With the increase in older population, the incidence and prevalence of chronic conditions are becoming a serious issue of society(Jung & Ko). Especially diabetes mallitus and high blood pressure, preceding diseases of cardiovascular disease (CVD) which is the leading cause of deaths in older adults, can develop serious complications without proper treatment (Knuiman et al., 1986; Morgan et al., 2000; Kario et al., 2003). For better treatment outcome, lifestyle changes are usually recommended with pharmacotherapy. It is widely known that behavior modifications have been used to successfully change one’s lifestyle in various age groups(Wing et al, 1985; Appel et al., 2003; Dunkley et al., 2014; Whelton et al., 1998; Ounnapiruk et al., 2013). The key to maximize the effectiveness of behavior modification is to use tailored strategies for the individual patients. However, the majority of earlier studies used limited techniques of behavior modification regardless of individual characteristics and did not provide detailed information about the study procedure, which impedes identifying the proper use of behavior modification techniques(Knight et al., 2006). Thus, the current study aims to develop ‘behavior modification manual for managing chronic disease’ which can be applied flexibly depending on different types of patients and situations and to evaluate its efficacy on improving health states of the elderly with chronic conditions.
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