Journal of Health Sciences and Wellness

Withee-Ayuwat: A Qualitative Study on Lifestyles and Secrets to Longevity among the Older Adults in a Northern Province of Thailand

Ganokwun Buntuchai, Apichart Chotchuen — Tue, 16 Jun 2026 00:00:00 +0700

Thailand's future will be inevitably be a longevity society. While the number of older adults is continuously increasing, qualitative studies on the lifestyles and factors contributing to longevity remain limited. This study focuses on identifying the lifestyle and secrets to longevity. The qualitative research collected data from individuals aged 80 and above living in northern Thailand. Sixteen participants were selected using the snowball sampling technique. All were healthy, communicated clearly, and were cognitively assessed with the Mini-Cog test. Data were collected using semi-structured interviews, focusing on in-depth discussions, and analyzed using inductive content analysis.

The results revealed five components of lifestyle: “eating well, regular bowel movements, quality sleep, staying active, and maintaining happiness,” as follows: 1) Demonstrates the capacity to consume varied diet without monotony, with an emphasis on locally sourced foods and seasonal vegetables 2) No problems with bowel movements, or if there are, there will be tips for maintaining regularity 3) Go to bed early and wake up early 4) Stay active, have a routine, do activities constantly, have life goals, socialize, and regularly meet and talk with neighbors or relatives 5) Find motivation from things that support mental well-being, make life happy, and avoid things that cause suffering. Moreover, critical secrets to longevity include consuming bananas, regular exercise, and mental resilience. These findings can be used as guidelines for promoting health across all age groups in preparation for entering a longevity society.

Effects of Resilience Development Program among Early Adolescents Living in Child Shelter in Pathum Thani Province: A Feasibility and Pilot Study

Tue, 16 Jun 2026 00:00:00 +0700

Early adolescents living in homes for children do not live with their parents. Therefore, resiliency is important to enable them to live appropriately in society. This research assessed the feasibility and initial effects of a resilience development program for early adolescents in children's homes. This Quasi experimental study used a one-group, pretest-posttest design. The sample included 18 early adolescents aged 10-14 living in children's homes in Pathum Thani province, recruited by convenience sampling. The research tool consists of two parts: Part 1 is used for experimentation. They received resilience development program developed by the researcher where contained four engaging activities (understanding about resilience, relationships with friends, write about personal growth and strength, self-esteem, meditation, control your emotions, and problem-solving thinking) incorporated into two meetings. Part 2 included self-administered questionnaires, a general information questionnaire, and a resilience factor scale with its Cronbach’s alpha coefficient of 0.88. Data were analyzed using descriptive statistics and the paired t-test to examine differences before and after the trial.
The results showed that after completing the intervention, the sample had a score on overall resilience factors that was high (Mean = 84.55, SD = 10.00), which was significantly higher than before the intervention (p < .05). The findings revealed that this resilience development program is highly significant for caring for early adolescents living in children's homes. Therefore, nurses or personnel responsible should be encouraged to adopt the program to enhance the quality of life of early adolescents.

Factors Related to Self-Prevention Behaviors against Alcohol Consumption of Nursing Students in a Private University in Samutprakan Province

Anothai Palitnonkert, Chatchadaporn Phuthasane — Tue, 16 Jun 2026 00:00:00 +0700

This study was survey research on factors related to self-prevention behaviors against alcohol consumption of students in a private university in Samutprakarn province. The objectives were to examine the characteristics of the associated factors and to analyze the relationships between predisposing, enabling and reinforcing factors, and self-prevention behaviors regarding alcohol consumption among 323 students selected through simple random sampling. The research instrument was a questionnaire comprising knowledge and beliefs about drinking alcohol consumption, attitudes toward drinking alcohol consumption, access to alcoholic sources, social support and self-prevention behaviors against alcohol consumption. The questionnaire has a reliability score of 0.88The findings showed that, overall nursing students exhibited a high level of self-prevention behaviors against alcohol consumption ( = 3.85, S.D. = 0.88).

The predisposing factors had a low positive correlation with self-prevention behaviors against alcohol consumption (r = .27, p < .01). The enabling factors had a low positive correlation with self-prevention behaviors against alcohol consumption (r = .24, p < .01). The reinforcing factors had a moderate positive correlation (r = .35, p < .01)

The results of this research allow the Faculty of Nursing to use strategies to create the right attitudes, perceive impacts of alcohol drinking and the development of tailored activities and educational programs.

Reliability and Validity of a Scoliometer for Android Application to Screen Scoliosis Condition

Tue, 16 Jun 2026 00:00:00 +0700

Scoliosis is a spinal condition characterized by lateral curvature accompanied by vertebral rotation. Screening can be performed using a scoliometer, which measures the angle of spinal trunk rotation. Although mobile applications for scoliosis assessment have recently been developed (Smartphone application, App). There are still limitations, particularly in terms of high cost; all data is recorded in the mobile device’s memory, and previous angle data cannot be reviewed. This study focused on developing the Scolioscope^© App, which had not yet been tested for reliability and validity. The study aimed to evaluate the reliability and validity of the Scolioscope^© App, in conjunction with a customized base, by comparing with a standard scoliometer (Baseline^® scoliosis meter) by investigating 20 volunteers at risk of scoliosis. Measurements of trunk rotation were analyzed using the intraclass correlation coefficient (ICC) and Pearson’s correlation coefficient (r). The results demonstrated that the Scolioscope^© app showed very high test-retest reliability (ICC = 0.992), intra-rater reliability (ICC = 0.997), and inter-rater reliability (ICC = 0.994). The Scolioscope^© app also demonstrated high validity (r = 0.983), with a mean difference of 0.01 degrees between the two measurement methods (95% limits of agreement: -0.43, +0.41). These findings suggest that the Scolioscope^© App provides accurate spinal axial trunk rotation measurements comparable to the scoliometer (Baseline^® scoliosis meter). Therefore, the Scolioscope^© app can be used to screen for scoliosis risk.

Effects of a Counseling Skills Enhancement Program on Head Nurses' Perception of their Counseling Role in a Private Hospital

Jiparat Kosum, Kannikar Chatdokmaiprai, Phechnoy Singchangchai — Tue, 16 Jun 2026 00:00:00 +0700

This quasi-experimental research aimed to compare the perceived counseling roles of head nurses between those who received a counseling skills enhancement program and a control group. The sample consisted of 60 head nurses, divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included: 1) the counseling skills enhancement program, and 2) a questionnaire on the perception of counseling roles, with a content validity index (CVI) of 0.93 and a Cronbach’s alpha reliability coefficient of 0.92. Data were analyzed using descriptive statistics, independent t-test, and dependent t-test.The results showed that after the intervention, the experimental group reported a high overall mean score of perceived counseling roles (x̅ = 4.57, S.D. = 0.24). Among the sub-dimensions, the highest mean score was in the role of health service provider (x̅ = 4.61, S.D. = 0.30), followed by the role of management (x̄ = 4.58, S.D. = 0.17). The experimental group’s perception of counseling roles after the intervention was significantly higher than before the intervention (p < 0.05) and significantly higher than that of the control group (p < 0.05).This study indicates that the counseling skills enhancement program is effective in improving head nurses’ perception of their counseling roles. Nursing administrators are encouraged to apply human resource development concepts to continuously support counseling practices, particularly for novice nurses and those rotating between units, in order to enhance work efficiency and the quality of patient care.

Effectiveness of an Online Cartoon-based Thalassemia Health Education Program for Adolescents

Supaporn Naewbood, Urasri Suyasunanont — Tue, 16 Jun 2026 00:00:00 +0700

This quasi-experimental single-group pre- and post-test study evaluated the impact of a Thalassemia health education program on adolescents by comparing their knowledge, attitude, and practice scores before and after the intervention and assessed participants' satisfaction and self-evaluation with the program. Subjects were 320 grade 9 students at a secondary school in Muang district, Phitsanulok province. The subjects participated through online media of thalassemia health education program with cartoon animation. The research instrument was approved by three experts, yielding an Index of Content Validity (IOC) between 6.67 and 1.00 and a Cronbach's alpha reliability coefficient of 0.81. The questionnaire assessed knowledge, attitudes, and practices related to thalassemia counseling and screening. Data were analyzed using descriptive statistics including frequency, percentage, mean, and standard deviation, and inferential statistics using the t-test.

The results showed that mean score of the knowledge, attitude and practice to provide advice on thalassemia significantly increased after receiving health education program at p-value < 0.001, (t = 6.99, t= 3.52 and t = 4.26). The result of program evaluation and self- evaluation also found that after training, the subjects were satisfied in most areas including online cartoon-based training, media training, method to transfer knowledge, technique used to convey knowledge, difficulty to convey knowledge, and the ability to convey.The results of this study indicated that nurses and health care providers should apply the online cartoon-based thalassemia health education program as a valuable complementary approach for controlling and screening thalassemia among the risk persons and pregnancy women.

Knowledge and Behavior of Family Regarding the Newly Emerging COVID-19 Prevention in Young Children

Tue, 16 Jun 2026 00:00:00 +0700

Between 2020 and 2022, new variants of Coronavirus (COVID-19) were discovered in Thailand. The emergence of new variants, such as BA.2.86, has raised public health concerns and posed challenges to existing precautionary measures due to their increased transmissibility. These variants resulted in an increase in infections among Thai pediatric population. This study aimed to examine the correlation between families’ knowledge and preventive behaviors toward COVID-19 for their children. A sample of 113 primary caregivers who had child aged between 2-6 years was recruited. The relationship between knowledge about COVID-19 and preventive behaviors against it was determined using the Pearson correlation coefficient.

The results show a high level of correlation between a family’s knowledge and preventive behaviors toward COVID-19 (r = 0.35, p < 0.01). Moreover, the mean level of families’ knowledge about COVID-19 was high (Mean = 0.69, SD = 0.46), while that of families’ preventive behaviors against COVID-19 was moderate (Mean = 1.31, SD = 0.74). In conclusion, the results showed that the knowledge of the disease of an individual family directly correlates to the family behaviors used to prevent new COVID-19 variant infections in the pediatric population.

Cancer Incidence among Older Adults Aged 60 and Over in Phitsanulok Province, Thailand: Current Situation in Buddhachinaraj Phitsanulok Hospital between 2017 and 2023

Tue, 16 Jun 2026 00:00:00 +0700

Cancer manifests across all age groups, but the risk increases with age. We conducted a descriptive retrospective study on the incidence of common cancers among adults aged 60 and over, who were diagnosed at Buddhachinaraj Hospital, Phitsanulok Province, between January 1, 2017, and December 31, 2023. We used the medical records to identify eligible patients (n=5,282). Crude Incidence Rates (CIR) and Age-Standardized incidence Rates (ASR) were calculated, with ASR values presented alongside 95% confidence intervals (95% CI). The top three common cancers

diagnosed between 2017 and 2023 were colon cancer (ASR=11.3 per 100,000 person-years ; 95% CI: 10.48, 12.16), prostate cancer(ASR=9.1 per 100,000 person-years ; 95% CI: 8.28, 9.96), and liver and bile duct cancer (ASR=8.5 per 100,000 person-years ; 95% CI: 4.11, 5.79) cancers in males, and Breast cancer (ASR=27.2 per 100,000 person-years ; 95% CI: 26.40, 28.08), colon cancer (ASR=8.6 per 100,000 person-years ; 95% CI: 7.74, 9.42), and cervical cancer (ASR=7.7 per 100,000 person-years ; 95% CI: 6.87, 8.55) cancers in females. These findings may serve as baseline evidence to guide public health planning for cancer prevention and control among older adults.

Effectiveness of SKT Meditation Healing Exercise Program 1, 3, 7 among Uncontrolled Diabetic Foot Ulcer Patients

Preeda Kanghae — Tue, 16 Jun 2026 00:00:00 +0700

The uncontrolled diabetic foot ulcer patients causes several complications. SKT Meditation Healing Exercise Program 1, 3, 7 helps uncontrolled diabetic foot ulcer patients control their blood glucose. This quasi-experimental research was conducted to test the effectiveness of SKT Meditation Healing Exercise Program 1, 3, 7. The research was conducted with 31.

uncontrolled diabetic foot ulcer patients who were admitted to Trang Hospital. A purposive sampling technique was applied to select the samples. The sample group received the SKT Meditation Healing Exercise Program 1, 3, 7 based on the concept of Somporn Kantharadussadee Triamchaisri. Data were collected before and after receiving program 12 weeks by using demographic data questionnaires, the SKT Meditation Healing Exercise 1, 3, 7 questionnaire, the satisfaction with the program questionnaire and a record form for fasting blood glucose new foot ulcers and aggressive foot ulcers. Data were analyzed using descriptive statistics and paired t-test.

The results of the research suggest that SKT Meditation Healing Exercise Program 1, 3, 7 is effective in reducing blood glucose and controlling wound progression among uncontrolled diabetic foot ulcer patients. Therefore, this program should be further used to control diabetic foot ulcer patients.

The results revealed that after enrolling in the program, the study group had significantly

decreased levels of blood glucose (p < 0.01). Neither new foot ulcers, nor aggressive foot ulcers were found. The study group had SKT Meditation Healing Exercise 1, 3, 7 behaviors and was satisfied with the program at the highest level.

The results of the research suggest that SKT Mdeditation Healing Exercise Program 1, 3, 7 is effective in reducing blood glucose and controlling wound progression among uncontrolled diabetic foot ulcer patients. Therefore, this program should be further used to control diabetic foot ulcer patients.

The Three Principles: Secret to Mental Health

Tue, 16 Jun 2026 00:00:00 +0700

This article provides an overview of the Three Principles, which propose that human experience and reality are co-created via the interaction of Mind, Consciousness, and Thought. The authors explain how comprehension of the Three Principles can help to reduce stress and anxiety, enhance resilience, and promote positive relationships. In addition, the article examines traditional binary diagnostic approaches and their impact on the therapeutic process, putting forward the benefits of a holistic approach that emphsises personalised needs and the application of technological

advancements to make mental health services more accessible. The authors also present a case study of a counseling service that implemented the Three Principles framework. The article concludes by discussing the implications for healthcare workers to maintain health mental, promote psychological education for clients, and design applicable interventions.

Transforming the Practical Nursing Program by Adapting to the Disrupted Healthcare Era: Digital Readiness Career Pathways and Respectful Team Culture

Mullika Singnoi, Parichad Apidechakul, Phongthara Vichitvejpaisal — Tue, 16 Jun 2026 00:00:00 +0700

The Practical Nursing Program plays a crucial role in the healthcare system by providing essential support to nurses and other medical professionals as well as producing a workforce to Thailand's public health service facilities. However, it is presently challenged by a high turnover rate. The healthcare field continues to face disruptions, including technological advancements, shifting patient care needs, and workforce shortages. Therefore, it is increasingly vital to reassess and adapt the Practical Nursing Program to remain effective in order to prepare practical nurses for the evolving demands of healthcare. Therefore, this article proposes three key reform guidelines: (1) integrating digital technology into training, (2) creating clear professional career pathways, and (3) promoting a respectful organizational culture to retain personnel and enhance long-term patient care quality.

The first key area for transformation involves incorporating digital tools and technologies into training, ensuring that practical nurses are equipped with the skills needed to navigate new healthcare systems, such as electronic health records and telemedicine platforms. Additionally, adapting the curriculum to focus on patient-centered care, communication skills, and cultural competency will help practical nurses provide more personalized and effective care. Second important consideration is improving career pathways for practical nurses. By offering opportunities for career progression and professional development, the program can retain skilled workers and help to decrease turnover rates. Lastly, it is recommended to promote a respectful organizational culture by encouraging interdisciplinary collaboration to strengthen professional relationship.

In conclusion, these above-stated three guidelines will help prepare practical nurses to cope with the disruptive change of the healthcare field. This reform, which focuses on incorporating digital skills, professional growth, and respectful organizational culture will serve as an important foundation for strengthening the country's healthcare system in the future.

The Role of Nurses in Promoting Health Literacy to Prevent Harm from PM2.5 in Patients with Allergic Rhinitis

Natthakan Komanee — Tue, 16 Jun 2026 00:00:00 +0700

This academic article aims to describes the dangers of particulate matter 2.5 microns or less (PM_2.5), an air pollutant that impacts public health. Especially people at risk who have allergic rhinitis, a chronic respiratory disease with an increasing prevalence in Thailand. PM_2.5impacts patients' quality of life, exacerbates their symptoms and increases the cost of care. Health literacy is important in determining people's motivation and abilities. Promote health care good, as well as the ability to effectively prevent and control disease. Nurses are professionals who provide health services closely to the public at both the individual and societal levels. Therefore, they play a crucial role in promoting and developing health literacy for patients with allergic rhinitis. They play roles as health educators, innovators, researchers, and facilitators, enabling patients to change their behavior and protect themselves from the dangers of PM_2.5.