Uncontrolled Hypertension Elderly Stroke Stroke Hypertension Ecological model Older adults Health promotion
Conditions
Interventions
Multi-level Stroke Prevention Program A 12-week program integrated three levels of intervention:
Intrapersonal Level: Participants attended six bi-weekly, two-hour training sessions. Activities inclu
Experimental Behavioral,No Intervention Behavioral
Multi-level approach program for stroke prevention ,Routine Care
Sponsors
Sunaree Tanapek
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1) 60 to 69 years old 2) The elderly who had or had not been diagnosed with hypertension 3) The elderly who had an average SBP greater than or equal to 140 mmHg or DBP greater than or equal to 90 mmHg. The average BP was measured at least three times at one-minute intervals and recorded as the average of the second and third measurements. 4) Willing to participate in the study
Exclusion criteria
Exclusion criteria: 1) Home and bed-bound elderly assessed using Activity Daily Living (ADL) screening test by sub-district health promotion hospitals 2) The elderly who had diabetes mellitus because it was leading to atherosclerosis, which can induce hypertension 3) The elderly who could not communicate in Thai or local languages such as the hill tribe elderly. 4) Having depression, assessed by the physician in the area 5) Having Alzheimer, assessed using Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) and assessed by the physician in the area 6) Participating in less than 80% of providing activities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiovascular Risk Score Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion. Thai CV Risk Score formula | — |
Secondary
| Measure | Time frame |
|---|---|
| Knowledge of stroke prevention Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion A structured interview questionnaire (approx. 40 minutes) ,Perceived social support Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion. A structured interview questionnaire (approx. 40 minutes) ,Community Factors Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion. A structured interview questionnaire (approx. 40 minutes) ,Stroke prevention behavior Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion. A structured interview questionnaire (approx. 40 minutes) ,Blood pressure Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion. physical examination,Waist-to-height Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion. physical examination,Body Mass Index Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion. A structured interview questionnaire (approx. 40 minutes) and physical examination.,Perception of stroke prevention Baseline (before intervention), post-intervention at 12 weeks, and a 3-month follow-up after the program completion A structured interview questionnaire (approx. 40 minutes) | — |
Countries
Thailand
Contacts
Public ContactSunaree Tanapek
Faculty of Public Health, Mahidol University
Outcome results
None listed