Key result
Single-session education yields ~81% of participants achieving high scores on hypertension knowledge.
Why the study?
Hypertension is the leading diagnosis at many Indonesian primary health centers, yet community diagnoses that guide local action rarely standardize site selection or state what their evaluations can establish.
Does a single-session health education lecture with a leaflet improve hypertension knowledge in adult residents of a peri-urban Indonesian primary care catchment?
Does a single-session health education lecture with a leaflet improve hypertension knowledge in adult residents of a peri-urban Indonesian primary care catchment?
Population standardization effectively guided the selection of a high-burden village for hypertension education, where post-session knowledge was high (81.3% scoring ≥90), though missing pre-test data precluded measuring actual knowledge gain.
Single-session education yielded high post-test scores without confirmed gains; hypothesis-generating and should not yet change practice.
Background: Hypertension is the leading diagnosis at many Indonesian primary health centers (Puskesmas), yet community diagnoses that guide local action rarely standardize site selection or state what their evaluations can establish. Objective: To report a community diagnosis of hypertension in the Puskesmas Teluknaga catchment (Tangerang Regency, Banten) and the knowledge outcome of the education session that followed. Methods: Routine Puskesmas records were combined with village population estimates to compute standardized visit ratios. A mini-survey of 30 Puskesmas visitors identified determinants, which were prioritized by non-scoring Delphi and traced by fishbone analysis. Thirty-two adult residents received one lecture with a leaflet and then a knowledge post-test. Pre-test scores were unavailable, so all paired pre/post tables consistent with the post-test were enumerated (exact McNemar tests). Results: Desa Teluknaga contributed 124 of 491 hypertension visits (25.3%) from 14.6% of the catchment population (rate ratio versus the other six villages 1.98; 95% CI 1.60 to 2.44; p<0.001). Low community knowledge was designated the root cause. Afterwards, 26 of 32 participants scored ≥90 (81.3%; 95% CI 64.7 to 91.1). Improvement was significant under every admissible pairing only if 15 or fewer participants had scored ≥90 beforehand, and under none if 21 or more had, so knowledge change could not be identified. Conclusion: Population standardization supported the choice of intervention village. Knowledge after the session was high, but demonstrating an educational effect, and converting knowledge into blood-pressure control, requires retained paired scores, follow-up and repeated interventions supported by community health volunteers (kader).
No takes yet. Share an insight, caveat, or question.
Zahra et al. (2026) studied Hypertension (n=32). Single-session face-to-face health-education lecture with printed leaflet on hypertension was evaluated on Proportion of participants scoring ≥90 on the hypertension knowledge post-test (0-100 scale) (95% CI 64.7 to 91.1). Single-session health education resulted in 81.3% (26/32; 95% CI 64.7-91.1) of participants scoring ≥90 on the hypertension knowledge post-test, though change from baseline could not be determined.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: