DEVELOPMENT OF BEHAVIOUR PROMOTION MODEL FOR NON COMMUNICABLE DISEASES AMONG RISK GROUP BASED ON HEALTH LITERACY CONCEPT NORASING SUBDISTRICT PAMOK DISTRICT ANGTHONG PROVINCE

Abstract

             Non-communicable diseases (NCDs) constitute a predominant public health challenge requiring comprehensive intervention strategies. This research and development endeavor aimed to investigate contextual frameworks, situational dynamics, etiological factors, and remedial approaches for health promotion among populations at risk for chronic non-communicable diseases. The study sought to develop a health behavior enhancement model utilizing health literacy processes and evaluate its efficacy in mitigating NCD risk factors.

             This quasi-experimental study employed a three-phase methodological approach conducted from November 2024 to July 2025 in Norasingh Sub-district, Pa Mok District, Ang Thong Province. Phase I encompassed qualitative assessment of NCD prevention behaviors and focus group discussions (n=15) to identify causative factors and solution pathways. Phase II involved model development, prototype testing, and refinement through expert validation (n=5). Phase III evaluated model implemented a two-group pre-post quasi-experimental design with intervention (n=30) and control groups (n=30) comprising individuals at risk for NCDs. The 12-week health literacy intervention concept is IOC =1 and reliability =0.86 incorporated three sequential components: fundamental health literacy development, interactive health literacy enhancement, and critical health literacy cultivation satisfaction. Data were analyzed by t-test statistics.

            The comprehensive health behavior enhancement model demonstrated significant efficacy in improving health outcomes. Post-intervention analysis revealed that the experimental group exhibited significantly higher mean health behavior scores compared to the control group (p<0.05). Furthermore, the intervention group demonstrated statistically significant reductions in body mass index (p<0.05) and waist circumference measurements (p<0.05) relative to the comparison group. Data analysis utilized descriptive statistics and t-test procedures for outcome evaluation.

             The health literacy-based intervention model proved effective in enhancing health behaviors and reducing physiological risk markers among individuals susceptible to non-communicable diseases. The model has been implemented as a prototype for developing health-literate communities aimed at reducing NCD risk populations. Future applications should extend to diverse occupational groups, including corporate employees and factory workers with varying lifestyle patterns, to enhance generalizability and population-level impact.