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January 1, 2026Journal of Primary Care & Community HealthOpen Access

A 12-week health literacy program lowers SBP by ~7 mmHg vs usual care.

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Why the study?

Does a 12-week health literacy promotion program improve health behaviors and reduce blood pressure in patients with uncontrolled hypertension?

Population

50 patients with uncontrolled hypertension at a subdistrict health promoting hospital in Phayao Province, Thailand

Comparison

12-week health literacy promotion program vs usual care

Design

Quasi-experimental 2-group pretest-posttest study

Follow-up

12 weeks

Key result

A 12-week health literacy promotion program significantly reduced systolic blood pressure compared to usual care (MD -6.97 mmHg; 95% CI -13.33 to -0.60; P=.033).

Authors

LTLinya TesamutPSPatcharin SungwanJSJintana Somrit

Discussion

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Overview

May support health literacy programs for hypertension in primary care; leaves open efficacy pending randomized trials.

Study Design

Type

RCT (n=50)

Randomization

randomly assigned

Multicenter

No

Structured PICO

Does a 12-week health literacy promotion program improve health behaviors and reduce blood pressure in patients with uncontrolled hypertension?

P
Population
50 patients with uncontrolled hypertension randomized to a health literacy promotion program or usual care for 12 weeks.
I
Intervention
12-week health literacy promotion program comprising small-group activities (Teach-back method, Ask Me 3, motivational interviewing) and home-based phone calls.
C
Comparator
Usual care.
O
Outcome
Health behaviors and systolic and diastolic blood pressure levels at 12 weeks.surrogate

Main Result

Mean Difference: -6.97 (95% CI -13.33–-0.6)

p-value: p=.033

A 12-week health literacy promotion program significantly improved health behaviors and reduced systolic blood pressure in patients with uncontrolled hypertension, suggesting its utility in primary care.

Limitations

  • Small sample size
  • Short follow-up period
  • Limited population diversity
  • small sample size
  • short follow-up period

Cite This Study

Tesamut et al. (2026) conducted an RCT in uncontrolled hypertension (n=50). Health literacy promotion program vs. Usual care was evaluated on Systolic blood pressure reduction (MD -6.97, 95% CI -13.33 to -0.60, p=.033). A 12-week health literacy promotion program significantly reduced systolic blood pressure compared to usual care (MD -6.97 mmHg; 95% CI -13.33 to -0.60; P=.033).

synapsesocial.com/papers/6aa9220907f6ffa79a0c02a5https://doi.org/10.1177/21501319251412653
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