Assessing the Impact of a Community-Based Health Education Program Led by Nursing Technicians on Health Literacy and Chronic Disease Management in Hafr Al-Batin: A Qualitative Study

Abstract

Background: Health education programs led by community health workers, such as nursing technicians, have shown promise in improving health literacy and chronic disease management in various settings. However, there is limited research on the impact of such programs in the context of Hafr Al-Batin, Saudi Arabia. This qualitative study aimed to explore the experiences and perspectives of participants in a community-based health education program led by nursing technicians, focusing on its impact on health literacy and chronic disease management.
Methods: A qualitative descriptive design was employed. Semi-structured interviews were conducted with 30 purposively sampled participants who had attended a community-based health education program led by nursing technicians in Hafr Al-Batin. The interviews explored participants' experiences, perceived impact on health literacy and chronic disease management, and factors influencing program effectiveness. Thematic analysis was used to analyze the data.
Results: Four main themes emerged: 1) Increased health knowledge and awareness, 2) Improved self-management skills and practices, 3) Enhanced social support and motivation, and 4) Barriers and facilitators to program effectiveness. Participants reported gaining a better understanding of their chronic conditions, adopting healthier lifestyles, and feeling more confident in managing their health. The program's group format and the nursing technicians' supportive approach were identified as key facilitators. However, some participants also highlighted challenges, such as conflicting health information and socioeconomic barriers to implementing lifestyle changes.
Conclusion: Community-based health education programs led by nursing technicians can positively impact health literacy and chronic disease management in Hafr Al-Batin. The findings highlight the importance of culturally relevant, participatory approaches and the role of nursing technicians in providing accessible and effective health education. Addressing identified barriers and building on facilitators can further enhance the impact of such programs in this context.