Why the study?
Many older adults have a limited understanding of effective hypertension prevention and management through healthy lifestyle practices and regular physical activity.
Does participatory health education and a collaboratively designed hypertension exercise program improve hypertension knowledge and exercise engagement in older adults with a history of hypertension?
Does participatory health education and a collaboratively designed hypertension exercise program improve hypertension knowledge and exercise engagement in older adults with a history of hypertension?
A participatory Community Development approach combining interactive education and tailored exercise significantly improved hypertension knowledge and achieved full exercise participation among older nursing home residents.
Hypothesis-generating for community-based hypertension education in older adults, which should not yet change practice; leaves open the impact on sustained blood pressure control and clinical outcomes.
Hypertension is a major health concern among older adults andsignificantly increases the risk of severe complications, such as stroke and cardiovascular disease. However, many older adults possess limited understanding of effective hypertension prevention and management through healthy lifestyle practices and regular physical activity. Guided by the principles of Community Development, this community service project aimed to enhance older adults’ knowledge and self-management capacity regarding hypertension through participatory health education and a collaboratively designed hypertension exercise program. The activity was implemented at the Technical Implementation Unit of the Social Nursing Home for the Elderly (PSTW) in Jombang Regency, involving 52 older adults with a history of hypertension. The intervention consisted of interactive health education sessions, group discussions, question-and-answer segments, and a tailored hypertension exercise routine developed in consultation with the participants. Knowledge levels were assessed using a pretest and posttest questionnaire, with scores categorized as “good” (≥50) or “poor” (<50). The results of the community service showed that prior to the intervention, 28 participants (54%) had poor knowledge, while 24 (46%) demonstrated good knowledge. Following the intervention, the number of participants with good knowledge increased to 42 (81%), while those with poor knowledge decreased to 10 (19%). Notably, all 52 participants (100%) actively engaged in thehypertension exercise session, reflecting high levels of participation and acceptance. These findings suggest that a participatory, Community Development–based approach is effective in improving both knowledge and engagement among older adults in hypertension self-management, thereby supporting the adoption of healthier lifestyles and contributing to enhanced quality of life in a sustainable manner
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Yuswatiningsih et al. (2026) studied Hypertension (n=52). Participatory health education and tailored hypertension exercise program based on Community Development vs. Pre-intervention baseline was evaluated on Good hypertension knowledge level (questionnaire score ≥50).
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