Seoyun Park; Jong-Sook Kwon; Cho-il Kim; Yoonna Lee; Hye-Kyeong Kim

doi:10.5720/kjcn.2012.17.5.623

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Original Article
Development of Nutrition Education Program for Hypertension Based on Health Belief Model, Applying Focus Group Interview: Seoyun Park, Jong-Sook Kwon, Cho-il Kim, Yoonna Lee, Hye-Kyeong Kim; Korean Journal of Community Nutrition 2012;17(5):623-636.
DOI: https://doi.org/10.5720/kjcn.2012.17.5.623
Published online: October 31, 2012

Department of Food Science & Nutrition, The Catholic University of Korea, Bucheon, Korea.

¹Department of Food & Nutrition, Shingu College, Songnam, Korea.

²Nutrition Policy & Promotion Team, Korea Health Industry Development Institute, Chungbuk, Korea.

Corresponding author: Hye-Kyeong Kim, Department of Food Science & Nutrition, The Catholic University of Korea, 43-1, Yeokgok 2-dong, Wonmi-gu, Gyeonggi-do 420-743, Korea. Tel: (02) 2164-4314, Fax: (02) 2164-4314, hkyeong@catholic.ac.kr

• Received: September 28, 2012 • Revised: October 26, 2012 • Accepted: October 26, 2012

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Abstract
NOTES
REFERENCES

Abstract

Health Belief Model is a socio-psychological theory of decision making to individual health-related behaviors. This study was aimed to develop an effective education program for hypertension based on health belief model. The main factors of health belief model were investigated by focus group interview (FGI) with 23 hypertensive or prehypertensive subjects aged over fifty years. 'Perceived susceptibility' to hypertension was family history, neglect of health care, preference for salty food, broth of soup and stew. Lifelong medication, complications, and medical costs were reported as 'perceived severity' of hypertension. 'Perceived benefits' of hypertension management were decrease of medicinal dose, reduction of medical costs, and healthy eating habits of the family, while 'perceived barriers' were lack of palatability of low salt diet, convenience-oriented dietary habits, and limited choice of foods when eating out. Subjects mentioned TV health programs, public health center programs, and advice from doctors and family as 'cues to action' of hypertension management. These qualitative information provided basis for developing a nutrition education program for hypertension which could be implemented in the public health center. Eight week program was composed of understanding hypertension, risk factor management (eating habits, weight), low salt diet (principles, cooking), advanced management for healthy diet in 2 sessions, and summary. Each session was designed to alert the susceptibility and severity, to emphasize the benefits, and to reduce the barriers by providing dietary monitoring, practical advice, and action tips.
Keywords: health belief model; hypertension; focus group interview; nutrition education

NOTES

This research was supported by grants from Korea Health Industry Development Institute (KHIDI-Food-2010-97).

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Figure 1

Process of education program development.

Figure 2

Nutrition education material for hypertension.

(a) Nutrition education power-point for hypertension, (b) Nutrition education leaflet for hypertension

Table 1

Questions used for focus group interview based on health belief model

Table 2

General characteristics of the subjects

1) Mean ± SD

2) N (%)

Table 3

Major themes and subthemes for Health belief model in focus group interview

Table 4

Major themes and subthemes for needs of nutrition education programs of hypertension

Table 5

Nutrition education program for hypertension based on health belief model

Figure & Data

REFERENCES

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Development of Nutrition Education Program for Hypertension Based on Health Belief Model, Applying Focus Group Interview

Korean J Community Nutr. 2012;17(5):623-636. Published online October 31, 2012

DOI: https://doi.org/10.5720/kjcn.2012.17.5.623

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Development of Nutrition Education Program for Hypertension Based on Health Belief Model, Applying Focus Group Interview

Figure 1 Process of education program development.

Figure 2 Nutrition education material for hypertension. (a) Nutrition education power-point for hypertension, (b) Nutrition education leaflet for hypertension

Figure 1

Figure 2

Development of Nutrition Education Program for Hypertension Based on Health Belief Model, Applying Focus Group Interview

Table 1

Questions used for focus group interview based on health belief model

Table 2

General characteristics of the subjects

1) Mean ± SD

2) N (%)

Table 3

Major themes and subthemes for Health belief model in focus group interview

Table 4

Major themes and subthemes for needs of nutrition education programs of hypertension

Table 5

Nutrition education program for hypertension based on health belief model

Table 1 Questions used for focus group interview based on health belief model

Table 2 General characteristics of the subjects

1) Mean ± SD

2) N (%)

Table 3 Major themes and subthemes for Health belief model in focus group interview

Table 4 Major themes and subthemes for needs of nutrition education programs of hypertension

Table 5 Nutrition education program for hypertension based on health belief model