The Effectiveness of a Holistic Health Care Program in Older Adults Risking to Dementia
Keywords:dementia, holistic health care program, older adult
The purposes of a quasi-experimental study with two-group pre-test and post-test design were to study the effects of a holistic health care program on dementia, health status, and social support of older adult risking to dementia. The sample was the older adult risking to dementia in Kutchap district, Udonthani province. The sample size total 50 were calculated by G*Power 3.1. The subjects were randomized into the experimental group and comparison group with 25 in each group. The research instruments consisted of 1) the holistic health care program developed based on the concept of bio-psycho-social model. The duration was 8 weeks, and activities consisted of (1) workshop: health education, brain management exercises, meditation practice, and Basalop dancing, (2) home visit for elderly and family health leader by nurse practitioners and elderly caregivers. 2) A handbook of holistic health care for dementia prevention, 3) a brain exercise handbook, and 4) the questionnaire was used. The content validity indexes of health status and social support questionnaire were .96 and 1, and the Cornbrash’s alpha coefficients were .77 and .76, respectively. 5) The content validity index of mini-mental state examination-Thai version (MMSE-Thai 2002) was .96, and Cornbrash’s alpha coefficient was .70. Data were analyzed by descriptive statistics and t-test.
The study results revealed that after enrolling the holistic health care program, dementia, health status, and social support of elderly risking to dementia in the experimental group were significantly better than before enrolling the program and better than the comparison group at p-value .05.
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