J Agric Med Community Health.  2016 Sep;41(3):152-161. 10.5393/JAMCH.2016.41.3.152.

Development and Application of Motivation-enhancing Self-management Program for Rural Aged with Hypertension

• Zhang H
• Kim H

• KMID: 2358427
• DOI: http://doi.org/10.5393/JAMCH.2016.41.3.152

Abstract

OBJECTIVE
The purpose of this study was to develop a motivation-enhancing self-management program and apply to rural aged with hypertension to evaluate the applicability of the Program.
METHODS
The motivation-enhancing self-management program was on the evidence of Orem's self-care theory and Ford's Motivational system theory which consists of group education and tele-coaching conducted 12-week. The program evaluation was done by structured questionnaires of motivation (self-efficacy, perceived benefit, perceived barrier and emotional salience), self-care and blood pressure. There were totally 31 aged with hypertension in 2 rural areas enrolled in the program.
RESULTS
There was only perceived benefit statistically significant between the intervention and control group (t=2.05, p=.04) and self-care level was no difference between the two groups (t=0.21, p=.84) after program. But there are statistically significant differences of systolic blood pressure between the intervention and control group(t=-2.62, p=.01).
CONCLUSION
The motivation-enhancing self-management program is necessary for the rural aged with hypertension, but it's needed modify and revise in the future study.

Keyword

Aged; Hypertension; Motivation; Self care

MeSH Terms

Blood Pressure
Education
Hypertension*
Motivation
Program Evaluation
Self Care*