Effects of Dementia Prevention Program for Older Adults at Risk
Article Sidebar
Main Article Content
Abstract
The quasi-experimental research aimed to examine the effects of a dementia prevention program in elderly people at risk aged 60 - 69 years old. The 56 subjects were elderly club members from two health promoting hospitals. The experimental group was randomly about 27 subjects. They received the program based on the Protection Motivation Theory for seven weeks. This included proving education, watching video, doing risk assessment of dementia, sharing experience of brain training with relaxation, and encouraging dementia prevention behavior by a group activity for three times and one telephone visiting. For the control group was 29 subjects who received a usual care. Data were collected at the 1st, 4th, and 7th week by using questionnaires based on the Protection Motivation Theory the content validity and reliability were .96 and .92 respectively. Descriptive statistics, Independent t-test and Repeated measure one - way ANOVA were employed for data analysis.
The research results revealed that the mean scores of perceived severity, perceived susceptibility, response-efficacy, self-efficacy and health promotion behavior of the experimental group both at the 4th week and at the 7th week were significantly higher than those at pre-test and higher than those of the comparison group (p-value < .05). The results of this study could be applied to prevent dementia for the elderly in community or the elderly club based on community context.
Article Details
References
Foundation of Thai Gerontology Research and Development Institute and Institute for Population and Social Research Mahidol University. Situation of the Thai elderly 2018. Bangkok: Printery Company Limited; 2018. (in Thai)
Nonthaburi Provincial Social Development and Human Security Office. Social situation reports in Nonthaburi province budget year 2018 [Internet]. 2018 [cited 2018 Sep 17]. Available from: https://drive.google.com/file/d/1UwjG3nl-zO5ycA6K-9SXJfYuKsCgKXFK/view (in Thai)
Thongcharoen W. Science and art elderly nursing. 2rd ed. Bangkok: Faculty of Nursing Mahidol University; 2015. (in Thai)
Provincial Public Health Office Nonthaburi. Screening for the elderly, 10 subjects, health area 4, Nonthaburi province, fiscal year 2018 [Internet]. 2018 [cited 2021 Jun 30]. Available from: https://nbi.hdc.moph.go.th/hdc/reports/report.php?source=pformated/format1.php&cat_id=6966b0664b89805a484d7ac96c6edc48&id=df0700e8e3c79802b208b8780ab64d61 (in Thai)
Muangpaisan W. Dementia prevention, assessment and care. Bangkok: Parbpim; 2013. (in Thai)
Institute of Neurology, Department of Medical Services. Clinical practice guidelines: dementia. Bangkok: Tana Press; 2014. (in Thai)
Alzheimer's association. Mild cognitive impairment (MCI) [Internet]. 2017 [cited 2017 Nov 10]. Available from: https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment
Phanakorn L, Nanthamongkolchai S, Pitikunthang S, Munsawaengsub C, Taechaboonsermsak P. Factors influencing dementia in elderly women in Lumphun province. Journal of Public Health 2015;45(2):197-209. (in Thai)
Ekparakorn W. Report of the 5th Thai health survey by physical exam 2014. Nonthaburi: Aksorn Graphic and Design; 2016. (in Thai)
Bureau of Information Office of The Permanent Secretary of MOPH. MOPH reveals that there are 600,000 people with Alzheimer's disease in Thailand, urgently screening and organizing care systems [Internet]. 2016 [cited 2017 Sep 10]. Available from: https://pr.moph.go.th/?url=pr/detail/2/04/86580
Senior Citizens Council of Thailand. Elderly club guide [Internet]. 2016 [cited 2017 Dec 12]. Available from: http://www.dop.go.th/download/knowledge/knowledge_th_20161706104732_1.pdf (in Thai)
Rogers RW. Cognitive and physiological process in fear appeas and attitude change: a revised therory of protection motivation. New York: The Guilford Perss; 1983.
Nonthaburi Provincial Office. Information briefing of Nonthaburi province [Internet]. 2016 [cited 2016 Jul 20]. Available from: http://www.nonthaburi.go.th/Downloads/brief_nonthaburi.pdf (in Thai)
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Lawrence Erlbaum Association; 1988.
Phuangwarin N, Thongtang O, Asasantathai P. Thai geriatric depression scale - TGDS. Siriraj Hospital Gazetle 1994;46(1):1-9. (in Thai)
Kusalarak P, Nakaviro D. The validity study of the mini - cog test in Thai dementia patients. Ramathibodi Medical Journal 2012;35(4):264-71. (in Thai)
Kaewwannarat A. Methods of health education. 2nd ed. Chiang Mai: Unity and Progress Solutions; 2010. (in Thai)
Hawong S, Thaingtham W, Nanthamongkolchai S. The health promotion program for the elderly at risk group of Alzheimer’s in community. Journal of Public Health Nursing 2017; 31(1):110-28. (in Thai)
Sompol C, Rawiworakul T, Kirdmongkol P. Effects of a stroke prevention program for older adults with hypertension. Journal of Public Health Nursing 2017;31:57-74. (in Thai)
Sittibun W, Kaewsawat S. Effect on self-efficacy perception to hypertension disease prevention among people with pre-hypertension in Rhonphibul sub-district, Rhonphibul district, Nakhon Si Thammarat province. Journal of Health Science 2019;(28):116-24. (in Thai)
Goode AP, Taylor SS, Hastings SN, Stanwyck C, Coffman CJ, Allen KD. Effects of a home-based telephone-supported physical activity program for older adult veterans with chronic low back pain. Physical Therapy 2018;98(5):369-80.