DPAC Service program integrates to change health behavior Ageings at health Promotion clinic : Health promotion Region 1 Chiang Mai. Fiscal year 2017.

Abstract

Thailand has entered into the ageing society which leads to major health problems, especially non-communicable diseases. Planning is essential to prevent these problems in order to enhance the quality of life and reduce the healthcare costs. According to the desirable behavior of the elderly, it is part of health promotion and disease prevention. Therefore, Health clinic, Health promotion Region 1 Chiang Mai, a clinic that develops the model for promoting healthy behavior through DPAC (Dietary and Physical Activity Clinic), interesting to compare the effects of desirable health behavior of the elderly between a participate group in DPAC and those non-participate group.

            This study was a retrospective analytic study in the elderly, who attended the service at least 2 times between December 2016 and May 2017 with the total of 753 people. The study tools used are outpatient records of both history of smoking and alcohol, Global Physical Activity Questionnaire Version 2 (GPAQ) of Health organization, eating evaluation form of Dietary & Physical Activity Clinic (DPAC) of Health Department, used descriptive statistics including percentage, mean and standard deviation, and used the statistical analysis by Chi-squared test.

            The result of this study shows that the percentage of elderly is 43.16, who attended DPAC, mostly followed non-communicable diseases. The overall and individual changes in desirable behaviors in the elderly according to the Bureau of Aging, Department of Health found that M.E.T from leisure activities ≥180 M.E.T(exercise). Furthermore, the study found that the food consumption in Category A at least 24 points (The food should be eaten regularly including eating fruits, vegetables and drinking water) non-smoking and non-alcohol consumption where there are found to be non-significant change except overall physical activities and eating behavior rating in a category B (foods that should be avoided)

            In conclusion, only one time-participation in DPAC did not affect desirable behavioral change of the elderly according to the criteria of the Bureau of Aging, Department of Health. However, attending DPAC affects overall adequate physical activities of the elderly statistically significant differences compared to those who did not participate in DPAC (P=0.029).