Delvelopment of Health Promotion Model among Elderly though Community Participation in Nonghuachang sub-district Kanthararom Distric, Sisaket Province

Abstract

This study aimed to develop a health promotion model for the elderly. The research process included participation with the community in the Nonghuachang sub-district, Kanthararom District, Sisaket Province, between October 2023 and January 2024. The sample of this study was further divided into two subgroups; the subgroups comprised 41 people who had involvement and 170 elderly people. The methodology used a quality management process (PAOR) for 2 loops, each loop consisting of 4 steps; planning; action; observation, and reflection, Data was analyzed by collecting, categorizing, and content analysis, and the mean difference of scores before and after the model was applied using the paired t-test.

              This result found that the process model for primary care services using the District Health Board is the “2PAO2R Model”, consisting of 1) P1; Policy and Structure: Structure, There is an operational committee and clearly defined roles. 2) P2: Planning: Developing a participatory action plan 3) Action: Implementation of development plans arising from participatory planning 4) Observation: observation, supervision Follow up and support model development operations. 5) R1: Resource sharing: resource sharing, people, money, methods 6) R2: Refection: Reflection on performance and after-action review. The results of the assessment included factors such as the involvement of stakeholders, the general quality of life, and the quality of life of the elderly. Following the research operation, it was found that the level of involvement of the involved parties was at a moderate level (mean 3.13, SD = 0.81). The results for the quality of life of the elderly were also moderate (mean 76.30, SD = 10.18). The quality of life for the elderly was also found to be moderate (mean 83.60,    SD = 8.99). Finally, the overall level of satisfaction of the elderly was moderate (mean 3.35, SD = 0.56). In summary, the success factors of the study consisted of 6 factors: 1) having strong community leaders 2) The importance being given to the elderly by the local administrative organizations 3) Community participation in every step of the process 4) The Health Promoting Hospital, providing support and encouragement, 5) social capital; and 6) network coordination.