Application of the PEMEC strategy to strengthen community participation in for the care of dependent elderly in Srimuangchum sub-district Mae Sai District Chiang Rai Province

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Pranee Chantima
Porntip Sareeso


Background: Long-term care (LTC) is for the care of dependent older people who require community network partners to provide sound and sustainable care.

Objective: To drive and examine the effectiveness of community participation in LTC by comparing ADL scores, a mean score of community participation, and satisfaction.

Methods: Participatory action research and the PEMEC strategy were used through the research consists of Public guidance, Educating, Marking ideas, Empowerment, and Collective agreement in the following four steps; 1) situation study, 2) model development, 3) action phase, and
4) outcome evaluation. This research was conducted from December 2019 to July 2020.  The purposive sampling method was used throughout the study, with 124 participants from 1) the public sector, 2) the local government department, and 3) the health sector. The research instruments included the interview forms for participation, satisfaction, and opinions of the network partners. Data were collected through the interview and focus group discussion. The quantitative data were analyzed using descriptive statistics, and the qualitative data were analyzed using content analysis.

Results: The study showed that the mean score of comprehensive engagement was significant (p<.001), that the score of satisfaction with participation was lower before the performance  than after the performance (p<.001), and the ADL score of the dependent elderly had increased after the performance.

Conclusion: The PEMEC strategy was key to driving community engagement in LTC and improving activities of daily living in older people.


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Chantima, P. . ., & Sareeso, P. (2021). Application of the PEMEC strategy to strengthen community participation in for the care of dependent elderly in Srimuangchum sub-district Mae Sai District Chiang Rai Province. JOURNAL OF HEALTH SCIENCE RESEARCH, 15(3), 59–70. Retrieved from
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