Development of a capacity-building program for older adults on health management and promotion for older adults in urban communities, Bangkok Metropolis 10.55131/jphd/2023/210206

Main Article Content

Benyapa Muksiritipanun
Duangrat Kaveenuntachai
Theerapon Phungdee
Khemika Rojtangkom

Abstract

Development of a capacity-building program for older adults in health management and promotion is necessary for readiness for the complete-aged society in Thailand.  Little is known about programs that reinforce older adults' capacities in health management and promotion in urban communities.  This research and development design aimed to develop and determine the effects of a capacity-building program on health management and promotion for older adults in urban communities. A program was held in two sections totaling 90 hours, including coursework and practical sections.  This program covered health education, chronic condition management, and health promotion for older adults. The program was evaluated for appropriateness and feasibility by five experts.  Forty-four older adults met the criteria and were selected by simple random sampling from nine communities.  Data were collected using questionnaires at baseline, post-intervention, and a 1-month follow-up after the end of the intervention. The instruments used for data collection included a demographic questionnaire, a self-assessment on the capacity of older adults, and a self-assessment competency questionnaire on health management and promotion.  Descriptive statistics and paired sample t-test were used for the data analysis.  After the intervention, the findings showed that the mean score of the capacity of older adults was significantly higher than before receiving the intervention (38.61 ± 4.03, p <.001). When comparing each dimension, the results found the mean scores for knowledge, attitude, and capacity for health management and promotion of older adults to be 11.77 ± 1.79, p <.001, 4.09 ± .39, p <.001, 3.72 ± .057, p <.001, respectively. The one-month follow-up revealed that most older adults had a moderate (53.3%) and high (46.5%) level of health management and promotion competency.  This study indicates that the capacity-building program for older adults is effective and needs to be implemented in urban communities.

Article Details

How to Cite
1.
Benyapa Muksiritipanun, Duangrat Kaveenuntachai, Theerapon Phungdee, Khemika Rojtangkom. Development of a capacity-building program for older adults on health management and promotion for older adults in urban communities, Bangkok Metropolis: 10.55131/jphd/2023/210206. J Public Hlth Dev [Internet]. 2023 Apr. 7 [cited 2024 Oct. 15];21(2):69-81. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/262838
Section
Original Articles
Author Biographies

Benyapa Muksiritipanun, Department of Medical and Surgical Nursing, Kuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand

Department of Medical and Surgical Nursing, Kuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand

Duangrat Kaveenuntachai, Department of Medical and Surgical Nursing, Kuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand

Department of Medical and Surgical Nursing, Kuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand

Theerapon Phungdee, Faculty of Education, Kasetsart University Bang Khen, Bangkok, Thailand

Faculty of Education, Kasetsart University Bang Khen, Bangkok, Thailand

Khemika Rojtangkom, Collage of Nursing and Health, Suan Sunandha Rajabhat University, Dusit, Bangkok, Thailand

Collage of Nursing and Health, Suan Sunandha Rajabhat University, Dusit, Bangkok, Thailand

References

The Foundation of Thai Gerontology Research and Development Institute (TGRI). Situation of The Thai Elderly 2019 [Internet]. [cited 2022 May 24]. Available from: https://thaitgri.org/? wpdmpro=situation-of-the-thai-eldery-2019

Department of Older Persons (DOP), Ministry of Social Development and Human Security. Older statistics [Internet]. [cited 2022 May 24]. Available from: https://www.dop.go. th/th/know/side/1/1/1099

Rawdaree P. Educational project for the promotion of the elderly in urban communities According to the sufficiency economy philosophy. The research report, the fiscal year 2016, Nawamintrathirat University; 2019.

Muksiritipanun B, Hengyotmark A, Srangthaisong D. Health problems and healthcare needs among Thai elderly with home-and bed-bound groups in Bangkok Metropolitan. The research report, the fiscal year 2016, Nawamintrathirat University; 2019.

United Nations Department of Economic and Social Affairs, Population Division. World Population aging 2020 highlights: Living arrangements of older persons [Internet]. [cited 2022 May 24]. Available from: https://www.un.org/ development/desa/pd/

The National Committee on the Elderly, The Ministry of Social Development and Human Security, Thailand. The 2nd National Plan on the Elderly (2002-2021), 1st Revised of 2009 [Internet]. [cited 2022 May 28]. Available from: https://www.dop.go.th/download/laws/th1573721522-816_0.pdf

Puraya A, Nuntaboot K. Community capacity in elderly care. Journal of Nursing and Health Care. 2019;37(1):22-31.

Aekplakorn W. The 5th report of the national health examination survey in Thailand year 2014 [Internet]. 2014 [Cited 2022 May 28]. Available from: https://thaitgri.org/?p=37869

Thanakwang K, Rattanawitoon J, Tanurat J. Development of friendship networks and potential of self-help groups to promote healthy aging among community-dwelling older adults. JHSR. 2011;5(3):381-91.

Shea J. Senior Volunteering in Service to Community Elders in Shanghai: Bringing Together Agendas for Productive Aging and Community-Based Social Support for the Aged in China. Ageing International. 2017;42(2):205-35. doi: https://doi.org/ 10.1007/s12126-016-9270-6.

Same A, McBride H, Liddelow C, Mullan B, Harris C. Motivations for volunteering time with older adults: A qualitative study. PLOS ONE. 2020;15(5):e0232718. doi: 10.1371/ journal.pone.0232718.

Tachavijitjaru C, Srisupornkornkul A, Changtej S. Selected factors related with the health literacy of village health volunteer. Journal of the Royal Thai Army Nurses. 2018; 19(0): 320-32.

Faul F. G*Power version 3.1.9.2 [Internet]. [cited 2021 Sept 15]. Available from: http://www. psychologie.hhu.de/arbeitsgruppen/allgemeine-psychologie-und-arbeitspsychologie/gpower.html

Thipsungwan K, Sribenchamas N, Lamluk P. Effects of the development competency program of volunteer for taking care of the elderly in community. Humanities and Social Sciences Journal of Pibulsongkram Rajabhat University. 2018; 12(1):275-91.

Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.

The Committee of Development of Screening Instruments and Geriatric Assessment, Institute of Geriatric Medicine, Department of Medical Services, Ministry of Public Health. Screening Instruments /Health Assessment of Older Adult Book [Internet]. [cited 2022 Jan 10]. Available from: https://agingthai. dms.go.th/agingthai/wp-content/ uploads/2021/01/book-2558-06_1.pdf

The Committee of Development of Screening Instruments and Geriatric Assessment, Institute of Geriatric Medicine, Department of Medical Services, Ministry of Public Health. Screening Instruments and Health Assessment of Older Adult Book year 2021 [Internet]. 2021 [cited 2022 Jan 10]. Available from: https://apps.hpc. go.th/dl/web/upFile/2021/03-10169-20210309160752/ 2e32f087f6466b7bbec2f2846d6ba9fa.pdf

Sangna R, Pinyopornpanish K, Jiraporncharoen W, Angkurawaranon C. Validation of a 14-item self-reporting questionnaire for the screening of dementia in the elderly. J Ment Health Thai. 2020; 28(3):199-210.

World Health Organization. Active ageing: A policy framework [Internet]. [cited 2020 Sept 13]. Available from: http://apps.who.int/iris/birsream/10665/67215/1/WHO_NMH_NPH_02.8.8.pdf.

Bureau of Elderly Health, Department of Health, Ministry of Public Health. Elderly caregiver training program: 70-hour course under the notification of the Ministry of Public Health regarding the health hazardous businesses on the elderly care service at home (No.6) [Internet]. [cited 2022 Aug 8]. Available from: https://www.eh. anamai.moph.go.th/th/elderly-manual/205070

Lak A, Rashidghalam P, Amiri SN, Myint PK, Baradaran HR. An ecological approach to the development of an active aging measurement in urban areas (AAMU). BMC Public Health. 2021;21(1):4. doi: 10.1186/ s12889-020-10036-5.

Tamdee D, Tamdee P, Senaratana W, Singkaew J. Preparation for system and mechanism development in responding to aging society in health region 1. Journal of Community Development and Life Quality. 2022;10(1):45-57.

Hosnjak A, Ilic B, Kurtovic B, Ledinski FS, Smrekar M. Development Strategies in the Field of Lifelong Learning of Older Adults. Acta Medica Martiniana. 2020;20(3):122-32. doi: https://doi.org/10.2478/acm-2020-0014

Mendoza-Núñez VM, Pulido-Castillo G, Correa-Muñoz E, Rosado-Pérez J. Effect of a Community Gerontology Program on the Control of Metabolic Syndrome in Mexican Older Adults. Healthcare (Basel). 2022;10(3). doi: 10.3390/healthcare10030466.

Mahamad P. Knowledge, and attitude and principle of caregivers in elderly disability care in Sungaikolok, Narathiwas. J Geronto Geriatr Med. 2018;17:1-9.

Taneerat W. Learning Needs to be the Active Aging of the Elderly in Trang Province. Local Administration Journal. 2022;15(1):79-96.

Devalersakul N, Siriwarakoon W, Roadyim C. The development of the elderly as a burden to power: Case study of Rangsit City Municipality. Veridian E-Journal, Silpakorn University. 2016; 9(1):529-545.

Chen HL, Chen P, Zhang Y, Xing Y, Guan YY, Cheng DX, et al. Retention of volunteers and factors influencing program performance of the Senior Care Volunteers Training Program in Jiangsu, China. PLOS ONE. 2020; 15(8):e0237390. doi: 10.1371/journal. pone.0237390.