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ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Health Education and Promotion
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1410843

The effect of educational intervention based on the PRECEDE-PROCEED model on self-care behaviors and quality of life of hypertensive patients

Provisionally accepted
Tayebeh Rakhshani Tayebeh Rakhshani 1Zahra Tahmasebi Zahra Tahmasebi 1Leila Ghahremani Leila Ghahremani 1Amirhossein Kamyab Amirhossein Kamyab 2Ali Khani Jeihooni Ali Khani Jeihooni 1*
  • 1 Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • 2 Fasa University of Medical Sciences, Fasa, Fars, Iran

The final, formatted version of the article will be published soon.

    Background: To prevent the harmful consequences of hypertension and enhance the quality of life of hypertensive patients, the use of educational models is highly suggested. Therefore, the present study was designed to determine the effect of education based on the PRECEDE-PROCEED on self-care behaviors and the quality of life of hypertensive patients in Kazeroon city, Iran, in 2023.Methods: A total of 120 hypertensive individuals who were referred to Kazeroon city health centers participated in the current quasi-experimental study. The participants were divided into two experimental and control groups using a random sampling technique (60 participants in each group). The self-care behaviors questionnaire, the quality of life questionnaire, and a questionnaire based on the PRECEDE-PROCEED model were used as the data acquisition techniques. Both groups completed the questionnaires before and two months after the intervention. The educational program included a six-session, 50-60 minute training program using three different teaching methods (speaking, Q&A, group discussion, and peer training) in health facilities. The data were examined using paired t, independent t, and chi-square statistical tests after being entered into the SPSS 24 statistical program.Results: Following the intervention, the experimental group showed significantly higher values in quality of life, knowledge, attitude, enabling and reinforcing factors, and self-care behaviors compared to the control group (P < 0.001 for all comparisons). The experimental group also exhibited a significant reduction in systolic blood pressure measures compared to the control group (P < 0.001).In the present study, education based on the PRECEDE-PROCEED model and focusing on blood pressure self-care behavior in patients with hypertension led to a decrease in their systolic blood pressure measures and improved their quality of life.

    Keywords: Hypertension, Educational intervention, Self-care behavior, Quality of Life, PRECEDE-PROCEED model

    Received: 01 Apr 2024; Accepted: 01 Jul 2024.

    Copyright: © 2024 Rakhshani, Tahmasebi, Ghahremani, Kamyab and Khani Jeihooni. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Ali Khani Jeihooni, Shiraz University of Medical Sciences, Shiraz, 71348-14336, Fars, Iran

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.