Effectiveness of Care in Older Adults with Chronic Illness by Community Participation
Keywords:older adults, chronic illness, community participation
In Thai community, older adults with chronic diseases (diabetes mellitus and hypertension)
have experienced health problems. Community participation is one of an emphasized approach
for problem solving. This participatory action research aimed to examine effectiveness of caring for the
elderly with chronic diseases using community participation. Purposive sampling technique was used
to recruit 40 participants including 22 older adults with chronic diseases, 12 public health volunteers,
and 6 social networks in Khao pra ngam community, Lopburi province. The study consisted of 5 steps:
1) situation analysis; 2) project planning; 3) activities involving conducting caregiver training course
70 hours and developing geriatric health assessment tool and individual care management plan;
4) reflective activities; and 5) evaluation. Data were collected using questions from group discussion,
in-depth interviews, the WHOOL-BREF THAI version interviews and participatory satisfaction
questionnaire. Data were analyzed using descriptive statistics, Wilcoxon singed-rank test, and content
Results showed that: 1) older adults with chronic diseases showed significantly increased quality
of life at 12 weeks after receiving the program; 2) community network showed significantly increased
satisfaction participatory at 12 weeks after receiving the program. Key success factors were capability
of public health volunteers, community management system, structure of the community network,
collaboration, finance, and leadership. These factors can be applied to other communities.
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Article published Is the copyright of the Journal of Health and Nursing Research (Boromarajonani College of Nursing, Bangkok) Cannot be republished in other journals