Effectiveness of a Motivational Enhancement Program for Stroke Prevention Among Uncontrolled Hypertensive Patients at Si Nakhon Hospital, Sukhothai Province

Abstract

ABSTRACT
A quasi-experimental two-group study was conducted to examine the effectiveness of a
motivational enhancement program for stroke prevention among uncontrolled hypertensive patients at
Si Nakhon Hospital, Sukhothai Province. The sample consisted of 60 hypertensive patients with high to
very high risk of stroke, divided into a control group receiving routine care (n=30) and an experimental
group receiving the motivational enhancement program for stroke prevention (n=30). The intervention
tool was a motivational enhancement program comprising 7 activities over 12 weeks, based on the
Protection Motivation Theory framework. Data collection instruments included questionnaires assessing
perceived severity of stroke, perceived vulnerability to stroke, self-efficacy expectations, outcome
expectations of preventive behaviors, and stroke prevention behaviors. Data were analyzed using
descriptive statistics, Independent t-test, and Paired t-test.
Results showed that after receiving the motivational enhancement program for stroke
prevention, the experimental group demonstrated significantly better scores in perceived severity of
stroke, perceived vulnerability to stroke, self-efficacy expectations, outcome expectations of
preventive behaviors, and stroke prevention behaviors compared to baseline and the control group at
the statistical significance level of 0.001. The program should be expanded to community hospitals
and other health service units in Health Region 2, along with developing a long-term follow-up system
for uncontrolled hypertensive patients using digital technology to ensure effective and sustainable
stroke prevention care.