The scenarios of Social and Health Service Management for Participatory Health Behavior Modification of Older Adults among Urban Community in Bangkok
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Abstract
This study was a mixed method research to assess the need for social and health service management for health behavior modification and study the scenarios of social and health service management for participatory health behavior modification of older adults among urban community in Bangkok. The quantitative data group were 1,340 participants and the qualitative data group were 93 participants.The research instrument consisted of questionnaire, semi-structured and focus group interview form. The content validity were between 0.60 - 1 and the reliability of total scale questionnaire was 0.85. The data were then analyzed by using percentage, mean and standard deviation. The results showed that the needs for urgent development consisted of 3 aspects.hysical well-being aspect which was providing transportation to hospital for treatment and alternative medical systems (PNIModified = 0.78 and 0.54) respectively. Second, social well-being aspect which was to facilitate access to health care services (PNIModified = 0.73) and third, spiritual well-being aspect which was to organize the preparation activities for physiological changes by age (PNIModified = 0.58). The scenario of social and health service management must integrate the needs and development processes which consisted of the improvement health care competency that cover all levels and create an environment that enable health behavior modification such as providing health services to promote health care of older adults, collaboration, participation, social support and communication channel.
Therefore, the provision of social and health services to change health behaviors of older adults requires need assessment and integration of necessary skills together with creating an environment conducive to sustainable change in health behavior.
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