The Effects of Lifestyle Intervention Using the Modified Beliefs, Attitude, Subjective Norms, Enabling Factors Model in Hypertension Management: Quasi-Experimental Study

Abstract

Background Hypertension is a serious health issue and a significant risk factor for cardiovascular disease and stroke. Although various health education models have been used to improve lifestyle in patients with hypertension, the findings have been inconsistent. Objective This study aims to assess the effects of a lifestyle intervention program using a modified Beliefs, Attitude, Subjective Norms, Enabling Factors (BASNEF) model among nonadherent participants with hypertension in managing elevated blood pressure (BP) levels. Methods This study reports a quantitative quasi-experimental research work, particularly using a repeated-measures design of the within-subjects approach on the 50 nonadherent patients who received a diagnosis of essential hypertension in Cebu, Philippines. The research participants received 5 sessions of training based on a modified BASNEF model. An adherence instrument was used as an evaluation platform. The first phase gathers participants' relevant profiles and background, and the final phase gathers participants' systolic BP, diastolic BP, heart rate, and adherence scores. Results The results indicate that the phase 1 mean systolic readings (146.50, SD 19.59) differ significantly from the phase 4 mean systolic readings (134.92, SD 15.24). They also suggest that the lifestyle intervention based on session III or phase IV behavioral intention in the BASNEF model microgroup sessions positively affects BP readings among the research participants. Conclusions This study has established that the BASNEF model approach can be a good BP management technique.

Evaluating an online well-being program for college students during the COVID-19 pandemic

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Developing a health and well-being program for college students: An online intervention

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Effectiveness of BASNEF model based intervention program on knowledge and self-care behaviors among hypertensive patients

“…Exploration of barriers to behavioural change and adapting to existing socio-cultural contexts are enhanced through educational theories and models [11]. Modified beliefs, attitude, subjective norms, enabling factors (BASNEF) model is a simplified approach to understanding behaviours and can motivate early adoption of healthier lifestyle [12]. It's one of the useful patterns in health education, promotion, which is the combination of behavioural intention model and precede pattern [13], [14].…”

“…BASNEF model is a comprehensive and complete model used to study behaviours and plans to change them, as well as to define the factors that influence individuals' decision making. According to this model, individuals adopt a new behaviour when they realize it's helpful for them [12]. Following that, their evaluation drive to the creation of an attitude toward their actions and development of decision-making associated with achieving new behaviour or attitude [15].…”

“…As healthy lifestyle is commonly believed to be the cornerstone in lowering hypertension incidence, severity, and consequences, the BASNEF model addresses a significant gap as it considers environmental factors and social norms in changing behavior to a healthy trait behavior, as well as, the knowledge and attitude of hypertension patients [12], [16].Thereby, this study was conducted to evaluate the effects of a lifestyle intervention program using the BASNEF model among hypertensive patients.…”