A Community Organization—Peer Facilitated Senior Citizen Health Promotion Program

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Abstract
This project addressed hypertension, considering the variables of exercise, weight, blood pressure measurement, medication compliance, and nutritional practices while incorporating principles of self-responsibility for health. Major intervention activities included a three-times weekly exercise program; weekly weigh-ins; bi-weekly blood pressure checks; physician referral for anti-hypertensive prescriptions/maintenance; diet instruction; and peer facilitated health educational activities. Additionally, community support and project volunteers were obtained via various community organization strategies, such as community meetings, newspaper articles, or from advisory board activities. Major “everyday grass roots” responsibilities for program implementation were carried out by a peer senior citizen community organizer and a peer senior citizen health educator, with strong guidance from the Area Agency on Aging. Evaluation activities were based on the measurable impact and process objectives. T-tests were used to analyze weight and blood pressure pre-post data for the seventeen mostly female clients with an age range of sixty-four to eighty-eight and a mean age of seventy-five. T-values for weight, systolic blood pressure, and diastolic blood pressure were 21.02, 2.09, and 11.08, respectively, indicating significance (.00 or .05 level). Lastly, fourteen individuals lost a total of eighty-nine pounds; six individuals were able to re-enter acceptable blood pressure limits; and participants are accepting greater responsibility for their own health.

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