Development of a Health Care Model for Home Bound Elder by Community Participation in Ubon Ratchathani, Thailand


  • นิธินันท์ มิลินจรูญพงษ์ บริษัท เอ็นซีซี เฮลธ์แคร์ จำกัด
  • มยุนา ศรีสุภนันต์ มหาวิทยาลัยเวสเทิร์น
  • สุรีย์ จันทรโมรี มหาวิทยาลัยเวสเทิร์น
  • ประภาเพ็ญ สุวรรณ มหาวิทยาลัยเวสเทิร์น


Health Care Model for Elder, Home Bound Elder, Community Participation


This research is a participatory action research (PAR) that applies community-based Approach. The purpose is to study and develop the health care model for the home bound elder by community participation in Ubon Ratchathani the sample group in Khemarat district was 40 community members or health network members and the home bound elder were 100 people, studied in February,2017–March,2018. The tools used were questionnaire, general information questionnaire for in-depth interview participatory assessment form the satisfaction rating and the quality of life assessment The research was approved by the ethics committee from Western University. Descriptive and inferential statistics for comparison of average scores before and after using Paired t-test and qualitative content analysis. The study was 2 spiral of development the health care model for the home bound elder by community participation comprised 1. There were community organizations established the elderly community 2. Public health team supports the knowledge and skills 3. Local government and district development will support welfare and care management 4. The discussion forum on elder care 5. Set up a multi-purpose center for the elderly in the community 6. Coordinate and cooperate network 7. Organize activities in the form of “community help community by community” by developing the potential of people of all ages in the community to care for the elderly. After the development of the model Average score Participation in development was higher than before development ( = 3.99, S.D. = 0.5). The results of the comparison between the mean scores of participatory development in the pre-development and post-development models were different. At the .05 level (t = 2.23, P-value <.05), the satisfaction of the community toward the model was found to be satisfactory at the high level. Satisfaction was increased ( = 37.88, S.D. = 6.66). The quality of life was at a moderate level ( = 68.74, S.D. = 8.22). The suggestion should be to provide an environment conducive to health care, promote health promotion, prevent disease and prevent complications from chronic diseases.


Download data is not yet available.


Foundation of Thai Gerontology Research and Development institute (TGRI). Report of the situation of the elderly in Thailand 2016. Bangkok : Pongpanich Charoenphan Co.,Ltd. ; 2016. (in Thai).

National Statistical Office. Key Findings of Working Elderly in Thailand 2016. Bangkok : National Statistical Office ; 2016. (in Thai).

Prachuablarp C., Wirojratana V., Jitramontree N. and Viriyavejakul A. The Relationships Between Mutuality, Predictability and Caregiver Role Strain in Older Persons With Parkinson’s Disease. Journal of The Royal Thai Army Nurses. 2014 ; 15(3) : 235-245. (in Thai).

Ubon Ratchathani Provincial Health Office. Documentation and Supervision of Performance. Ubon Ratchathani : Ubon Ratchathani Provincial Health Office ; 2016. (in Thai).

Tousignant, M., N. Dubuc R. and C. Coulomb. Home-care Programmes for Older Adults with Disabilities in Canada : How Can we Assess the Adequacy of Services Provided Ompared with the Needs of Users?. Health & Social Care in the Community ; 2007 : 15(1), 1-7, January.

Tokuda Y. & Hinohara S. Geriatric Nation and Redefining the Elderly in Japan. International Journal of Gerontology 2008 : 2(4), 154–15. 7. Kemmis, S., & McTaggart, R. The action research planner (3rd ed.). Victoria, Australia : Deakin University Press ; 1988.

Fisher, K., Bennett-Levy, J., & Irwin, R. What a GAS! Action research as a peer support process for postgraduate students. UltiBASE ; 2003.

Boyle, Geraldine. Facilitating Choice and Control for Older People in Long-term Care. Health & Social Care in the Community ; 2004 : 12(3), 212–220, May.

Dejsiri P. Development of health care model for the elderly by the community at Wang Saeng Subdistrict , Maha Sarakham Province. Master of Public Health Master Thesis Mahasarakrm university ; 2014. (in Thai).

Mahatnirunkul S., Tantipiwanakul V., Poompaisanchai V., Wongsuwan K. and Manarungkul M. World Health Organization Quality of Life Indicators. Chiang Mai : Suan Phung Hospital ; 2011. (in Thai).

Krejcie, Robert V. and Morgan, Daryle W. Determinining Sample Size for Research Activities. Educational and Psychological Measurement ; 2004 : v. 30, 607-610.

Phankong O. Nursing care for the elderly. Nonthaburi : Yutharin Printing ; 2009. (in Thai). 14. Kooha O., Tammawat N. Study of the health care system of the elderly with health vulnerability in the community. Journal of Geriatric Medicine. 2013 ; 10 (4) : 9-16. (in Thai).

Kunkarong O., Thaniwattananon P. and Kitrungroj K. Family care readiness and stress in caregiver role in Muslim patients. Journal of Narathiwat Rajanagarindra University. 2012 ; 4 (1) : 14-27. (in Thai).

Robroojane S. Development of the elderly health care model for elderly caregivers Warinchamrab District Ubon Ratchathani Province. Journal of Narathiwat Rajanagarindra University. 2017 ; 9 (3) : 57-69. (in Thai).

Phapeewdee W. Development of elderly health promotion model by elderly people in Ban Nong Suea community, Srisuk Subdistrict, Samrong Thap district, Surin province. Master of Public Health Master Thesis Mahasarakrm university ; 2013. (in Thai).

Auimsamai S., Muensit R. and Thongmak J. The elderly care model of volunteer caregivers Phukang Subdistrict, Phra Phutthabat district, Saraburi province. Journal of Nursing , Ministry of Public Health. 2012 ; 22 (3) : 77-87. (in Thai).

Chao, S., Lan, Y., Tso, H., Chung, C., Neim, Y. & Clak, M. J. Predictors of psychosocial Adaptation among Elderly Residents in Long-term Care Settings. Journal of Nursing Research. 2008 ; 16(2) : 149 – 158.

Namarak R. Family factors influencing exercise and eating behavior among elderly with overweight in Muang district Nakhonprathom province. [Dissertation].Chon buri : Burapha University ; 2015. (in Thai)

Phopa Y., Sanveingchan S. and Pruksacheva T. Factors Effecting Health Promotion Behavior in Elderly : In-Depth Factors Study in Ban Khlong Yong Moo 1. Journal of The Royal Thai Army Nurses. 2017 ; 18(2) : 266-275. (in Thai).



How to Cite

มิลินจรูญพงษ์ น, ศรีสุภนันต์ ม, จันทรโมรี ส, สุวรรณ ป. Development of a Health Care Model for Home Bound Elder by Community Participation in Ubon Ratchathani, Thailand. J Royal Thai Army Nurses [Internet]. 2018 Aug. 30 [cited 2022 Oct. 5];19:173-84. Available from: