Development of Skill Development Model for Elderly Caregivers, Sukhothai Province

Main Article Content

Saksit Bokaew

Abstract

            This advanced multistage evaluation mixed research study aims to develop the skill development model for elderly caregivers in Sukhothai province. The research procedure consisted of four phases including 1) study the factors affecting skills of elderly caregivers; 2) context analysis; 3) development of the skill development model for elderly caregivers and 4) evaluating effectiveness of the skill development model. The instruments used in this study were questionnaires and group interview. The data were analyzed and described using percentage, mean, standard deviation, minimum, maximum, stepwise multiple regression analysis, paired t-test, independent t-test, analysis of Covariance and content analysis.
            The results of the research showed that 1) factors affecting the skills of the elderly caregivers in Sukhothai province include supplementary factors and perceived benefits; 2) context and condition of elderly health care problem found that the condition of the elderly has three aspects: physical such as chronic disease and cerebrovascular disease; mental such as depression and mood disorder; and social such as lack of caretaker and abandonment. The problems of elderly caregivers were lack of confidence and decision-making, lack of knowledge and skills. 3) the skill development model for the elderly caregivers in Sukhothai province consisted of 6 activities: mentoring, buddy pairing, exchanging of ideas, taking lessons, prototyping for the elderly care, demonstrating elderly values and volunteering and 4) evaluating the effectiveness of the skill development model for elderly caregivers in Sukhothai province. It was found out that after activities were organized according to the development skill model of elderly caregivers, the experimental group had average knowledge. The attitude, satisfaction and skills of elderly caregivers were higher than before the activity and higher than the control group, and the elderly who were cared for from the experimental group had higher mean satisfaction and quality of life than before the activity and higher than the control group, statisticaly significant at .05. It was showed that the developed caregiver skill development model could enhance the skill of the elderly caregivers. Therefore, it should be used to cover more of the target group and apply in other areas appropriately.

Article Details

Section
Research Article

References

Foundation of Thai Gerontology and Development Institute. Situation of Thai elderly. Bangkok: Printery; 2018. (in Thai).

Department of Health, Ministry of Public Health. Handbook of long-term elderly health care. Bangkok: Health Promotion Agency Ministry of Health of Thailand; 2013. (in Thai).

Panyapong S, Chaisri A, Doungmala T, Khumchaiyaphum W, Prungchaiyaphom W. Formal of social welfare elderly in Chaiyaphom Province. Journal of MCU Peace Studies 2009;5(3):1-16. (in Thai).

Promjun T, Suppapitiporn S. Depression loneliness and self-esteem of the elderly in Bangkae Home and private homes for the aged in Bangkok. Chula Med J 2014;58(5):545-61. (in Thai).

Kitteerawutwong K, Kitteerawutwong N. The direction of development of long term caregivers in the community. Journal of Nursing and Health Care 2018;36(4):15-24. (in Thai).

Sukhothai Provincial Health Office. Summary of annual performance of the elderly for the year 2019. Sukhothai: Sukhothai Provincial Health Office; 2020. (in Thai).

Eamsamai S, Mhuensit R, Thongmag C. An elderly care model among caregiving volunteers at Phukrang Municipality, Amphur Praputthabat, Saraburi province. Nursing Journal of the Ministry of Public Health 2013;22(3):77-87. (in Thai).

Saetew P, Chinkhanaphan C, Rueangsawat S, Teepapal T. Study of the potential of caregiver for the elderly after 70 hours of elderly care program of Boromarajonani College of Nursing, Suratthani. Journal of The Royal Army Nurses 2019;20(1):300-10. (in Thai).

Robrujen S. Development of the elderly care model for elderly caregivers, Warinchamrab district, Ubon Ratchathani province. Princess of Naradhiwas University Journal 2017;9(3):57-69. (in Thai).

Simpson EJ. The classification of educational objectives in the psychomotor domain. Washington DC: Gryphon House;1972.

Davies IK. The management of leaning. London: McGraw-Hill; 1971.

Bartol KM, Martin DC. Management. 3rd ed. New York: McGraw-Hill; 1998.

McLeroy K, Daniel B, Allan S, Glanz K. An ecological perspective on health promotion programs. Health Educ Q 1988;15(4):351-77.

Capland RL. Stock: a clinical approach. Boston: Bufferworth-Heneman; 1993.

Bloom BJ, editor. Taxonomy of educational objectives. Vol. 1: cognitive domain. New York: McKay; 1956.

Mahatnirunkun S, Tantiphiwattanasakul W, Poompaisanchai W, Wongsuwan K, Pornmanajirangul R. Comparison of the WHOQOL-100 and the WHOQOL-BREF(26 items). Chiang Mai: Suanprung Hospital; 1997. (in Thai).

Cohen J. Statistical power analysis for the behavioral science. 2nd ed. Hillsdall, NJ: Lawrence Erlbaum Associates; 1988.

Bloom BS. Taxonomy of education objective, hand book 1: cognitive domain. 2nd ed. New York: David Mckay; 1975.

Best JW. Research in education. 3rd ed. New Jersey: Prentice hall Inc; 1977.

Miles MB, Huberman AM. Qualitative data analysis. an expanded sourcebook. 2nd ed. CA: Sage; 1994.

Saengchan T. Factor association with knowledge of caregivers among elderly Thais. [Master’s Thesis, College of Population Studies]. Chulalongkorn University; 2013. (in Thai).

Kumsom C, Lagampan S, Boonyamalik P. Factors influencing caring practices for dependent older adults in the long term care system: Roi Et province. Thai Red Cross Nursing Journal 2020;12(2):193-4. (in Thai).

Robrujen S. Predictors of health care behaviors for the elderly among caregivers in Warinchamrap district, Ubonratchathani province. Journal of Nursing and Health Research 2016;17(2):70-84. (in Thai).

Boonritthanyakul D, Silakaji P, Kaewwacharungsi S. Factors predicting smoking among working class males. [Senior Project, Faculty of Psychology]. Chulalongkorn University; 2016. (in Thai).

Sukjit S, Duangthong J, Thuwakum W. Potential model of the elderly’ s caregivers with participation of the community network Pa Sao sub-distric, Muang distric, Uttiradit province. Journal of Council of Community Public Health 2020;3(2):109-18. (in Thai).

Thangkratok P, Petchsuk R, Keinwong T, Trainattawan W, Thatdee P, Boonpradit Pl. Care management model for older adults with chronic diseases in the community. Royal Thai Navy Medical Journal 2020;47(1):234-48. (in Thai).

Suanrueag P, Wannasri A, Srithamrongsawat S. Community care by caregivers to dependent elderly under the community-based long-term care policy. Journal of Health Systems Research 2018;12(3):437-51. (in Thai).