concern. Early detection and effective health promotion of hypertension remain challenging for healthcare providers. A co‐design approach was used to engage stakeholders and...

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Publicado en:Health Expectations Vol. 29; no. 2; pp. 1 - 17
Autores principales: Bawornthip, Pataporn, McDonall, Jo, Tamdee, Decha, Driscoll, Andrea, Hutchinson, Anastasia
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Co‐Designing a Community‐Based Health Literacy Programme for Individuals With Prehypertension: An Application of Ophelia (Optimise Health Literacy and Access) Process.
      aug:
        au:
          Bawornthip, Pataporn
          McDonall, Jo
          Tamdee, Decha
          Driscoll, Andrea
          Hutchinson, Anastasia
        affil: School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong Victoria,, Australia
      sug:
        subj:
          Collaboration
          Community Programs
          Health Literacy
          Prehypertension Prevention and Control
          Rural Population Thailand
          Behavior Modification
          Program Development
          Human
          Female
          Adult
          Middle Age
          Aged
          Educational Status
          Seminars and Workshops
          Stakeholder Participation
          Consumer Participation
          Thailand
          Purposive Sample
          Consumers
          Health Personnel
          Content Analysis
          Health Services Accessibility
          Health Promotion
          Cross Sectional Studies
          Focus Groups
          Primary Health Care Thailand
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Background: The rising prevalence of non‐communicable diseases, especially hypertension, presents a significant public health concern. Early detection and effective health promotion of hypertension remain challenging for healthcare providers. A co‐design approach was used to engage stakeholders and consumers in exploring and developing a culturally appropriate intervention. This study aimed to co‐design evidence‐based resources with local key stakeholders, focusing on hypertension prevention for individuals with varying levels of literacy and addressing barriers to behaviour change in a rural Thai community. Methods: This study was guided by the Optimising Health Literacy and Access (Ophelia) framework, specifically steps 3 to 5, to codesign a hypertension prevention programme. Participants were recruited through purposive sampling, based on recommendations from the health service advisory group. A total of 13 individuals – comprising consumers, healthcare providers, and community leaders – were invited to participate in a codesign workshop. Data were analysed using descriptive and content analysis. Results: Thirteen workshop participants generated action ideas using Problem‐Tree Analysis and the Rose, Thorn, Bud technique. These ideas were then prioritised using an Impact–Effort Matrix to determine feasible next steps. Interventions identified in the "quick wins" (do now) quadrant were selected for further development. The final health literacy interventions included: (1) a community‐based educational project on hypertension; (2) a blood pressure monitoring system for individuals with prehypertension; and (3) public relations activities to raise community awareness. Conclusion: Co‐design approaches underpinned by the Ophelia framework enable the development of tailored, culturally appropriate health literacy interventions that improve health outcomes and access to services by addressing the diverse, real‐world needs of rural communities. Patient or Public Contribution: The co‐design process involved engaging community leaders, health care providers, individuals with hypertension or prehypertension, and their family members throughout the research process.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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