Promoting the Wellness of Older Adults through Integrated Health-Promoting Programs and Supportive Peers: A Quasi-Experimental Study in Semi-Urban Communities of Northeastern Thailand.

IF 3 Q1 PRIMARY HEALTH CARE

Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI:10.1177/21501319241241456

Tassanee Silawan, Arpaporn Powwattana, Phurithat Ponsen, Nuttawat Ninkarnjanakun

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引用次数: 0

Abstract

Introduction/objectives: Thailand has approached an aged society in which the proportion of older adults rose from 5% in 1995 to 20.7% in 2022 and is projected to increase to 27.2% in 2030. Older adults face health risks and challenges, requiring supportive care. This research aimed to promote the wellness of older adults through Integrated Health-Promoting Programs and Supportive Peers (IHPP-SP) in semi-urban communities.

Methods: A one-group pretest-posttest quasi-experimental study was conducted among 229 older adults from 22 communities. The interventions covered analyzing community situations and determinants, designing and developing IHPP-SP, enhancing the capabilities of supportive peers, and establishing a support system. Mean and proportion differences were analyzed using the paired t-test and McNemar test.

Results: After implementing IHPP-SP, the mean score significantly increased for happiness (P = .004), Activities of Daily Living: ADLs (P = .034), and family support (P < .001), but did not differ regarding depression (P = .413). The proportion of healthy behaviors significantly increased for tobacco use (P = .035), dietary intake (P = .018), and physical activity (P < .001), but not for alcohol consumption (P = .377).

Conclusions: The IHPP-SP provided potential benefits to promote the wellness of older adults.

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通过综合健康促进计划和支持性同伴促进老年人的健康：泰国东北部半城市社区准实验研究》。

导言/目标：泰国已步入老龄化社会，老年人的比例从 1995 年的 5%上升到 2022 年的 20.7%，预计 2030 年将上升到 27.2%。老年人面临着健康风险和挑战，需要支持性护理。本研究旨在通过在半城市社区开展综合健康促进计划和同伴支持计划（IHPP-SP）来促进老年人的健康：方法：对来自 22 个社区的 229 名老年人进行了一组前测-后测的准实验研究。干预措施包括分析社区情况和决定因素、设计和开发 IHPP-SP、提高支持性同伴的能力以及建立支持系统。采用配对 t 检验和 McNemar 检验分析平均值和比例差异：结果：实施 IHPP-SP 后，幸福感（P = .004）、日常生活活动能力（ADLs）（P = .0）的平均得分明显提高：ADLs (P = .034) 和家庭支持 (P P = .413)。烟草使用（P = .035）、饮食摄入（P = .018）和体育活动（P = .377）的健康行为比例明显增加：IHPP-SP为促进老年人的健康提供了潜在的益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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