Effects of mindfulness-based health education practice on health behaviors and quality of life among hypertensive patients: A quasi-experimental research

Purpose - The purpose of this paper is to examine the effect of mindfulness practice on health behaviors and quality of life (QOL) among hypertensive patients. Design/methodology/approach - A quasi-experimental research was designed by before, after and a follow-up phase (i.e. on the 0th, 6th and 12...

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Main Authors: Pantip Sangprasert, Srimuang Palangrit, Natima Tiyoa, Junya Pattaraarchachai
Format: Article
Language:English
Published: College of Public Health Sciences, Chulalongkorn University 2019-05-01
Series:Journal of Health Research
Subjects:
Online Access:https://www.emerald.com/insight/content/doi/10.1108/JHR-07-2018-0059/full/pdf?title=effects-of-mindfulness-based-health-education-practice-on-health-behaviors-and-quality-of-life-among-hypertensive-patients
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author Pantip Sangprasert
Srimuang Palangrit
Natima Tiyoa
Junya Pattaraarchachai
author_facet Pantip Sangprasert
Srimuang Palangrit
Natima Tiyoa
Junya Pattaraarchachai
author_sort Pantip Sangprasert
collection DOAJ
description Purpose - The purpose of this paper is to examine the effect of mindfulness practice on health behaviors and quality of life (QOL) among hypertensive patients. Design/methodology/approach - A quasi-experimental research was designed by before, after and a follow-up phase (i.e. on the 0th, 6th and 12th weeks). Two primary health care units (PCU) were selected as control and experiment groups. Samples included patients 35–59 years old who had been diagnosed with stage I hypertension. Both groups received treatment according to standard hypertension guidelines. The experimental group was added as a drill for the purpose of a mindfulness-based health education (MBHE) practice that would emphasize behavior skills (in diet, exercise and mental function) and instill a feeling of adaptation to everyday life. Findings - The total mean score of the prevention and promotional hypertension behaviors (PPHB), QOL, perceived in mindfulness (MF) and self-efficacy (SE) in the experiment group showed a significant statistical difference when compared to the control group in the 6th week in PPHB and SE (p<0.001), QOL and MF (p=0.001). Similar results were found in the 12th week in PPHB, QOL, SE (p<0.001) and MF (p=0.023), respectively. Research limitations/implications - However, finished implementation in experiment group, during the follow-up phase on the 12th week, ten participants in the control group were excluded (Figure 1). It may be no active intervention or as usual in the control group. Thus, the authors controlled missing data using intention-to-treat analysis comparison and the data distribution was successfully tested by a normality plot before the use of statistical data. Based on the results of this study, the following recommendations can be made: patients should practice in mindfulness in lifestyle modification continued for intensive skill practice over the long term in order to promote sustainability in behavior and in QOL. Practical implications - Mindfulness trainer should drill and faith in the value of mindfulness corporation owner with patients learning all of the times; and for health practitioner, it should add MBHE for patients. Social implications - Education institution should add mindfulness in educational programs all of graduates. Originality/value - The mindfulness practice-based health education training should be in counterpart with modern medicine in order to promote sound health behaviors and an improved QOL for stage I hypertensive patients and to forestall cardiovascular and blood-pressure diseases.
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spelling doaj.art-62c8bdd44aa0452187e97d9b5448d21a2023-02-02T21:09:57ZengCollege of Public Health Sciences, Chulalongkorn UniversityJournal of Health Research0857-44212586-940X2019-05-0133318619610.1108/JHR-07-2018-0059624537Effects of mindfulness-based health education practice on health behaviors and quality of life among hypertensive patients: A quasi-experimental researchPantip Sangprasert0Srimuang Palangrit1Natima Tiyoa2Junya Pattaraarchachai3Department of Community and Family Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, ThailandDepartment of Community and Family Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, ThailandDepartment of Community and Family Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, ThailandChulabhorn International College of Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, ThailandPurpose - The purpose of this paper is to examine the effect of mindfulness practice on health behaviors and quality of life (QOL) among hypertensive patients. Design/methodology/approach - A quasi-experimental research was designed by before, after and a follow-up phase (i.e. on the 0th, 6th and 12th weeks). Two primary health care units (PCU) were selected as control and experiment groups. Samples included patients 35–59 years old who had been diagnosed with stage I hypertension. Both groups received treatment according to standard hypertension guidelines. The experimental group was added as a drill for the purpose of a mindfulness-based health education (MBHE) practice that would emphasize behavior skills (in diet, exercise and mental function) and instill a feeling of adaptation to everyday life. Findings - The total mean score of the prevention and promotional hypertension behaviors (PPHB), QOL, perceived in mindfulness (MF) and self-efficacy (SE) in the experiment group showed a significant statistical difference when compared to the control group in the 6th week in PPHB and SE (p<0.001), QOL and MF (p=0.001). Similar results were found in the 12th week in PPHB, QOL, SE (p<0.001) and MF (p=0.023), respectively. Research limitations/implications - However, finished implementation in experiment group, during the follow-up phase on the 12th week, ten participants in the control group were excluded (Figure 1). It may be no active intervention or as usual in the control group. Thus, the authors controlled missing data using intention-to-treat analysis comparison and the data distribution was successfully tested by a normality plot before the use of statistical data. Based on the results of this study, the following recommendations can be made: patients should practice in mindfulness in lifestyle modification continued for intensive skill practice over the long term in order to promote sustainability in behavior and in QOL. Practical implications - Mindfulness trainer should drill and faith in the value of mindfulness corporation owner with patients learning all of the times; and for health practitioner, it should add MBHE for patients. Social implications - Education institution should add mindfulness in educational programs all of graduates. Originality/value - The mindfulness practice-based health education training should be in counterpart with modern medicine in order to promote sound health behaviors and an improved QOL for stage I hypertensive patients and to forestall cardiovascular and blood-pressure diseases.https://www.emerald.com/insight/content/doi/10.1108/JHR-07-2018-0059/full/pdf?title=effects-of-mindfulness-based-health-education-practice-on-health-behaviors-and-quality-of-life-among-hypertensive-patientsquality of lifehealth behaviourhealth educationhypertensionmindfulness practice
spellingShingle Pantip Sangprasert
Srimuang Palangrit
Natima Tiyoa
Junya Pattaraarchachai
Effects of mindfulness-based health education practice on health behaviors and quality of life among hypertensive patients: A quasi-experimental research
Journal of Health Research
quality of life
health behaviour
health education
hypertension
mindfulness practice
title Effects of mindfulness-based health education practice on health behaviors and quality of life among hypertensive patients: A quasi-experimental research
title_full Effects of mindfulness-based health education practice on health behaviors and quality of life among hypertensive patients: A quasi-experimental research
title_fullStr Effects of mindfulness-based health education practice on health behaviors and quality of life among hypertensive patients: A quasi-experimental research
title_full_unstemmed Effects of mindfulness-based health education practice on health behaviors and quality of life among hypertensive patients: A quasi-experimental research
title_short Effects of mindfulness-based health education practice on health behaviors and quality of life among hypertensive patients: A quasi-experimental research
title_sort effects of mindfulness based health education practice on health behaviors and quality of life among hypertensive patients a quasi experimental research
topic quality of life
health behaviour
health education
hypertension
mindfulness practice
url https://www.emerald.com/insight/content/doi/10.1108/JHR-07-2018-0059/full/pdf?title=effects-of-mindfulness-based-health-education-practice-on-health-behaviors-and-quality-of-life-among-hypertensive-patients
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