International Journal of Public Health and Health Sciences https://he01.tci-thaijo.org/index.php/ijphs <p><img src="/public/site/images/ijphs-editor/Aims_and_Scope_of_IJPHS1.jpg"></p> Praboromajchanok Institute for Health Workforce Development (PBRI), Ministry of Public Health, Thailand. en-US International Journal of Public Health and Health Sciences 2673-0200 <p>If the manuscript is accepted for publication, copyright of the article shall be assigned to the IJPHS. After acceptance of a manuscript, the authors will be requested to complete a copyright transfer agreement form</p> Caregivers of Older Adults with Chronic Illnesses and Coping Strategies and Quality of Life: A Convergent Mixed Methods Study https://he01.tci-thaijo.org/index.php/ijphs/article/view/255729 <p><strong>Objectives:</strong> This study aims to develop a comprehensive understanding of coping strategies, quality of life (QoL), and its associated factors among caregivers of older adults with chronic illnesses. <strong>Methods:</strong> A convergent mixed methods approach was used. This study was conducted in a tertiary level hospital in Chanthaburi province, which is located in the eastern region of Thailand from February 1 to July 31, 2021. In total, 57 patient-caregiver dyads completed the <u>T</u>hai version of <u>c</u>oping, and <u>a</u>daptation <u>p</u>rocessing <u>s</u>cale-<u>s</u>hort <u>f</u>orm (TCAPS-SF) to assess their coping strategies and the World Health Organization Quality of Life Assessment in Thai (WHOQOL-BREF-Thai) to assess their quality of life were measured. A sample of 57 caregivers participated in semi-structured face-to-face interviews. Data were analyzed using qualitative content analysis and correlation analysis. <strong>Results: </strong>The caregivers' mean age was over 40 years. Correlation analysis showed that the coping strategies had a moderate association with quality of life (QoL) (r = 0.344,<em> p</em> &lt;0.01). From qualitative findings, threatening coping factors (including avoidance state and alcohol drinking) and four enhancing coping factors (including community as assistance, self-encouraging activity, religious commitment, and positive perspective) were generated. The mixed analysis confirmed that coping strategies are associated with QoL. <strong>Conclusions: </strong>Caregivers of older adults with chronic conditions experience caregiving challenges resulting from their coping strategies that impact caregivers' QoL. Collaborative efforts are needed to create multifaceted interventions and programs to enhance caregivers' coping strategies as transitional care from hospital to home.</p> Rungnapha Khiewchaum Sarisa Wongprakod Chanjira Hinkhaw Yosapon Leaungsomnapa Copyright (c) 2022 International Journal of Public Health and Health Sciences https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-06 2022-06-06 4 2 9 23 The Effectiveness of the Group Psychological Counseling Model to Enhance Psychological Well–Being of Elderly in Yala Province, Thailand https://he01.tci-thaijo.org/index.php/ijphs/article/view/254401 <p>This mixed-method study aimed to evaluate the effectiveness of the group psychological counseling model for enhancing psychological well–being of elderly in Yala Province, Thailand. The experimental group consisted of 8 elderly people selected by multi-stage and purposive sampling. Research instruments comprised; psychological well–being questionnaires for the elderly people with the reliability of 0.77, the psychological counseling model with the IOC ranged from 0.60 – 1.00, and items for a focus group discussion. Data were analyzed by using Friedman and <em>Wilcoxon signed-rank test </em>including content analysis. The findings revealed that the mean scores of psychological well-being of the elderly were higher after participating in group counseling and the follow up were 4.11, 5.13 and 5.29, respectively. The mean scores Psychological well–being of the elderly were different between before counseling, after participating in group counseling and the follow up ( = 14.250, p &lt;.001). Focus group report of the elderly who attended the group counseling model showed that they were satisfied with the group counselling model as they had opportunity to freely express and exchange their ideas within the group members and satisfied with the model and applied to living well. The study found group psychological counseling model results in a statistically significant and influences the level of psychological well-being of the participants for enhancing psychological well–being of elderly in Yala Province, Thailand. The study findings could be utilized as the baseline data for enhancing psychological well–being of elderly in the community to develop the plan for improving the quality of life of the elderly. Furthermore, the findings could be used for developing the guideline for providing the service which met the needs of the elderly.</p> Ubontip Chaisang Nitipat Mekkhachorn Niwat Chaisang Thitika Kimse Copyright (c) 2022 International Journal of Public Health and Health Sciences https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-06 2022-06-06 4 2 24 32 Nurses’ Experiences in Effective Communication with Dementia https://he01.tci-thaijo.org/index.php/ijphs/article/view/255410 <p>Effective communication is important for understanding a patient’s needs. There were yet, a few studies that explored experiences communicating effectively with older people with dementia in an Asian context. This qualitative study explored nurses' experiences of effective communication for older people with dementia. The criterion sampling method was used to select seven nurses with more than five years of experience in dementia clinic. The nurses who assented to participate in this study were included. A semi-structured in-depth interview was chosen for collecting the data. The findings from content analysis found the main categories of nurses' experiences in effective communication were: using techniques, considering individual differences, nurses’ politeness, and creating familiarity. This information is beneficial knowledge for nurses to create a practice guideline for effective communication with Thai older people with dementia.</p> Phanit Leecharoen Yuwanida Aramroom Surasak Puthiwanit Kesinee Bauchean Yuwanida Aramroom Copyright (c) 2022 International Journal of Public Health and Health Sciences https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-06 2022-06-06 4 2 33 41 Transtheoretical Model (Stages of Change) and Its Potential Applications to Psychiatric and Mental Health Nursing Practice https://he01.tci-thaijo.org/index.php/ijphs/article/view/255223 <p>Over the years, mental health challenges have always been a significant concern for the healthcare system. More recently, global events including the COVID-19 pandemic and its impacts on society have increased the burden and stress on the healthcare system and its management of mental health issues. This article offers a fresh perspective on the possibility of integrating the Transtheoretical Model (Stages of Change) in Psychiatric and Mental Health Nursing Practice alongside the already existing nursing concepts, approaches and interventions. This model has already been widely used in behavioral studies and in the management of chronic diseases. In the field of mental health nursing, this is yet a concept that needs further exploration. The use of the Transtheoretical Model highlights the shared responsibility and commitment to change by the client and the mental health practitioner such as the nurse. According to the elements of the Transtheoretical model, when a client’s self-efficacy, commitment, and readiness to change are taken into consideration, this is more likely to lead to treatment and recovery success that is long-term and more permanent, thereby preventing relapses. Of all the elements of the Transtheoretical model, this article highlights the six stages of change, ways to identify an individual’s stage of change and the appropriate nursing approaches as well as the pros, cons, and opportunities for further research. </p> Sarah Jane Racal Yuwanida Aramroom Onpicha Ketphan Copyright (c) 2022 International Journal of Public Health and Health Sciences https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-06 2022-06-06 4 2 1 8