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Hypertension and diabetes mellitus are serious health problems. Patients in primary care units or rural area are a marginalized population due to expert accessible difficulties. Cross-sectional survey and quasi-experiment study were conducted to analyze the factors associated with social media usages and to evaluate the results of health promotion program. The study populations were hypertension and diabetes mellitus patients in primary care units, Saraburi province, Thailand. Totally, 156 patients were included based on sample size calculation and multi-stage random sampling for survey study. The volunteers, who were patients in primary care units, were included in quasi-experiment study. A validated questionnaire was used as research instruments. Chi-square or Fischer’s exact test and binary logistic regression were applied to detect the associations between factors and social media usages, while paired -T test was used to compare prior and post participation. The health promoting program was based on appreciative critical reflection. The results were: the influencing factors of social were age group, sufficiency of income and education level. The health literacy, attitude and self-care behaviors of 31 volunteers were improved significantly prior after program participation. The suggestion is health promoting program with the principles of appreciative critical reflection used to raise awareness, change attitude and behavior to good behavior in lifestyle diseases should be considered.
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