J Agric Med Community Health.  2012 Sep;37(3):167-180.

Development and Evaluation of a Community Staged Education Program for the Cardiocerebrovascular Disease High-risk Patients

  • 1KHyDDI(Korea Hypertension Diabetes Daegu Intiative) Project, Korea. kamshin@knu.ac.kr
  • 2Department of Preventive Medicine, School of Medicine, Keimyung University, Korea.
  • 3Department of Preventive Medicine, College of Medicine, Yeungnam University, Korea.
  • 4Department of Preventive Medicine, School of Medicine, Kyungpook National University, Korea.


This study was conducted to evaluate an education program for cardiocerebrovascular high-risk patients.
This program was developed according to Tyler's model for curriculum development. To evaluate the effects of this program, we measured clinical outcome change (weight, waist circumference, systolic blood pressure, diastolic blood pressure) and behavior change stages (checking blood pressure, blood sugar levels, doing physical activity, consistent maintenance of food intake, eating low amounts of salt, abstention from tobacco and alcohol) before and 4 weeks after participation in the education program. The group of subjects consisted of High-risk group patients who attended basic program(32 patients), and staged program(37 patients) during KHyDDI meetings from Oct. 2009 to May 2010.
The staged educational program was developed three aspects(disease, nutrition and exercise)and three stages(basic, in-depth and individual education). In the staged education program, the evaluations were made by measuring clinical outcome and stage of behavior before and after education. Significant differences were found in waist circumference, systolic blood pressure, diastolic blood pressure, consistent maintenance of food intake(p<0.05), and eating low salt(p<0.001) and their self efficacy.
In the practice-oriented staged education program, significant differences were found in the clinical outcomes and stage of behavior before and after education. Possible limitations of the study include the small number of participating subjects and the short follow-up management period, but the results indicate that continued application of this program could contribute to the prevention of cardiocerebrovascular diseases for the elderly patients with long periods of chronic diseases.


Cardiocerebrovascular High-risk; Hypertension; Diabetes; Education program; Development
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