This study assessed the effectiveness of a community program led by trained volunteers over eight weeks, with participants
randomly assigned to intervention or wait-list control groups. Results showed that intervention group participants progressed
significantly from the cognitive to the behavioral stage in motivational readiness for physical activity (P = .001), healthy
eating (P = .001), stress management (P = .001), and adopting a healthy lifestyle (P = .003) compared to controls.
Additionally, young participants reported increased self-management abilities (F(1.134) = 4.957, P = .028) and improved
knowledge about hypertension (F(1.160) = 16.571, P < 0.0005, ?2 = .094). Traditional medical practice often overlooks
psychosocial determinants of health behavior, suggesting a need for community-based, peer-led programs to complement
clinical care and promote holistic population health beyond clinical settings.
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