{"id":7197,"date":"2023-03-29T18:31:39","date_gmt":"2023-03-29T16:31:39","guid":{"rendered":"https:\/\/www.jphres.org\/?p=7197"},"modified":"2023-04-02T13:54:31","modified_gmt":"2023-04-02T11:54:31","slug":"effectiveness-of-a-health-literacy-intervention-based-on-transformative-learning-and-incorporating-positive-psychology-on-health-behavior-and-well-being-of-thai-families-with-ncds-risk","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1935\/","title":{"rendered":"Effectiveness of a health literacy intervention based on transformative learning and incorporating positive psychology on health behavior and well-being of Thai families with NCDs risk"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\">https:\/\/doi.org\/10.4081\/jphr.2021.1935<\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Ungsinun Intarakamhang<\/strong><br \/>\n<\/span><span class=\"affiliation\">Behavioral Science Research Institute, Srinakharinwirot University, Bangkok, Thailand.<\/span><\/li>\n<li><span class=\"name\"><strong>Ann Macaskill<\/strong><br \/>\n<\/span><span class=\"affiliation\">Centre for Behavioral Science and Applied Psychology, Faculty of Social Science and Humanities, Sheffield Hallam University, Sheffield, United Kingdom.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background:<\/em>\u00a0Thailand has a higher global NCD mortality\u00a0<em>rate<\/em>\u00a0in comparison to the rest of the world, accounting for 75% and 71% of all deaths. WHO focused increasingly on health literacy (HL) in order to decrease NCDs. This study aimed to assess the effectiveness of an HL intervention utilizing transformative learning and positive psychology with mindfulness training in terms of changing levels of HL, health behavior (HB), and health outcomes.<br \/>\n<em><br \/>\nDesign and Methods<\/em><em>:<\/em>\u00a0The study was a randomized control trial from May to September 2019. \u00a0The participants were a rural Thai population with low levels of HL, living in an area with high levels of NCDs. The 200 participants were cluster randomly allocated to an eight-week intervention, and the control group. The data were collected by Likert questionnaires and physical exams, and analyzed via ANOVA.<br \/>\n<em><br \/>\nResults<\/em><em>:<\/em>\u00a0The intervention group mean scores for HL, psychological capital, HB, and family well-being increased from baseline to post-intervention, but decreased during the follow-up but were still significantly higher than the control group and baseline scores. The increases in HL and HB were matched by improvements in physiological measurement. The BMI scores of the intervention group decreased in each phase, while the control group scores remained largely unchanged. An intervention group had significantly lower fasting blood sugar than the controls at the intervention and in the follow-up. There was no interaction between social support and any other variables.<br \/>\n<em><br \/>\nConclusion<\/em><em>:<\/em> This program demonstrated improvements in HL, HB and the well-being of Thai families at risk of NCDs in rural communities.<\/p>\n<\/div>\n<div class=\"item references\">\n<h3 class=\"label\">REFERENCES<\/h3>\n<div class=\"value\">\n<p>Bohanny W, Wu S, Liu C, et al. Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus. J Am Assoc Nurse Pract 2013; 25:495-502. DOI:\u00a0https:\/\/doi.org\/10.1111\/1745-7599.12017<\/p>\n<p>Osborne RH, Batterham RW, Elsworth GR, et al. The grounded psychometric development and initial validation of the health literacy questionnaire (HLQ). BMC Public Health 2013;13:658-64. DOI:\u00a0https:\/\/doi.org\/10.1186\/1471-2458-13-658<\/p>\n<p>WHO. The mandate for health literacy, 9th global conference on health promotion, held in Shanghai. Geneva; 2016. 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Social support mediates the association of health literacy and depression among racially\/ethnically diverse smokers with low socioeconomic status. J Behav Med 2014;37:1169-79. DOI:\u00a0https:\/\/doi.org\/10.1007\/s10865-014-9566-5<\/p>\n<p>Waldrop-Valverde D, Guo Y, Raymond L, et al. Risk and protective factors for retention in HIV care. AIDS Behav 2014;18:1483-91. DOI:\u00a0https:\/\/doi.org\/10.1007\/s10461-013-0633-7<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2021.1935 Ungsinun Intarakamhang Behavioral Science Research Institute, Srinakharinwirot University, Bangkok, Thailand. Ann Macaskill Centre for Behavioral Science and Applied Psychology, Faculty of Social Science and Humanities, Sheffield Hallam University, Sheffield, United Kingdom. ABSTRACT Background:\u00a0Thailand has a higher global NCD mortality\u00a0rate\u00a0in comparison to the rest of the world, accounting for 75% and 71% of all deaths. &#8230; <a title=\"Effectiveness of a health literacy intervention based on transformative learning and incorporating positive psychology on health behavior and well-being of Thai families with NCDs risk\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1935\/\" aria-label=\"More on Effectiveness of a health literacy intervention based on transformative learning and incorporating positive psychology on health behavior and well-being of Thai families with NCDs risk\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-7197","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Effectiveness of a health literacy intervention based on transformative learning and incorporating positive psychology on health behavior and well-being of Thai families with NCDs risk - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1935\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Effectiveness of a health literacy intervention based on transformative learning and incorporating positive psychology on health behavior and well-being of Thai families with NCDs risk - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2021.1935 Ungsinun Intarakamhang Behavioral Science Research Institute, Srinakharinwirot University, Bangkok, Thailand. 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Ann Macaskill Centre for Behavioral Science and Applied Psychology, Faculty of Social Science and Humanities, Sheffield Hallam University, Sheffield, United Kingdom. ABSTRACT Background:\u00a0Thailand has a higher global NCD mortality\u00a0rate\u00a0in comparison to the rest of the world, accounting for 75% and 71% of all deaths. ... 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