Journal of Public Health and Innovation

Realities and Expectations of Village Health Volunteers Regarding the Transfer of Sub-district Health Promoting Hospitals to the Local Administrative Organizations in Health Region 1

2025-08-10T12:37:08+07:00

A cross-sectional study was conducted with the objective of examining and comparing the reality and expectations of Village Health Volunteers (VHVs) regarding the context of transferring Sub-district Health Promoting Hospitals (SHPHs) to local administrative organizations (LAOs) in Health Region 1. The sample consisted of 420 VHVs working within the catchment areas of transferred SHPHs in Health Region 1, selected using multi-stage sampling. Data was collected using a self-administered questionnaire developed by the researcher, comprising two sections: (1) general information, and (2) reality and expectations of the VHVs. The questionnaire demonstrated content validity with an Index of Item-Objective Congruence (IOC) ranging from 0.67 to 1.00, and reliability with a Cronbach's alpha coefficient of 0.83. Data collection was conducted via Google Forms during March to April 2025, and data was analyzed using descriptive statistics and paired sample t-tests.

The findings revealed that the overall of the reality (mean = 3.95, SD = 0.53), and the overall expectation (mean = 4.08, SD = 0.59) was at high level. Specifically, in terms of budgeting, the reality was lower than the expectation (mean = 3.73, SD = 0.65 vs. mean = 4.07, SD = 0.68). Regarding personnel/staff, the reality was slightly higher than the expectation (mean = 4.06, SD = 0.61 vs. mean = 4.01, SD = 0.62). Comparison of reality and expectations across various dimensions, including infrastructure (external buildings), equipment/materials, medicines and non-medicine supplies, personnel/staff, budgeting, service characteristics of VHVs were statistically significant differences (p < .05). The expectations of the VHVs, as integral actors within the health system, reflect the mission of transferring SHPH to LAOs policy in a manner that appropriately supports the delivery of services to the needs of the population.

THE QUALITY OF WORK LIFE OF EMPLOYEES AT PRABOROMARAJCHANOK INSTITUTE (HEADQUARTER)

2025-07-17T11:18:00+07:00

This quantitative research aimed to 1) examine the quality of work life (QWL) of employees at the Praboromarajchanok Institute (Headquarter), and 2) compare their QWL to their personal factors. The research sample consisted of 150 Institute’s employees who was selected using Yamane’s (1973) formula. A questionnaire was employed as the research instrument which demonstrated content validity ranging from 0.60 to 1.00, and a reliability of .968. The data was analyzed using descriptive statistics (including frequency, percentage, mean, and standard deviation) and inferential statistics (including t-test, and one-way ANOVA). The research findings revealed that 1) the overall QWL of employees at the Praboromarajchanok Institute (Headquarter) was at a moderate level (M = 3.47, S.D. = 0.61), and 2) significant differences in QWL compared to personal factors were found based on age, marital status, employment type, average monthly income, and length of service (p < .05), while no significant differences were observed by gender or education level. Research recommendation: the organizations should consider providing compensation that is adequate and commensurate with employees’ workload, foster an appropriate work environment, and ensure equitable and appropriate educational support for employees at all levels.

Factors Related to Oral Health Care Behaviors in of Children Aged 3-5 Years Among Parents in Ban Phot Subdistrict, Nong Phai District, Phetchabun Province

2025-07-28T14:59:37+07:00

This study aimed to examine general demographic factors, predisposing, enabling, and reinforcing factors, as well as the oral health care behaviors of parents in children aged 3-5 years. It also investigated the relationship between these factors and parental oral health care behaviors in Ban Phot Subdistrict, Nong Phai District, Phetchabun Province. The PRECEDE Framework was applied for the analysis. This research was a descriptive cross-sectional study. The sample group consisted of 125 parents of children aged 3-5 years residing in the study area. Data were collected using a questionnaire and analyzed using descriptive statistics, chi-square tests, and Pearson’s correlation coefficients. The findings revealed that general demographic factors, including the child’s oral health condition, along with predisposing, enabling, and reinforcing factors, were significantly associated with parents’ oral health care behaviors for their children at the 0.05 level of statistical significance. This study highlights the importance of promoting knowledge, positive attitudes, access to oral health care products, dental care services and support from information sources and surrounding individuals to sustainably improve oral health care behaviors among young children aged 3-5 years.

The Effects of The Nursing Model for End-Stage Palliative Patients on Case Management at Chaibadan Hospital Lopburi Province

2025-06-09T15:05:13+07:00

The rising number of end-stage patients highlights the critical need for nursing models that address individual needs effectively. This quasi-experimental study aimed to implement and evaluate a case management-based palliative nursing model for end-stage patients at Chaibadan Hospital, Lopburi Province. The sample included 30 professional nurses and 60 end-stage patients, selected via purposive sampling. Research instruments comprised the developed nursing model and six tools: personal
data form, nursing practice record, patient outcome assessment, satisfaction questionnaires for patients/families and nurses, and a knowledge test on end-of-life care. Content validity ranged from
0.86 to 0.98 (CVI), with Cronbach’s alpha values between 0.83 and 0.94, and KR-20 = 0.84. Data were analyzed using descriptive statistics and a one-group pretest–posttest design.

The research results revealed that, post-implementation results showed a significant increase in nurses’ knowledge (M = 39.28 ± 2.35) from baseline (M = 26.14 ± 3.45), improved nursing practice
(M = 5.36 ± 1.78 vs. 3.75 ± 2.90), and better care outcomes (M = 3.74 ± 1.00 vs. 2.26 ± 1.99), all with statistical significance (p < .05). Patient and family satisfaction was high (M = 4.05 ± 0.60), as was nurse satisfaction (M = 4.00 ± 0.64). The findings suggest that the proposed nursing model enhances knowledge, care quality, and satisfaction, and can be adopted as a guideline to improve palliative care in similar healthcare settings.

Effectiveness of Oral Health Education via LINE Application to Promote Oral Health for Homebound Elderly in Mueang Yala District, Yala Province

2025-07-28T15:13:30+07:00

This quasi-experimental study aimed to evaluate the effectiveness of delivering dental health education via the LINE application in promoting oral health among homebound elderly individuals in Mueang Yala District, Yala Province. A purposive sampling technique was employed to select 40 participants. Data were collected using three instruments: the LINE application, educational video media tailored for homebound elderly individuals, and structured questionnaires assessing oral health knowledge and self-care behaviors. Data analysis was conducted using descriptive statistics (percentage, mean, and standard deviation) and paired sample t-test.

The findings indicated that the mean post-intervention score for oral health knowledge was significantly higher than the pre-intervention score, with a statistical significance level of 0.05. The results show that providing dental health education via the LINE application is an effective approach to increase knowledge and improve oral health care behavior among homebound elderly. Therefore, relevant agencies can apply this approach to promote oral health in this target group.

Risk Assessment of the Working Environment in the Central Supply Department of the Hospital

2025-07-04T22:56:45+07:00

This study aimed to identify hazards and assess environmental risks in the working conditions of the Central Supply Department of a hospital in Chonburi Province. The research employed a descriptive cross-sectional design. The study population and sample comprised the Central Supply Department, which was assessed for its working environment, and seven purposively selected staff members. Data were collected using the Job Safety Analysis (JSA) method and analyzed according to the Ministry of Industry’s 2000 Regulation on Hazard Identification, Risk Assessment, and Risk Management Planning. Hazards were identified using safety analysis techniques for each step of the work process, with scores assigned for the likelihood and severity of events in the risk assessment.

The results revealed that the Central Supply Department working environment presented 12 risk items across seven work process steps. Two items were classified as high risk (8 points): bloodborne pathogen exposure and chemical exposure (e.g., ethylene oxide). Six items were considered acceptable risks (4 points), and four items were minor risks (2 points). It was recommended to develop and implement a risk reduction and control plan in accordance with preventive measures and improvement strategies, as well as to promote safe work practices and good occupational health among personnel, in order to reduce the likelihood of accidents and occupational illnesses in the Central Supply Department.

The effect of stretching exercises at workstation to reduce Of musculoskeletal disorders among informal textile workers

2025-08-31T19:11:49+07:00

This study the effect of stretching exercises at workstation to reduce of musculoskeletal disorders among informal textile workers. Quasi-experimental research aimed to investigate the effects of a workstation-based stretching program on reducing musculoskeletal disorders among 30 informal textile workers in Kalasin Province, Thailand. The intervention group participated in a stretching program conducted before, during, and after work for a duration of seven consecutive days. Data collection tools included a personal information questionnaire, a muscle stretching activity tracking form, and an 8-channel surface electromyography (EMG) device. The mean muscle EMG activity during muscle contraction was measured and compared using the paired t-test at a 95% confidence interval.

The results revealed that following the implementation of the stretching program, the percentage of EMG activity at 0,15and 30 minutes post-intervention decreased in the lower back and both left and right shoulder regions. In conclusion, the workstation-based stretching program improved muscle strength and flexibility and effectively reduced the severity of musculoskeletal disorders among the informal textile workers and management plan, risk management, and continuous monitoring and evaluation within the workforce to reduce potential losses and enable the workforce to work efficiently.

The Effectiveness of Telehealth Technology Combined with Directly Observed Treatment on Adherence Medication Reminder Among Tuberculosis Patient in the Community: A Case Study of Tuberculosis Patients Registered at the Tuberculosis

2025-08-10T12:34:51+07:00

This research aims to evaluate the effectiveness of using telehealth technology to send reminder messages to tuberculosis (TB) patients to take their medication in conjunction with the Directly Observed Treatment, Short-Course (DOTS) strategy. Additionally, it assesses the feasibility of developing a telehealth system for monitoring and treating TB patients within communities.
A Convergent Mixed-Methods Design was employed, combining a quasi-experimental study with qualitative research methods, including in-depth interviews. The study involved 47 participants in the experimental group and 51 participants in the control group. Research instruments included
a telehealth program, patient record forms, medication adherence assessment tools, and
semi-structured interviews. Chi-square statistics, logistic regression, and content analysis were used to analyze the data. The findings revealed that the mean adherence scores significantly differed
(p < .001), with the experimental group demonstrating better adherence and cooperation in TB treatment compared to the control group. The integration of telehealth reminders with directly observed treatment was significantly associated with treatment success (p < .001). Patients who received telehealth reminders were 2.7 times more likely to successfully complete their TB treatment (p < .001, 95% CI: 0.024 - 0.189) compared to those receiving direct observation alone. These results suggest that incorporating telehealth technology into TB treatment is feasible and well-suited for the digital era, offering a promising approach for improving medication adherence and treatment outcomes.

Effects of the 5-Dimensional Happiness Program on Preventing Depression in Older Adults in Saluang Sub-district, Chiang Mai Province: Integrating the Family Health Concept for Mental Health Promotion

2025-07-28T21:34:58+07:00

The objective of this study was to evaluate the effects of the Five-Dimension Happiness Program among older adults at risk of depression. The sample comprised 163
older adults residing in Saluang Subdistrict, Chiang Mai Province. This study employed a
quasi-experimental, one-group pretest-posttest design. The program was implemented over an eight-week period. Data were collected before and after the intervention using the Thai Geriatric Depression Scale-15 (TGDS-15), the World Health Organization Quality of Life Instrument–Older Adults Module (WHOQOL-OLD), and a mental health-promoting behavior assessment tool, which had a content validity index (IOC) ranging from 0.80 to 1.00. Data were analyzed using paired
t-test and Chi-square test.

The results revealed that after participating in the program, the mean depression score significantly decreased from 7.8 (S.D. = 2.6) to 4.1 (S.D. = 2.3) (t = 13.45, p < .001). The mean quality of life score significantly increased from 65.2 (S.D. = 7.3) to 75.6 (S.D. = 6.8) (t = 11.89,
p < .001). The total mean score for mental health-promoting behaviors significantly
increased from 18.5 (S.D. = 4.7) to 25.2 (S.D. = 5.1) (t = 15.76, p < .001). Analysis of individual dimensions of mental health-promoting behaviors indicated significant improvements in regular
exercise, mindfulness meditation, daily communication with family members, sufficient
sleep, and reduction or cessation of smoking and alcohol consumption. In conclusion, the
Five-Dimension Happiness Program effectively reduced depression and enhanced quality of life and mental health-promoting behaviors among older adults.

Analysis of Situations Related to Stroke for Hypertension and Diabetes Patients in Uthong Hospital Suphanburi Povince

2025-07-17T10:59:49+07:00

This survey research aimed to study the situation, risk factors and health behaviors of stroke in stroke patients at U Thong Hospital, Suphan Buri Province. The study was conducted in a group of hypertensive and diabetic patients who received treatment at U Thong Hospital, Suphan Buri Province, fiscal year 2024, totaling 324 people. Data were collected using an electronic database of new stroke patients using a data recording form developed by the researcher based on the holistic health care concept. Data were analyzed using descriptive statistics.

The results revealed that (1) The situation of cerebrovascular accident is mostly caused by cerebral infarction or occlusion and cerebral infarction. The patient receives treatment at the hospital. (2)Risk factors for cerebrovascular disease are mostly uncontrolled blood pressure, uncontrolled blood sugar, high LDL cholesterol and triglycerides, and body mass index. (3) Health behavior: Patients drink alcohol, smoke, and use drugs. Recommendations: A stroke prevention model should be developed through health team building, empowerment, and promotion of family and community participation.