{"title":"The Effect of a Health-Promoting Program on Quality of Life of Thai Homebound Older Adults: A Quasi-Experimental Study.","authors":"Boonyada Wongpimoln, Ladda Pholputta, Nitchapanrawee Phengphol, Sattawas Udonsat","doi":"10.30476/ijcbnm.2025.104786.2655","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Homebound older adults (HOAs) are especially susceptible to social isolation and loneliness, which can lead to poorer physical and mental health, as well as accelerated cognitive decline, which may increase dependence upon their families. Thus, support from family caregivers is crucial in maintaining the health, safety, and quality of life (QoL) of HOAs. This study aimed to evaluate the effects of a health-promoting program for HOAs and family caregivers on the QoL among HOAs in rural Thai.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted on 114 HOAs and their family caregivers in Selaphum district, Roi Et, Thailand, from August to October 2023. The control group (N=57) received usual home visits, while the experimental group (N=57) underwent 12 weeks of an educational program based on Hulme's family empowerment framework. Data were collected for QoL using the Thai version of the brief form of the World Health Organization QoL at baseline and week 12 for both groups. Data were analyzed through SPSS software version 26 using the Chi-square test, paired t-test, and independent t-test. Statistical significance was defined as a P value ˂0.05.</p><p><strong>Results: </strong>The mean total score of QoL was not significantly different between the control group (87.12±5.06) and experimental group (87.35±5.04) before the intervention (P=0.81). Twelve weeks after the intervention, the mean total score of QoL was significantly different between the experimental (103.53±9.83) and control groups (87.44±5.26) (P<0.001).</p><p><strong>Conclusion: </strong>The health-promoting program for HOAs and family caregivers can provide benefits to enhance QoL among HOAs. It is suggested that healthcare practitioners should collaborate with family caregivers through ongoing training, support, and shared decision-making to ensure continuity of care and enhance HOAs' well-being.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"202-212"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315573/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Community Based Nursing and Midwifery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30476/ijcbnm.2025.104786.2655","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Homebound older adults (HOAs) are especially susceptible to social isolation and loneliness, which can lead to poorer physical and mental health, as well as accelerated cognitive decline, which may increase dependence upon their families. Thus, support from family caregivers is crucial in maintaining the health, safety, and quality of life (QoL) of HOAs. This study aimed to evaluate the effects of a health-promoting program for HOAs and family caregivers on the QoL among HOAs in rural Thai.
Methods: This quasi-experimental study was conducted on 114 HOAs and their family caregivers in Selaphum district, Roi Et, Thailand, from August to October 2023. The control group (N=57) received usual home visits, while the experimental group (N=57) underwent 12 weeks of an educational program based on Hulme's family empowerment framework. Data were collected for QoL using the Thai version of the brief form of the World Health Organization QoL at baseline and week 12 for both groups. Data were analyzed through SPSS software version 26 using the Chi-square test, paired t-test, and independent t-test. Statistical significance was defined as a P value ˂0.05.
Results: The mean total score of QoL was not significantly different between the control group (87.12±5.06) and experimental group (87.35±5.04) before the intervention (P=0.81). Twelve weeks after the intervention, the mean total score of QoL was significantly different between the experimental (103.53±9.83) and control groups (87.44±5.26) (P<0.001).
Conclusion: The health-promoting program for HOAs and family caregivers can provide benefits to enhance QoL among HOAs. It is suggested that healthcare practitioners should collaborate with family caregivers through ongoing training, support, and shared decision-making to ensure continuity of care and enhance HOAs' well-being.
背景：居家老年人特别容易受到社会孤立和孤独的影响，这可能导致身心健康状况恶化，并加速认知能力下降，从而可能增加对家庭的依赖。因此，来自家庭照顾者的支持对于维持家庭护理机构的健康、安全和生活质量（QoL）至关重要。本研究旨在评估泰国农村家庭护理人员和家庭护理人员健康促进计划对家庭护理人员生活质量的影响。方法：于2023年8月至10月对泰国Roi Et Selaphum区的114名居家护理人员及其家庭护理人员进行准实验研究。对照组（N=57）接受常规的家访，而实验组（N=57）接受为期12周的基于Hulme家庭赋权框架的教育计划。两组在基线和第12周使用世界卫生组织生活质量简表泰文版本收集生活质量数据。数据分析采用SPSS软件26版，采用卡方检验、配对t检验和独立t检验。统计学显著性定义为P值小于0.05。结果：干预前对照组（87.12±5.06）与实验组（87.35±5.04）的生活质量平均总分差异无统计学意义（P=0.81）。干预12周后，实验组的平均生活质量总分（103.53±9.83）与对照组的平均生活质量总分（87.44±5.26）比较，差异有统计学意义(p)。结论：对家庭护理人员和家庭护理人员实施健康促进计划有助于提高家庭护理人员的生活质量。建议医疗保健从业人员应通过持续的培训、支持和共同决策与家庭护理人员合作，以确保护理的连续性并提高家庭护理人员的福祉。
期刊介绍：
Aim and Scope: International Journal of Community Based Nursing and Midwifery (IJCBNM) is an international innovating peer-reviewed quarterly publication for Nurses, Midwives, related fields educators and researchers. The Journal accepts original contributions of interest to those involved in all aspects of community practice, quantitative and qualitative research and management. Manuscripts are publishable in the form of original article, review article, case report, letter to the editor, short communications, etc. The Journal invites health care specialist concerned with any of these areas to submit material on topics including, but not limited to: Health promotion & disease prevention in all stages of human life Home - health care Patient & client education Individual care in the context of family and community Health care delivery and health out come Continuity of care.
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