A study on the effectiveness of a participatory self-care model for homebound older adults in Khueang Nai District, Ubon Ratchathani Province, Thailand 10.55131/jphd/2025/230102
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Abstract
Thailand is undergoing a structural social transformation into a complete aging society. This study aimed to investigate the effectiveness of a participatory self-care model for homebound older adults in Khueang Nai District, Ubon Ratchathani Province, Thailand. Given the rapid growth of the older adult population, Thailand faces significant challenges in fostering a quality aging society. Promoting self-care abilities among older adults can mitigate frailty and enhance their quality of life. The study employed a cross-sectional design and a randomized controlled trial (RCT) with pre-post test measurements. The sample comprised 64 homebound older adults aged 60 years and above, divided into an experimental group (n=32) and a control group (n=32). Data were collected through a questionnaire assessing general information, self-care knowledge, health-promoting behaviors, and activities of daily living (ADL). Descriptive statistics and analytical tests (Independent t-test and Paired t-test) were utilized for data analysis. The results indicated that after the four-month implementation of the developed participatory self-care model, the experimental group demonstrated significantly higher mean scores in knowledge, health-promoting behaviors, and ADL compared to the control group (p<0.05). Additionally, the experimental group exhibited significantly lower mean blood pressure and blood sugar levels (p<0.05). However, there was no significant difference in body mass index (BMI) between the groups. These findings suggest that the developed participatory self-care model can effectively enhance health knowledge, behaviors, and daily living abilities while helping to control risk factors for chronic diseases in homebound older adults. This model has the potential to be expanded and applied to older adults’ care in other areas to promote their quality of life and well-being.
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References
United Nations. World Population Ageing 2020 Highlights. United Nations Department of Economic and Social Affairs, Population Division. 2020 [Internet]. [Cited 2023 Mar 30]. Available from:https://www.un.org/ development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Sep/un_pop_2020_pf_ageing_10_key_messages.pdf
World Health Organization. Decade of healthy ageing: baseline report. 2021 [Internet]. [Cited 2023 Apr 28]. Available from: https://www.who.int/ publications/i/item/ 9789240017900
Prince MJ, Wu F, Guo Y, Gutierrez Robledo LM, O'Donnell M, Sullivan R, et al. The burden of disease in older people and implications for health policy and practice. Lancet. 2015; 385(9967):549-62.
Organisation for Economic Co-operation and Development. Pensions at a Glance 2019: OECD and G20 Indicators. OECD Publishing. 2019. [Internet]. [Cited 2023 Mar 22]. Available from: https://doi.org/ 10.1787/b6d3dcfc-en
Lee R, Mason A. Cost of aging. Finance Dev. 2017;54(1):7-9.
AGE Platform Europe. AGE Barometer 2021: Human rights and ageism. 2021[Internet]. [Cited 2023 Apr 28]. Available from: https:// www.age-platform.eu/publications/ age-barometer-2021-human-rights-and-ageism
Department of Older Persons. Measures to drive the national agenda on an aging society (revised edition). 2nd ed. Bangkok: Amarin Printing and Publishing Public Company Limited. 2019.
Punyakaew A, Lersilp S, Putthinoi S. Active ageing level and time use of elderly persons in a Thai suburban community. Occup Ther Int. 2019;2019:7092695.
Petchprapai N. Health status and health patterns in urban-rural dwelling elderly in Nakhonratchasima province, Thailand. Elderly Health J. 2019; 5(2): 108-116. doi: 10.18502/ehj.v5i2.2157
Aroonsrimorakot S, Laiphrakpam M, Metadilogkul O, Sharma ARS. Interventions to reduce the negative impact of ageing, social isolation, and loneliness on the health and well-being of elderlies in Thailand and India. J Public Health Dev. 2022;20(2):183-195. doi:10.55131/jphd/2022/200214
Jingjit W, Komolsuradej N, Chumalee K. Factors influencing the quality of life among sub-urban older adults in southern part of Thailand. J Public Health Dev. 2020;18(3):5-15.
Travers J, Romero-Ortuno R, Ní Shé É, Cooney MT. Involving older people in co-designing an intervention to reverse frailty and build resilience. Fam Pract. 2021;39(1):200-206. doi: 10.1093/ fampra/cmab084
Yao S, Zheng P, Ji L, Ma Z, Wang L, Qiao L, et al. The effect of comprehensive assessment and multi-disciplinary management for the geriatric and frail patient: A multi-center, randomized, parallel controlled trial. Medicine (Baltimore). 2020; 99(46):e22873. doi: 10.1097/MD.000 0000000022873
Rezola-Pardo C, Arrieta H, Gil SM, Yanguas JJ, Iturburu M, Irazusta J, et al. A randomized controlled trial protocol to test the efficacy of a dual-task multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: Aging-ONDUAL-TASK study. BMC Geriatr. 2019;19(1):6. doi: 10.1186/s12877-018-1020-z
Mugueta-Aguinaga I, Garcia-Zapirain B. Frailty level monitoring and analysis after a pilot six-week randomized controlled clinical trial using the FRED exergame including biofeedback supervision in an elderly day care centre. Int J Environ Res Public Health. 2019;16(5):729. doi: 10.3390/ijerph16050729
Ubon Ratchathani Provincial Public Health Office. Health Data Center (HDC), Population data from civil registration, classified by age and gender. 2022 [Internet]. [Cited 2022 Sep 4]. Available from: https:// shorturl.asia/pJ8rj. Thai.
Ubon Ratchathani Provincial Office. Ubon Ratchathani Provincial Development Plan 2023-2027. 2021 [Internet]. [Cited 2022 Sep 4]. Available from: http://ubonratchathani. go.th/home/521.html. Thai.
Tang L, Wang J. Exploring the Relationship between Health Information Literacy and Hea lth Behaviors of the Elderly. Iran J Public Health. 2023 Jul;52(7):1439-1446. doi: 10.18502/ijph.v52i7.13245
Kuska M, Nowak MA, Zukowska H, Pasek M, Szark-Eckardt M. Health Behavior of People Over 60 and Their Dependence on Socio-Economic Factors. RASP. 2022;10(1):1-20. doi:10.17583/rasp.8391
Rizal AAF, Milkhatun, Muflihatin SK, Asthiningsih NWW, editors. Caregiver Empowerment through Self Care Assistance in Improving ADL (Activity Daily Living) in Elderly. Proceedings of the 2nd Health Science International Conference (HSIC 2019). 2019;258-262. doi: 10.5220/0009190 802580262
Somporn K, Chusak T, Banchonhattakit P, Saleeon T, Thongaram N. The Factors Affecting Self-Care Behavior of the Homebound Elderly. Ubon Ratchathani Province. J Pub Health Innov. 2023;3(33).
Bandura A. Self-efficacy: The exercise of control. New York: W.H. Freeman. 1997.
de Labra C, Guimaraes-Pinheiro C, Maseda A, Lorenzo T, Millán-Calenti JC. Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC Geriatr. 2015; 15:154. doi:10.1016/j.psep.2019.12. 035
Linata AM, Jalalin. The relationship between activity daily living level and quality of life of geriatric patients in RSUP Dr. Mohammad Hoesin Palembang. Sriwijaya J Med. 2020; 3(3):129-137. doi:10.32539/sjm.v3i3. 226
Khanal MK, Dhungana RR, Bhandari P, Gurung Y, Paudel KN. Prevalence, associated factors, awareness, treatment, and control of hypertension: Findings from a cross sectional study conducted as a part of a community based intervention trial in Surkhet, Mid-western region of Nepal. PLoS One. 2017;12(10):e0185806. doi: 10.1371/journal.pone.0185806.
Mejia, PCG, Feliciano, EE, Felicinao, AZ, Sadang, JM, Pangandaman, HK, Garcia, LL, et al. The effectiveness of health education and lifestyle program in improving the blood pressure in hypertensive patients. Int J Adv Appl Sci. 2019;6(11):21-29. doi:10.21833/ ijaas.2019.11.004
Shojaeifar S, Shojaeifar H, Sobhani A. The Effect of Educational Intervention Based on Health Belief Model on Blood Pressure Control in Patients With Hypertension Referring to the Clinic of Shariati Hospital in Isfahan 2017-2018. JSMJ. 2022;20(6):506-517. doi:10.32598/jsmj.20.6.1889
Ali KM, editor The Effectiveness Of The Implementation Of Health Care And Family Support Therapy For Blood Sugar Levels In Patients With Type 2 Diabetes In Diabetes Center And Kalumata Health Center In Ternate City. Inter J Sci Techn Res. 2020;2(9):2648-2652.
Ibnu FF, Rina Hidayati N, Wahyuni L. The effectiveness of family mentoring model to decrease blood pressure of hypertensive clients. Indon J Comm Health Nurs. 2023;8(2):74-7. doi: 10.20473/ijchn.v8i2.45745
Monteagudo P, Cordellat A, Roldán A, Gómez Cabrera, MC, Blasco-Lafarga C. Effects of multicomponent exercise on metabolic health parameters in elderly. MOJSM. 2019;3(3):70-4. doi:10.15406/mojsm.2019.03.00083
Gondoni LA, Nibbio F, Titon A. Beneficial Effect on Exercise Tolerance of a Comprehensive Rehabilitat ion Program in Elderly Obese Patients Affected With Heart Disease. Front Cardiovasc Med. 2021; 8:652921. doi:10.3389/fcvm.2021. 652921
Cobos-Palacios L, Muñoz-Úbeda M, Ruiz-Moreno MI, Vilches-Perez A, Vargas-Candela A, Benítez-Porres J, et al. Lifestyle Modification Program on a Metabolically Healthy Elderly Popu lation with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program. Int J Environ Res Public Health. 2021; 18(22):11926. doi:10.3390/ijerph 182211926