Community Capacity Model for Promoting Spiritual Well-Being among Thai Older People with Chronic Illness: A case study of Tambon Ban Tom, Phayao Province
รูปแบบศักยภาพชุมชนในการส่งเสริมสุขภาวะทางจิตวิญญาณของผู้สูงอายุโรคเรื้อรัง: กรณีศึกษา ต. บ้านต๋อม จ. พะเยา
Keywords:
Community capacity, spiritual well-being, older people, chronic illnessAbstract
ABSTRACT
This mixed method study, triangulation design with quantitative and qualitative methods aimed to investigate spiritual well-being, community capacity, and a model of community capacity for promoting spiritual well-being among older people with chronic illness in Tambon Ban Tom, Phayao Province. Participants for quantitative component were 320 older people with chronic illness selected by multi-stage sampling. The samples for qualitative component were 50 older people with chronic illness and people involving care for them selected by purposive sampling. The research instruments were 1) The Spiritual Well-being Scale for Thai Buddhist Adults with Chronic Illness and the Chronbach alpha was .81 and 2) The semi-structure interview questions to explore community capacity model for promoting spiritual well-being. The data collection was divided into two phases. The first phase was the measurement of spiritual well-being. The second phase was qualitative study regarding community capacity for promoting spiritual well-being among older people with chronic illness using focus group and in-depth interview that were used for development of model. Data were analysed using descriptive statistics and content analysis. The results showed high levels of total spiritual well-being (Mean = 3.76, S.D. = .87). The community capacity was well prepared to promote spiritual well-being for older people with chronic illness. It was also found that the key five themes consisted of community participation, leadership, sense of community, community network, and community resources. The model was developed through the process of community’s participation and sharing. This included the steps of problem assessment, planning, implementation, and evaluation; applying existing knowledge and experience in setting context appropriately; and developing networks and collaboration within and outside the community continuously. These could be the key factors of successful implementation of community activities.
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