{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:03:27Z","timestamp":1789625007414,"version":"build-2803163510"},"reference-count":33,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2026,10]]},"abstract":"\n Background:<\/jats:title>\n Engaging end users through co-design is essential for developing effective and sustainable hypertension prevention interventions, while rigorous evaluation helps identify and address barriers to enhance acceptability and impact.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n A feasibility study was conducted using a convergent mixed-methods design. A convenience sample participated in a community-based Health Literacy Program. Instruments included the Thai Hypertensive Health Literacy and Health Behaviors Questionnaire (Thai HLHBQ), the Information and Support for Health Action Questionnaire (ISHA-Q), a hypertension knowledge test, a satisfaction survey, and an interview guide. Data were analyzed using paired\n t<\/jats:italic>\n -tests, Wilcoxon signed-rank tests, and repeated measures ANOVA.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The sample comprised ten adults with prehypertension, one nurse practitioner, and one public health officer. The attendance rate of participants with prehypertension during the 6-week period was 100%. Participants completed a baseline assessment at Week 0. The intervention was delivered over a 5-week period (Weeks 1-5), and post-intervention assessments were conducted at Week 6. Post-intervention, significant improvements were observed in knowledge, health literacy, and blood pressure readings. Knowledge increased from 6.8 to 9.3\/10 (Hedges\u2019\n g<\/jats:italic>\n \u2009=\u20092.65,\n P<\/jats:italic>\n \u2009<\u2009.001). Health literacy scores increased by 10\u2009points (HLHBQ; Hedges\u2019\n g<\/jats:italic>\n \u2009=\u20091.05,\n P<\/jats:italic>\n \u2009=\u2009.005) and 32.5\u2009points (ISHA-Q;\n r<\/jats:italic>\n \u2009=\u20090.66,\n P<\/jats:italic>\n \u2009=\u2009.037). Systolic blood pressure decreased from 129.3 to 123.9\u2009mmHg (\u03b7\n 2<\/jats:sup>\n p<\/jats:sub>\n \u2009=\u20090.43,\n P<\/jats:italic>\n \u2009<\u2009.004) and diastolic from 83.9 to 79.9\u2009mmHg (\u03b7\n 2<\/jats:sup>\n p<\/jats:sub>\n \u2009=\u20090.41,\n P<\/jats:italic>\n \u2009<\u2009.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The results provide evidence that the intervention was both feasible and acceptable for implementation in a rural Thai community.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/01939459261469267","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T11:46:00Z","timestamp":1785584760000},"page":"1115-1124","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and Acceptability of a Community-Based Health Literacy Program for Individuals With Prehypertension"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8023-4071","authenticated-orcid":false,"given":"Pataporn","family":"Bawornthip","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia"},{"name":"Centre for Quality and Patient Safety Research, Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, Australia"},{"name":"Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6696-6316","authenticated-orcid":false,"given":"Jo","family":"Mcdonall","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, La Trobe University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Decha","family":"Tamdee","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Driscoll","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia"},{"name":"Centre for Quality and Patient Safety Research, Institute for Health Transformation, Faculty of Health, Deakin University\u2013Monash Health Partnership, Geelong, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia"},{"name":"Centre for Quality and Patient Safety Research, Institute for Health Transformation, Faculty of Health, Deakin University\u2013Epworth HealthCare Partnership, Geelong, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2016.01.001"},{"key":"e_1_3_3_3_2","unstructured":"Osborne R. Using health literacy approaches to ensure no one is left behind: An update on World Health Organisation (WHO) initiatives and other programs. Accessed October 26 2023 https:\/\/aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0006\/477339\/Presentation-S1-P4-Using-health-literacy-approaches-to-ensure-no-one-is-left-behind-An-update-on-World-Health-Organisation-WHO-~-Professor-Richard-Osborne.pdf"},{"key":"e_1_3_3_4_2","unstructured":"World Health Organization. Interim report: placing people and communities at the centre of health services: WHO global strategy on integrated people-centred health services 2016-2026: executive summary. 2015. Accessed July 27 2025. https:\/\/iris.who.int\/handle\/10665\/180984"},{"key":"e_1_3_3_5_2","unstructured":"World Health Organization. Health literacy development for the prevention and control of noncommunicable diseases: Volume 4. Case studies from WHO National Health Literacy Demonstration Projects. 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