The Efficacy of the “CREB Innovation” Derives From the Application of Bandura and Orem's Theory towards Self-Care Knowledge, Self-Efficacy, Self-Care Behavior, and Satisfaction among Older Thai Hypertensive Patients in Thailand

Abstract

Objectives: The "CREB innovation" (C=counseling and empowerment, R=role models,  E=effective communication, B=backward design) was developed based on Bandura's self-efficacy and Orem's self-care theories to help elderly individuals control their blood pressure. The study aimed to evaluate its effectiveness in four phases: Phase 1 involved theoretical studies; Second entailed developing the "CREB innovation"; Third tested its effects on self-care knowledge, behaviors, and BP; and the fourth assessed satisfaction. The sample included elderly residents of Chaiyapoom province. Instruments measuring self-care knowledge, behaviors, and satisfaction had Cronbach’s alpha coefficients of 0.87, 0.87, and 0.85, respectively. Data was analyzed using content analysis and paired t-tests. Results showed significant improvements in self-care knowledge, behaviors, and both systolic and diastolic BP after implementing the CREB innovation (P<.05). Satisfaction with the program was 93.33%. The findings suggest that integrating mastery experiences, live modeling, verbal persuasion, and emotional support through the CREB innovation effectively enhances BP control in the elderly. The Ministry of Health should promote this approach to manage hypertension in older adults.