Effectiveness of Care in Older Adults with Chronic Illness by Community Participation


  • Orawan Pankong Boromarajonani Nursing College, Praputhabat, Saraburi Province, Faculty of nursing, Praboromarajchanok Institute, Thailand
  • Sukanya Khrabiad Boromarajonani Nursing College, Praputhabat, Saraburi Province, Faculty of nursing, Praboromarajchanok Institute, Thailand
  • Kamolrat Amphawa Public Health Division at Lopburi Province
  • Patcharee Sangsee Boromarajonani Nursing College, Praputhabat, Saraburi Province, Faculty of nursing, Praboromarajchanok Institute, Thailand


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.


Download data is not yet available.


Foundation of Thai gerontology research and development institute. Situation of the Thai elderly [Internet]. 2014 [cited 2017 October 10]. Available from: https://www.thaitgri.org.pdf

Pankong O. Geriatric nursing. 4thed. Bangkok: Praboromarajchanok institute of welfare project; 2014. (in Thai).

Srithamrongsawat S, Bundhamcharoen K, Sasat S. Projection of demand and expenditure for institutional long-term care in Thailand. Health care reform project: Thai-European cooperation for health 2009. (in Thai).

Phalasuekand R, Thanomchayathawatch B. A family model for older people care. The southern college network. Journal of nursing and public health 2017;4(3):135-50. (in Thai).

World Health Organization. Innovative care for chronic conditions. World health organization [Internet]. 2002 [cited 2017 October 10]. Available from: http://www.who.int/ chp/ knowledge/publications/icccglobalreport.pdf

Boonmak R, Bouphan P. Community participation in health care services for type 2 diabetes mellitus patients: A case study of a sub-district health promoting hospital in Northeast Thailand. Journal of public health and development 2017;15(2):69-85. (in Thai).

Labonte R, Laverack G. Capacity building in health promotion, part 1; for who? And for who purpose? Critical public health [Internet]. 2001 [cited 2018 September 2]; 11:111-127. Available from: https://www.tandfonline.com/doi/abs/10.1080/09581590110039847

Piyasakulkiat O. Community participation in the development of the elderly quality of life of Thakhae Sub-District Lopburi Province. Rom phruek journal Krirk University, 2017; 36(3).

Srithamrongsawat S, Bundhamcharoen K, Sasat S, Amnatsatsue K. Community care model for older people in Thailand. 2009; 22-31. (in Thai).

Samphawamana O, Klaypugsee L, Arwut P, Phaenoi S. The development of chronic disease management for patients in a health promotion hospital: A case study of maluan health promotion hospital, Phunphin district, Suratthani Province. Nursing journal of the ministry of public Health. 2016; 157-67. (in Thai).

Kraioon S, Vonkaonoy S. The development network system of intervention for older persons with hypertension from hospital to community. The journal of Boromarajonani college of nursing, Nakhonratchasima 2015;41-53.

Khao Phra Ngam Municipality. Removing innovative lessons for the master's house project for chronic and elderly patients. Lop Buri: Khao Phra Ngam Municipality; 2016. (in Thai).

Cohen JM, Uphoff N. “Participation's place in rural development: seeking clarity through specificity”. World development. 1980;8:213-35.

Mahatnirunkul S, Tuntipivatanakul W, Pumpisanchai W. Comparison of the WHOQOL-100 and the WHOQOL-BREF (26 items). Journal mental health Thai 1998;5:4-15.

Thongchai N. Effect of promotion on fathers' role performance and satisfaction in participation during delivery [thesis]. Bangkok: Mahidol University; 1997. (in Thai).



How to Cite

Pankong O, Khrabiad S, Amphawa K, Sangsee P. Effectiveness of Care in Older Adults with Chronic Illness by Community Participation. JHNR [Internet]. 2020 Nov. 28 [cited 2022 Dec. 4];36(3):94-104. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/240133



Research articles