Effectiveness of Health Literacy Enhancement Integrated with Telehealth in People Newly Diagnosed with Hypertension in Suburban Thailand: A Quasi-Experimental Study.

People newly diagnosed with hypertension often have insufficient health literacy and suboptimal self-care behaviors, particularly in diet, physical activity, and medication adherence. Thus, health literacy enhancement is essential. This quasi-experimental study examined the effectiveness of a telehe...

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Publicado en:Pacific Rim International Journal of Nursing Research Vol. 30; no. 2; pp. 397 - 414
Autores principales: Addjanagitti, Pimlapas, Partiprajak, Suphamas, Neelapaichit, Nareemarn
Formato: clinical trial research tables/charts Journal Article
Publicado: Thailand Nursing & Midwifery Council Apr-Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr-Jun2026
      vid: 30
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      pub: Thailand Nursing & Midwifery Council
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        10.60099/prijnr.2026.278838
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        atl: Effectiveness of Health Literacy Enhancement Integrated with Telehealth in People Newly Diagnosed with Hypertension in Suburban Thailand: A Quasi-Experimental Study.
      aug:
        au:
          Addjanagitti, Pimlapas
          Partiprajak, Suphamas
          Neelapaichit, Nareemarn
        affil: Graduate student, Master of Nursing Science Program in Community Health Nurse Practitioner, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand
      sug:
        subj:
          Health Literacy
          Health Education
          Patient Education
          Telehealth
          Suburban Population Psychosocial Factors
          Hypertension Education
          Program Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Quasi-Experimental Studies
          Thailand
          Self Care
          Health Behavior
          Diet
          Physical Activity
          Medication Compliance
          Clinical Trials
          Health Promotion
          Cluster Sample
          Systolic Pressure
          Questionnaires
          Diastolic Pressure
          Continuity of Patient Care
          Hypertension Complications
          Activities of Daily Living
          Cognition
          Communication
          Decision Making
          Social Media
          Blood Pressure Devices
          T-Tests
          Hypertension Prevention and Control
          Simple Random Sample
          Pretest-Posttest Control Group Design
          Descriptive Statistics
          Data Analysis Software
          Pearson's Correlation Coefficient
          Thematic Analysis
          Appointments and Schedules
          Chi Square Test
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: People newly diagnosed with hypertension often have insufficient health literacy and suboptimal self-care behaviors, particularly in diet, physical activity, and medication adherence. Thus, health literacy enhancement is essential. This quasi-experimental study examined the effectiveness of a telehealth-integrated health literacy enhancement among people newly diagnosed with hypertension. Fifty participants diagnosed with hypertension within the past year were consecutively recruited from subdistrict health-promoting hospitals in two districts. They were assigned at the cluster level to the experimental or control group (25 per group). The experimental group received usual care plus a six-week telehealth-integrated health literacy enhancement program. The control group received only usual care. Data were collected at baseline and post-intervention using the Personal Health Questionnaire, the Health Literacy Questionnaire, and the Self-Care of Hypertension Inventory. Data were analyzed using descriptive statistics, paired t-tests, and independent t-tests. After the intervention, the experimental group demonstrated significant improvements in health literacy and self-care behaviors, as well as a substantial reduction in systolic blood pressure compared with baseline and the control group. In contrast, no significant differences in diastolic blood pressure were observed. The findings demonstrate the effectiveness of the Health Literacy Enhancement Integrated with Telehealth program in improving health literacy, self-care behaviors, and blood pressure control among people newly diagnosed with hypertension. Nurses can incorporate this program into routine care to improve outcomes, reduce long-term complications, and support continuity of care. However, future studies should include long-term follow-up, a randomized controlled trial, and multisite research before it can be widely used.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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