Main Article Content
Background: During the COVID-19 outbreak, people increased the use of Andrographis paniculata (Burm.f.) Wall. ex Nees (AP), especially among older adults.
Objective: The purpose of this qualitative research was to examine the behaviors and factors that led to the use of (AP) as a result of the COVID-19 outbreak.
Method: The population was older adults who used herbal medicines in elderly schools of Ban Suan Municipality, Chonburi province. The key informants were 14 older adults. Data were collected by means of an in-depth interview. The data were analyzed by categorizing the information according to the research objectives.
Results: Most older adults used higher dose and amount of AP despite mild symptoms during the COVID-19 outbreak. The main reason for taking AP was to prevent COVID-19. Sources of information for taking AP during the COVID-19 outbreak were television and social media, and advice from health personnel, relatives, and friends. Most older adults were confident that AP can prevent and cure
COVID-19. However, older adults taking regular medications for noncommunicable diseases did not inform their physicians that they were taking AP along with regular medications. In addition, some older adults even temporarily discontinued their regular medications to use only AP.
Conclusions: Use of AP among older adults was consistent with the Health Belief Model, which states that health behaviors depend on perceived information, particularly risk and severity of illness. Information about the COVID-19 outbreak triggered fear in older adults, leading to the decision to protect themselves from the disease by using AP. However, if the knowledge about the disease and prevention is incorrect or misleading, it can lead to negative health outcomes for older adults.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.Authors who publish with this journal agree to retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Chinsoi P. Herbal medicine: Challenge of sustainable development. In Chantraket R. editor. The 17th National Academic Conference of Thai Traditional, Folk, and Alternative Medicines. Nuad Thai & Thai herbs towards good health for all. 2nd- 3rd September 2020; Thailand. Nonthaburi; p.148-50. (in Thai).
Ramphaiboon P, Charoensup R, Sunsern R, Kanthawee P. Effectiveness of the developing health literacy focusing on herbal and herbal product program among elderly people with hypertension at Mae-Chan District, Chiang Rai Province. Chiangrai Medical Journal. 2018;10(1):81-92. (in Thai).
Chaichanawirote U, Vithayachockitikhun N. Medication use behavior among older thai adults. Journal of Nursing and Health Science. 2015;9(1):32-46. (in Thai).
Caceres DD, Hancke JL, Burgos RA, Wikman GK. Prevention of common colds with Andrographis paniculata dried extract: A pilot double blind trial. Phytomedicine. 1997;4(2):101-4. doi: 10.1016/S0944-71 13(97)80051-7.
Rajanna M, Bharathi B, Shivakumar BR, Deepak M, Prashanth DS, Prabakaran D, et al. Immunomodulatory effects of Andrographis paniculata extract in healthy adults: an open-label study. J Ayuraveda Integr Med. 2021;12(3):529-34. doi: 10.10 16/j.jaim.2021.06.004.
Benjaponpitak A, Visithanon K, Sawaengtham T, Thaneerat T, Wanaratna K. Short Communication on use of andrographis herb for the treatment of COVID-19 patients. Journal of Thai Traditional & Alternative Medicine. 2021;19(1):229-33. (in Thai).
Department of Thai Traditional and Alternative Medicine. Instruction for Andrographis paniculata use for COVID-19 outbreak. Bangkok: Samcharoen Panich; 2021. (in Thai).
Wangpradit O, Chokdeesrijun C, Muangyim K, Wannapahul D. The structural factors of self-regulating medication adherence among the elderly at Elderly Schools in Chonburi Province. Journal of Health Science Research. 2021;15(3):37-47. (in Thai).
Nastasi BK, Schensul SL. Contributions of qualitative research to the validity of intervention research. J Sch Psychol. 2005; 43(3):177-95. doi: 10.1016/j.jsp.2005.04.003.
Sutheewasinnon P, Pasunon P. Sampling strategies for qualitative research. Parichart Journal Thaksin University. 2016;29(2):31-48. (in Thai).
Cheawjindakarn B. Qualitative case study research techniques. Liberal Arts Review. 2018;13(25):103-18. (in Thai).
Karnkunwithit P, Srisangkhajorn T, Chaemchamrat K. 101 home herbal medicine. Chonburi: Pro Ampine; 2019. (in Thai).
Strategy and Information for Provincial Development Unit, Chonburi Provincial Office. Chonburi COVID-19 situation information [Internet]. 2021 [cited 2021 Dec 18]; Available from: http://www. chon buri.go.th/website/project/view37. (in Thai).
Choosrithong R, Thipsut T, Munluan K. Important herbs in the era of Covid for the general public. Journal of Social Science for Local Rajabhat Mahasarakham University. 2022;6(1):293-300. (in Thai).
Phongsai N, Inthong C, Sontimuang D, Laojeenwong P, Chatawatee B. Factors related to self-care behavior with Andrographis paniculata during COVID-19 pandemic of people in Hat Yai, Songkla. Thai Bulletin of Pharmaceutical Sciences: 2022; 17(1):57-69. (in Thai).
Wongboonnak P, Wongtrakul P, Mahamongkol H, Neimkhum W. The survey of medicine, food supplement and herbal products used problems among elderly: A case study at the Community of Tumbon Srisa Chorakhe Noi, Samut Prakan Province. HCU Journal of Health Science. 2016;20(39):97-108. (in Thai).
Khantichitr P, Promwong W, Keawmanee C, Charoenukul A. Health belief model in the prevention of Corona virus disease 2019 (COVID-19) among people in Ubon Ratchathani Province. Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong. 2021:5(2):39-53. (in Thai).
Mattavangkul C, Kawitu K, Deenoo S, Sinwannakool S. Factor related to herbal use behavior for self-care among people in Phasi-Chareon District. Journal of Nursing, Siam University. 2019;20(39): 99-109. (in Thai).
Saengprajak N, Ounthab K, Mankamsee P, Pholset W. Factors associatedwith behavior using herbs for health care among elderly in Namon District, Kalasin Province. In Vanishprinyakul S. editor. Proceedings of the 2nd National Conference of Health Sciences, Rajabhat University Chiang Rai; 7-8 February 2019; Thailand, Chiang Rai; p. 220-30. (in Thai).
Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988;15(2): 175-83. doi: 10.1177/109019818801500 203.