Confirmatory Factor Analysis of the Components of Positive Mental Health Literacy for Thai Elderly
Keywords:
Confirmatory Factor Analysis, Positive Mental Health Literacy, Thai Elderly peopleAbstract
This quantitative research aimed to analyze the confirmatory factor structure of positive mental health literacy among Thai elderly people. The sample consisted of 400 elderly individuals aged 60 – 79 years, selected through a multi-stage cluster sampling method from four regions of Thailand. The research instrument was the Positive Mental Health Literacy Assessment Scale, comprising 26 behavioral indicators categorized under six core components and measured on a 5-point Likert scale. The instrument demonstrated high reliability, with a Cronbach’s alpha coefficient of .88. Data were analyzed using confirmatory factor analysis (CFA).
The results indicated that the model of positive mental health literacy among Thai elderly people was consistent with the empirical data: Chi-square (c2) = 248.39, p-value = 0.08, df = 219, relative chi-square (c2/df) = 1.13, GFI = 0.95, AGFI = 0.93, CFI = 1.00, and RMSEA = 0.02. All six components had positive and statistically significant standardized factor loadings at the .05 level. The six components were: problem-solving (0.97), prosocial behavior (0.93), relatedness and interpersonal relationships (0.90), personal satisfaction and self-actualization (0.90), self-control (0.87), and autonomy (0.83).
The findings support the components of positive mental health literacy among Thai elderly people. The model demonstrated a good fit to the empirical data, and all six components showed statistically significant positive factor loadings. This indicates the appropriateness of the scale for effectively assessing and promoting mental health in the elderly population.
References
Bennett, M., Ng-Knight, T., & Hayes, B. (2017). Autonomy-supportive teaching and its antecedents: Differences between teachers and teaching assistants and the predictive role of perceived competence. European Journal of Psychology of Education, 32(4), 643–667. doi.org/10.1007/s10212-016-0321
Bjornsen, H. N., Ringdal, R., Espnes, G. A., Eilertsen, M.-E., and Moksnes, U. K. (2018). Exploring MEST: a new universal teaching strategy for school health services to promote positive mental health literacy and mental wellbeing among Norwegian adolescents. BMC Health Services Research, 18, 1001. doi.org/10.1186/s12913-018-3826-5
Boonpichachan, P., Panutha, S., & Tamdee, D. (2022). Mental health literacy and psychological well-being among dependent elders. Nursing Journal CMU, 49(1), 186-198. (in Thai)
Carvalho, D., Sequeira, C., Querido, A., Tomás, C., Morgado, T., Valentim, O., et al., (2022). Positive mental health literacy: A concept analysis. Frontiers in Psychology, 13, 877611. doi.org/10.3389/fpsyg.2022.877611
Chewasopit, W. (2019). Aging society: The changed marketing factor. Journal of MCU Nakhondhat, 6(1), 38-54. (in Thai)
Craik, F. I., & Salthouse, T. (1992). The Handbook of Aging and Cognition. Hillsdale, Lawrence Eribaum Associates, Inc.
Cuijpers, P., Karyotaki, E., Reijnders, M., Purgato, M., Barbui, C., & de Beurs, D. (2020). Meta-analyses and mega-analyses of the effectiveness of problem-solving therapy for adult depression: A systematic review. Cognitive Behaviour Therapy, 49(1), 1–13.
Department of Disease Control. (2023). 5 Non-Communicable Diseases Found in The Elderly. Retrieved October 3, 2023 from https://ddc.moph.go.th/dncd/publishinfodetail.php? publish=15282&deptcode=dncd, (in Thai)
Department of Mental Health. (2020). National Mental Health Survey 2019. Ministry of Public Health, Thailand. (in Thai)
Department of Mental Health. (2023). Information on The Assessment of Mental Health of Thai People. Retrieved October 3, 2023 from http://checkin.dmh.go.th/dashboards. (in Thai)
Department of Older Persons. (2023). Situation of the Thai Elderly 2023. Retrieved August 12, 2023 from https://www.dop.go.th/th/statistics_side?content=1&sub=2. (in Thai)
Hedberg, L., & Lutzen, K. (2005). Self-care and self-regulation in older people: A nursing perspective. Journal of Clinical Nursing, 14(7), 853-861.
Hopper, E. (2024). Maslow's Hierarchy of Needs Explained. Retrieved October 3, 2024 fromhttps://www.thoughtco.com/maslows-hierarchy-of-needs-4582571.
Inagaki, T. K., MacCormack, J. K., & Muscatell, K. A. (2022). Prosocial and positive health behaviors during a period of chronic stress protect socioemotional well being. Affect Science, 3(1), 160–167. doi.org/10.1007/s42761-021-00052-7
Kim, Y. S., Lee, H. Y., Lee, M. H., Simms, T., & Park, B. H. (2017). Mental health literacy in Korean older adults: A cross-sectional survey. Journal of psychiatric and mental health Nursing, 24(7), 523–533. doi.org/10.1111/jpm.12369
Kutcher, S., Wei, Y., & Coniglio, C. (2016). Mental health literacy: past, present, and future. Canadian Journal of Psychiatry, 61(3), 154–158. doi.org/10.1177/0706743715616609
Lee, S., & Kim, H. (2021). The impact of chronic illness and social role loss on life satisfaction in older adults. Aging & Mental Health, 24(10), 1680–1687. doi.org/10.1080/13607863.2019.1633622
Lockwood, P. L., Abdurahman, A., Gabay, A. S., Drew, D., Tamm, M., Husain, M., & Apps, M. A. J. (2021). Aging increases prosocial motivation for effort. Psychological Science, 32(1), 1–14. doi.org/10.1177/0956797620960398
Maliwan, S. (2024). Dependency of the Thai elderly in the next 20 years: Health forecast. Anamai General Poll: Department of Health. Retrieved December 10, 2024 from https://hfd.anamai.moph.go.th/th/news-anamai-3/229198. (in Thai)
Park, S., Kim, B., & Lee, H. (2021). Social relationships and mental health among older adults in South Korea: The mediating role of loneliness. Aging & Mental Health, 25(5), 858–865. doi.org/10.1080/13607863.2019.1699022
Petrova, N. N., and Khvostikova, D.A. (2021). Prevalence, Structure, and Risk Factors for Mental Disorders in Older People. Advances in Gerontology, 11(4), 409–415.
Phulkerd, S., Gray, R. S., Chamratrithirong, A., Pattaravanich, U., & Thapsuwan, S. (2023). Financial satisfaction, food security, and shared meals are foundations of happiness among older persons in Thailand. BMC geriatrics, 23(1), 690. https://doi.org/10.1186/s12877-023-04411-1
Santini, Z. I., Torres-Sahli, M., Hinrichsen, C., Meilstrup, C., Madsen, K. R., Rayce, S. B., et al. (2020). Measuring positive mental health and flourishing in Denmark: validation of the mental health continuum-short form (MHC-SF) and cross-cultural comparison across three countries. Health and quality of life outcomes, 18(1), 297. https://doi.org/10.1186/s12955-020-01546-2
Schumacker, R. E., & Lomax, R. G. (2010). A Beginner’s Guide to Structural Equation Modeling (3rd ed.). Taylor & Francis Group.
Sithikan, W., Moolphate, S., & Jaitae, S. (2017). Factors associated with health-promoting behaviors of the elderly in Ban Hong subdistrict municipality, Ban Hong district, Lamphun. Lampang Medical Journal, 38(2), 49–58. (in Thai)
Smith, J. A., Brown, R. L., & Garcia, M. (2021). Factors influencing life satisfaction among older adults: A systematic review. Journal of Gerontological Nursing, 47(3), 15–23.
Tabsee, S. (2020). Factors related to self-care behavior of the elderly in Kangkrajan district, Phetchaburi province. Journal of Prachomklao College of Nursing, 3(1). 14-30. (in Thai)
Tachavijitjaru, C. (2018). Health literacy: A key indicator towards good health behavior and health outcomes. Journal of The Royal Thai Army Nurses, 19(Supplement). 1-9. (in Thai)
Urairat, M., & Laeheem, K. (2018). The relationship between interpersonal relationship and current self-concept with self-esteem of the elderly at Jong-Hua foundation, Songkhla province. Parichart Journal, 31(2), 215–230. (in Thai)
Wang, Y., Hu, Z., Liu, Y., & Yang, J. (2022). Social support and mental health among older adults living alone during the COVID-19 pandemic: A moderated mediation model. International Journal of Environmental Research and Public Health, 19(3), 1653. doi.org/10.3390/ijerph19031653
Willis, S. L. (1996). Everyday cognitive competence in elderly persons: Conceptual issues and empirical findings. Gerontologist, 36(5), 595–601. doi.org/10.1093/geront/36.5.595
World Health Organization. (2023). Mental Health of Older Adults. Retrieved August 12, 2023 from https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults.
Yamane, T. (1973). Statistics: An Introductory Analysis. (3rd ed). New York: Harper and Row.
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