Effectiveness of Behavior Changing Program to Decrease Low-density Lipoprotein among Clients at Health Checkup Clinic in Chiangkham Hospital, Phayao Provience

Abstract

Background: Hyperlipidemia is a major risk factor of non-communicable diseases, e.g. diabetes, hypertension, cardiovascular disease and stroke. There were 48.7 and 32.3 per 100.000 population who had died caused by cardiovascular disease and stroke illustrating as top five of death of Thai people in 2016.

Objective: To compare the average score of low-density lipoprotein from the clients at health checkup service clinic before and after receiving  behavior changing program.

Methods: This study was a Quasi–Experimental research, One Group Pretest–Posttest design, measuring before and after receiving behavior changing program linked to motivational interviewing. Participants were 781 purposive clients who had health checkup service following the appointments for three times. Data were collected by health checkup records from 1 October 2017–30 September 2018. Descriptive statistics and Pair T-test were used for data analysis.

Results: The results showed that most participants were females 64.5 % and males 35.5%, aged 25-88 years old and having the average age of 57.54 years old. They had the average low-density lipoprotein before and after (6 months) attending the intervention were 131.36 mg/dl and 128.42 mg/dl respectively. When comparing the average low-density lipoprotein before and after intervention, it was found that the average low-density lipoprotein after intervention was lower than before intervention significantly (p-value = 0.043).

Conclusion: Group activities and motivational discussion organized for clients of health checkup service to change their behavior and enhance their awareness in preventing non-communicable diseases should be provided continuously.

Key words: behavior changing program, motivational Interviewing, low density lipoproteins (LDL), health checkup