The effectiveness of cardiovascular diseases prevention behavioral promotion program applying PRECEDE Model with online health coaching among hypertension patients in Ploungthong subdistrict, Bothong district, Chonburi Province.

Abstract

This quasi-experimental research aimed to examine the effects of a cardiovascular disease
prevention program that applied the PRECEDE Model with online health coaching on cardiovascular
disease prevention behaviors and blood pressure levels among hypertensive patients in Pluang
Thong Sub-district, Bo Thong District, Chonburi Province. The study included 80 participants divided
equally into experimental and comparison groups, with 40 participants in each group. The
experimental group received the program for 8 weeks. Data were analyzed using descriptive
statistics and inferential statistics including paired sample t-test and independent t-test.
The results showed significant between-group differences: after participating in the program,
the experimental group had higher mean scores for overall prevention behaviors and lower systolic
and diastolic blood pressure levels than the comparison group (p < 0.05). When comparing within-group
differences, the experimental group demonstrated significantly higher mean scores for overall prevention
behaviors and lower systolic and diastolic blood pressure levels after completing the program
compared to before participation (p < 0.05). With overall behavioral scores increasing from 80.31 to 96.62
(t = 9.87, p < 0.001), systolic blood pressure decreasing from 142.52 to 132.01 mmHg (t = -3.88,
p < 0.001), and diastolic blood pressure decreasing from 81.32 to 75.84 mmHg (t = -3.86, p < 0.001).
Therefore, local public health agencies should design activities that incorporate online health
coaching and support from public health personnel to prevent and reduce risk factors for
cardiovascular disease in hypertensive patients, tailored to the local context.

Keywords: Cardiovascular disease prevention; Hypertension; PRECEDE Model; Online health coaching