Effectiveness of a Mental Health Promotion Program for Self-care Behavior of the Elderly in Pathumthani Province, Thailand


  • Pusadee Choocheep Faculty of Nursing in Pathumthani University


The Elderly, Mental Health Promotion Program, Self-care Behaviours


              Older adults who develop depression have many health problems. In the past, treatments alone were unsuccessful in reducing depression. Mental health promotion efforts must be taken simultaneously with treatment. In the past, there were few mental health promotion programs. These programs are essential to reduce mental health problems. This quasi-experimental research aimed to examine the effectiveness of a mental health promotion program of self-care behavior for the elderly. Study subjects were older adults at the Elderly Social Welfare Development Center, Pathumthani Province. The sample comprised 60 subjects divided into two groups: an experimental and a control group of 30 subjects. The experiment's duration was 12 weeks. The researcher-developed study consisted of 1) the mental health promotion program and 2) a mental health questionnaire of self-care behaviors of the elderly. The content validity of the instruments was 0.95 and 0.85, respectively, and the reliability of the mental health self-care behavior questionnaire was 0.75 using Cronbach's Alpha Coefficient. The data were analyzed using paired and independent t-tests.

            The results revealed that 1) the average scores of the mental health self-care behaviors in the elderly of the experimental group after the experiment was higher than before participating in the program at a statistical significance of .05 and 2) The average scores of mental health self-care behaviors of the elderly between the experimental and the control groups after participating in the program were statistically significant at .05

            Findings suggest that health care providers responsible for elderly care should use mental health promotion activities, with nursing staff planning such care. In addition, elderly self-care should incorporate multiple means of strengthening mental health in supporting elderly health needs.


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Poonsit W. Looking back on the Japanese elderly society and the face of Thai business opportunities [internet]. 2017 [cited 2021 Dec 1]. Available from: http://www.bangkokbiznews.com/blog/detaiV642590

World Health Organization. Depression and other common mental disorders global health estimates. Switzerland: WHO document production services, Geneva; 2017.

Department of Mental Health. Annual report 2020 [internet]. 2020 [cited 2021 July 25]. Available from: https://www.dmh.go.th/report/dmh/rpt_year/dl.asp?id=461

Bangkok Health Research Center. Aging health care [internet]. 2020 [cited 2021 Jul 25]. Available from: https://www.bangkokhealth.com/17310

Rawlins RP, Williams SR, Beck CK. Mental health psychiatric nursing: A holistic life cycle approach. 3rd ed. St. Louis: Mosby- Year Book, Inc; 1988.

Systematic Innovation Development Work Plan for Mental Health Promotion. Promotion mental health: Concepts–emerging evidence–practice summary report. Chiang Mai: Vanida Printing LP; 2017.

Suda W, Dusadee Y, Narisara P. Development of mental health promotion model for aging population at risk by community health care team. The Southern College Network Journal of Nursing and Public Health 2019; 6(2): 229-43. (in Thai)

Nursaheeda C. Happiness experience of the elderly living in residential care facilities in Souther Area. Master of Nursing Science (Adult Nursing), Songkla: Graduate studies, Songkla University; 2016.

Department of Mental Health. Department of mental health annual report 2015. Nonthaburi: Ministry of Public Health; 2015.

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. Jurong, Singapore: Pearson; 2006.

Orathaya S, Poonarat P, Soamshine B. Art-based using to develop well-being of older adults: the systematic review. Journal of Graduate Studies in Northern Rajabhat Universities 2019; 9(2): 17-32. (in Thai)

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 4th ed. Upper Saddle River, NJ: Pearson; 2002.

Burns N, Grove SK. The practice of nursing research: Conduct, critique, & utilization. 5th ed. Philadelphia: W.B. Saunders; 2005.

Sopawan C, Chatri P, Sarodh P. The Effect of Social Support and Promoting Self-Esteem on the mental health of the elderly in Pang karn Sub-district, Phanom District, Surat Thani Province. Journal of Community Health Development Khon Kaen University 2016; 4(1): 67 -82. (in Thai)

Pattama P, Pudsadee K, Payao P, Siritorn Y, Chutima B, Prapas J. The effectiveness of a health promotionprogram on health behaviors of elderly in community. Journal of Health Science Research 2018; 12(Suppl): 52 – 60. (in Thai)

Suda W, Dusadee Y, Narisara P. Development of Mental Health Promotion Model for Aging Population at Risk by Community Health Care Team. The southern College Network Journal of Nursing and Public Health 2019; 6(2): 229-43. (in Thai)

Natthika R, Chulajira C, Jarupha S. The Study of Socio-Cultural Program for Mental HealthPromotion and Depressive Prevention in the Elderly Donmon Sub-district, Satuek District, Buriram Province. Academic HCU Journal 2017; 20(40): 115 -25. (in Thai)

Chantana S. Quality of Life and Health-promoting Behavior of the Elderly in Thungkhowpuang Sub-district, Chiang Dao District, Chiang mai Province. Thesis of Master in public health, Chiang Mai: Graduate studies, Chiang Mai Rajabhat University; 2019.

Korntanatouch P, Chuthamat K, Pitchanat N.Effectiveness of health promotion programs for Quality ofLife Basic Need among the Elderly. The Public Health Journal of Burapha University 2017; 12(2): 65-74. (in Thai)



How to Cite

Choocheep ผ. (2021). Effectiveness of a Mental Health Promotion Program for Self-care Behavior of the Elderly in Pathumthani Province, Thailand. Journal of Public Health Nursing, 35(2), 109–124. Retrieved from https://he01.tci-thaijo.org/index.php/phn/article/view/249507



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