Journal articles: 'Older people Thailand'

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Choowattanapakorn, Tassana, Rhonda Nay, and Deirdre Fetherstonhaugh. "Nursing older people in Thailand." Geriatric Nursing 25, no. 1 (January 2004): 17–23. http://dx.doi.org/10.1016/s0197-4572(03)00243-x.

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LLOYD-SHERLOCK, PETER. "Identifying vulnerable older people: insights from Thailand." Ageing and Society 26, no. 1 (January 2006): 81–103. http://dx.doi.org/10.1017/s0144686x05004290.

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This paper explores the usefulness of the ‘asset vulnerability framework’, as devised by Moser (1998), for assessing the economic wellbeing of older people living in poor rural and urban communities in Thailand. Gaining an accurate view of older people's material situation is essential for the development of policies that target the needs of older people in contexts of resource scarcity. The paper shows the limitations and potential biases of assessments based purely on reported income levels. It then sets out the key principles of the asset vulnerability framework, which seeks to combine information about exposure to different economic risks with the relative capacity to deal with them. Drawing on survey data, the paper maps resilience to economic risk, finding that the very old and those living in rural communities are in the most precarious position, whereas gender differences are less apparent. The asset vulnerability framework is then applied to specific forms of risk: catastrophic health expenditure and the death of a child caused by HIV/AIDS. Patterns of vulnerability revealed by the framework roughly accord with those revealed by reported income, but there are important differences, such as the size of the vulnerability gap between rural and urban populations. The framework provides a much fuller picture of why some groups of older people are in a more precarious economic situation than others. The paper recommends that future surveys draw on Moser's framework, and place emphasis on identifying the risks that older people consider most important.

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SOBIESZCZYK, TERESA, JOHN KNODEL, and NAPAPORN CHAYOVAN. "Gender and wellbeing among older people: evidence from Thailand." Ageing and Society 23, no. 6 (October 29, 2003): 701–35. http://dx.doi.org/10.1017/s0144686x03001429.

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Researchers and international organisations frequently suggest that older women are disadvantaged in comparison with older men. This analysis of census and survey data from Thailand, however, indicates a far more complex association between gender and various aspects of ageing. Through an examination of various demographic, economic, psychosocial and health variables, it is found that older Thai women do face certain disadvantages compared to their male counterparts, including lower education and literacy, far higher levels of widowhood and living alone, and a lower likelihood of receiving formal retirement benefits. Older Thai men, however, also face relative disadvantages, including worse survivorship, a lower likelihood of receiving money from adult children, a greater probability of debt and other financial problems, and lower satisfaction with their financial situation. Many other demographic, psychosocial and economic measures are not significantly associated with gender. Our analysis provides some support for a lifecourse perspective, that relates gender differences in old age to differences in earlier life experiences, roles and reward structures, particularly access to retirement pensions and the type of support older men and women provide for their co-resident children. Marital status often mediates gender differences in wellbeing among older people. The study concludes with research and policy recommendations.

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POTHIBAN, Linchong, Rojanee CHINTANAWAT, Nahathai WONGPAKARAN, Chomphoonut SRIRAT, and Khanokporn SUCAMWANG. "Quality of Life of Older People with Dementia in Thailand." Walailak Journal of Science and Technology (WJST) 17, no. 10 (September 30, 2020): 1066–76. http://dx.doi.org/10.48048/wjst.2020.5132.

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The quality of life (QOL) of older people with dementia may depend on their care environment. This cross-sectional descriptive study aims to investigate the QOL of Thai older people with dementia in homes for the aged and those living in their own homes in the community, as well as the discrepancy between the QOL rated by the older people and by caregivers. The samples included 342 participants who met the inclusion criteria. Data were collected using the Quality of Life-Alzheimer’s Disease Scale (QOL-AD) and the EuroQol 5 Dimensions (EQ-5D) Questionnaire Thai Version Scale. Data were analyzed using descriptive statistics, t test, and Pearson’s correlation. The findings revealed that the overall QOL scores of participants in both groups were at a moderate level. Compared with participants in homes for the aged, those living in the community showed higher scores in 7 aspects of QOL-AD, including physical health, energy, living situation, memory, self as a whole, ability to do chores, and ability to make life fun, but lower scores in the aspects of family/members and marriage/closed persons. Self-rated and caregiver-rated scores were significantly different in the aspects of living situation, memory, relationship with family, and marriage/closed persons. The findings imply that health care professionals can also assess the QOL of older people with dementia through self-rating. Further research to find the most effective method for enhancing older peoples’ QOL is needed.

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Vicerra, Paolo Miguel Manalang. "Knowledge-Behavior Gap on COVID-19 among Older People in Rural Thailand." Gerontology and Geriatric Medicine 7 (January 2021): 233372142199720. http://dx.doi.org/10.1177/2333721421997207.

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This study analyzed the difference between rural and urban older adults in Thailand regarding the relationship between the knowledge and behavior toward the prevention of contracting COVID-19. Path analysis was used to observe if the performance of protective behaviors was affected by the level of knowledge that older people have about the disease. This study used the Impact of COVID-19 on Older Persons in Thailand survey collected across the five regions of the country. Rural residents benefited from community network of village health volunteers who provided information during the pandemic but, they had disadvantages on accessing newer media sources, mainly the internet, for the latest developments on COVID-19. Rural older adults had a higher level of knowledge about COVID-19 than those in urban areas; no difference was observed regarding their behavior to prevent themselves from being infected. The knowledge-behavior gap was viewed as a mechanism of cognitive avoidance because of overwhelming unprecedented information.

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Bubpa, Nisachon, and Khanitta Nuntaboot. "Diversity of foods among older people in northern communities of Thailand." Journal of Health Research 32, no. 1 (January 15, 2018): 95–104. http://dx.doi.org/10.1108/jhr-01-2018-028.

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Purpose Due to the increasing population and diverse lifestyles of aging people in Thailand, close examination of their needs and health care problems is required. Availability and accessibility of food affects the health and well-being of aging people in the community; therefore, to enhance their quality of life, community nurses and health care personnel must understand the variety of foods in their diet, in order to provide suitable and culturally acceptable nutrition for the elderly. The purpose of this paper is to explore the diversity of foods eaten by older people and the social, economic, environmental, and cultural contexts in which they live in the Northern region of Thailand. This is a part of a larger research project of community food management systems for the care of older people. Design/methodology/approach Critical ethnographic research was employed during the study. The data were collected from 41 primary elderly informants and family members. The researcher collected data by conducting individual in-depth interviews, observation of activities, and focus group discussions. The text data were analyzed by content analysis. Findings Information gathered from this research reveal nine categories of food which older people are associated with and which include: favorite foods; food provided by others; foodstuffs which should be eaten due to chronic diseases (recommended by doctor); foods to be avoided; snacks; food eaten with others (eating when socializing); food for festivals and cultural traditions; food offered for making merit; and food donated to others. Originality/value Utilization of health data, specifically regarding individual dietary diversity, can guide community nurses and health care personnel to provide and promote health that will suit individuals and their families. Community nurses and health care personnel should be aware of the variety of older persons’ diets and the importance of being able to manage and sustain their own nutritional needs. Appropriate nutrition, which is one of the social determinants of health, could improve the quality of the well-being of aging members in the community.

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Knodel, John, and Napaporn Chayovan. "Inter‐generational family care for and by older people in Thailand." International Journal of Sociology and Social Policy 32, no. 11/12 (October 19, 2012): 682–94. http://dx.doi.org/10.1108/01443331211280719.

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Knodel, John, Mark VanLandingham, Chanpen Saengtienchai, and Wassana Im-em. "Older people and AIDS: quantitative evidence of the impact in Thailand." Social Science & Medicine 52, no. 9 (May 2001): 1313–27. http://dx.doi.org/10.1016/s0277-9536(00)00233-1.

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Supaporn, Kanyanat, Sang-arun Isaramalai, and Wandee Suttharangsee. "Exploring caregivers' perspectives on improving care for older people at the end of life in Thailand." International Journal of Palliative Nursing 25, no. 7 (July 2, 2019): 326–32. http://dx.doi.org/10.12968/ijpn.2019.25.7.326.

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Background: Older people in Thailand receive general medical and social care at the end of life, and many rarely access palliative services. In light of this, improving the quality of care for the ageing population relies on addressing the needs of family caregivers, who provide the majority of care in a home setting. Understanding caregivers' perspectives when caring for a friend or relative will help to improve the quality of care that they provide. Aim: To explore caregivers' perspectives on improving care for older people in Thailand in the palliative stage. Methods: A qualitative study using in-depth interviews and observation of 10 older people in the palliative stage and their caregivers was undertaken. Data were analysed using content analysis. Findings: Data analysis revealed three themes: caregivers cared to repay the older person's previous kindness, caregivers cared and changed their caregiving behaviour to minimise the older person's perception of being abandoned or being a burden, and to follow Thai ancestral traditions, so that the older person could die peacefully. Conclusion: This study provides specific instructions for those who provide care for older Thai people in the palliative stage. Finding ways to address caregivers' perspectives on improving care quality could enhance the experience of care recipients.

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Somrongthong, Ratana, Saovalux Dullyaperadis, Anne Louise Wulff, and Paul R. Ward. "The Effects of Housing on Health and Health Risks in an Aging Population: A Qualitative Study in Rural Thailand." BioMed Research International 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/289731.

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Background. Over the last decade, Thailand has experienced an aging population, especially in rural areas. Research finds a strong, positive relationship between good quality housing and health, and this paper assesses the impact and living experience of housing of older people in rural Thailand.Methods. This was a mixed-method study, using data from observations of the physical adequacy of housing, semistructured interviews with key informants, and archival information from health records for 13 households in rural Thailand.Results. There were four main themes, each of which led to health risks for the older people: “lighting and unsafe wires,” “house design and composition,” “maintenance of the house,” and “health care equipment.” The housing was not appropriately designed to accommodate health care equipment or to fully support individual daily activities of older people. Numerous accidents occurred as a direct result of inadequate housing and the majority of houses had insufficient and unsafe lighting, floor surfaces and furniture that created health risks, and toilets or beds that were at an unsuitable height for older people.Conclusion. This paper provides an improved and an important understanding of the housing situation among older people living in rural areas in Thailand.

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Khongboon, Pattaraporn, Sathirakorn Pongpanich, and Robert S. Chapman. "Risk Factors for Six Types of Disability among the Older People in Thailand in 2002, 2007, and 2011." Journal of Aging Research 2016 (2016): 1–13. http://dx.doi.org/10.1155/2016/6475029.

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Background. There is an important need to characterize risk factors for disability in Thailand, in order to inform effective prevention and control strategies. This study investigated factors associated with risk of 6 types of disability in Thailand’s ageing population in 2002, 2007, and 2011.Methods. Data came from the Cross-Sectional National Surveys of Older Persons in Thailand conducted by the National Statistical Office (NSO) in 2002, 2007, and 2011. Stratified two-stage sampling was employed. Interviews of 24,835, 30,427, and 34,173 elderly people aged 60 and above were conducted in the respective study years. Prevalence of disabilities was measured, and factors associated with disability risk were assessed with probability-weighted multiple logistic regression.Results. Disability prevalence decreased slightly over the study period. The characteristics with greatest positive impact on disability prevalence were not working over the past week (average impact: 61.2%), age (53.7% per decade), and suffering from one or more chronic illnesses (46.3%).Conclusions. The strong observed positive impact of not working on disability prevalence suggests that raising the mandatory retirement age might result in some reduction of disability risk. Also, the observed positive impact of living with others (versus alone) on disability risk was somewhat unexpected.

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Anantanasuwong, Dararatt, Supa Pengpid, and Karl Peltzer. "Prevalence and Associated Factors of Successful Ageing among People 50 Years and Older in a National Community Sample in Thailand." International Journal of Environmental Research and Public Health 19, no. 17 (August 27, 2022): 10705. http://dx.doi.org/10.3390/ijerph191710705.

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The aim of the study was to assess the prevalence and associated factors of successful ageing (SA) among people 50 years and older in Thailand. We analyzed national cross-sectional data (5092 men and women 50 years or older) from the Health, Aging and Retirement in Thailand (HART) study in 2015. The SA measures included (1) life satisfaction, (2) social engagement, (3) no major illness, (4) no probable depression, and (5) absence of functional disability. The sample included 5092 participants (median age 67 years, interquartile range 60 to 78 years). The prevalence of SA was 60.0% in adults 50 years and older, ranging from 43.8% in Krabi province to 80.2% in Pathum Thani province, 58.1% (≥60 years), and 56.3% (≥65 years), and the prevalence of the components of SA was 92.3% without major illness, 96.1% without functional disability, 87.5% without probable depression, 91.3% social engagement, and 82.3% high life satisfaction. In multivariable Poisson regression analysis, Buddhist religion (adjusted Prevalence Ratio (aPR): 1.50, 95% Confidence Interval (CI): 1.25 to 1.79), high subjective economic status (aPR: 1.29, 95% CI: 1.11 to 1.49), and physical activity (≥150 min/week) (aPR: 1.11, 95% CI: 1.01 to 1.24) were positively associated and increasing age (aPR: 0.993, 95% CI: 0.989 to 0.997) was negatively associated with SA. Almost two in three older adults in Thailand were successfully ageing. Factors associated with SA included being Buddhist, younger age, higher subjective economic status, and higher engagement in physical activity. These identified factors should be incorporated into health promotion intervention programs in Thailand.

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Piyakhunakorn, Panat, and Nithimar Sermsuti-anuwat. "The Relationship between Periodontitis and Oral Health Literacy among the Older People in Thailand." Global Journal of Health Science 13, no. 6 (May 14, 2021): 103. http://dx.doi.org/10.5539/gjhs.v13n6p103.

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OBJECTIVE: The purpose of this study was to evaluate the relationship between periodontitis and oral health literacy among the older population in Thailand. MATERIAL & METHODS: This cross-sectional study was performed between July 1 and September 30, 2020, in Panare district, Pattani province, Thailand. The inclusion criteria were older individuals more than 60 years of age who had at least six remaining teeth. Information on sociodemographic characteristics and oral health-related behaviors were collected using a self-reported questionnaire. Oral health literacy was categorized using the Thai version of the Health Literacy in Dentistry scale (HeLD‐Th). A trained examiner performed clinical periodontal examinations. The data were analyzed using the Mann-Whitney U test, Fisher's exact test, and binary logistic regression analysis. RESULTS: A total of 216 independently living older adults participated and completed the study protocol. The initial analyses indicated significant associations between severe periodontitis and low oral health literacy (p = 0.029) and insufficient toothbrushing duration (p < 0.001). However, in multivariate analysis, only toothbrushing duration showed significant association (p = 0.003). CONCLUSIONS: Oral health literacy interventions and oral hygiene practices for improving periodontal health status among the Thai older adults are necessary.

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Griffiths, Jiranan, Lakkana Thaikruea, Nahathai Wongpakaran, and Peeraya Munkhetvit. "Prevalence of Mild Cognitive Impairment in Rural Thai Older People, Associated Risk Factors and their Cognitive Characteristics." Dementia and Geriatric Cognitive Disorders Extra 10, no. 1 (March 26, 2020): 38–45. http://dx.doi.org/10.1159/000506279.

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Introduction: Mild cognitive impairment (MCI) is a transitional stage between normal cognition and dementia. A review showed that 10–15% of those with MCI annually progressed to Alzheimer’s disease. Objective: This study aimed to investigate the prevalence and risk factors associated with MCI as well as the characteristics of cognitive deficits among older people in rural Thailand. Methods: A cross-sectional study in 482 people who were 60 years old and over was conducted in northern Thailand. The assessments were administered by trained occupational therapists using demographic and health characteristics, Mental Status Examination Thai 10, Activities of Daily Living – Thai Assessment Scale, 15-item Geriatric Depression Scale and the Montreal Cognitive Assessment-Basic (MoCA-B, Thai version). Results: The mean age of MCI was 68.3 ± 6.82 years, and most had an education ≤4 years. The prevalence of MCI in older people was 71.4% (344 out of 482), and it increased with age. Low education and diabetes mellitus (DM) were the significant risk factors associated with cognitive decline. Older people with MCI were more likely to have an education ≤4 years (RR 1.74, 95% CI 1.21–2.51) and DM (RR 1.19, 95% CI 1.04–1.36) than those who did not. The 3 most common cognitive impairments according to MoCA-B were executive function (86%), alternating attention (33.1%) and delayed recall (31.1%). Conclusion: The prevalence of MCI in older Thai people in a rural area is high compared with that in other countries. The explanation might be due to low education and underlying disease associated with MCI. A suitable program that can reduce the prospects of MCI in rural Thailand is needed.

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Suttanon, Plaiwan, Pagamas Piriyaprasarth, Kitsana Krootnark, and Thanyaporn Aranyavalai. "Effectiveness of falls prevention intervention programme in community-dwelling older people in Thailand: Randomized controlled trial." Hong Kong Physiotherapy Journal 38, no. 01 (June 2018): 1–11. http://dx.doi.org/10.1142/s1013702518500014.

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Background: Although there is extensive research on falls prevention, most of this knowledge is from western countries, and this may limit its usefulness when implementing in countries with different culture and healthcare systems.Objective: This study evaluated the feasibility and effectiveness of a falls prevention intervention programme for older people in Thailand.Methods: Two hundred and seventy-seven community-dwelling older people were randomized to either an intervention programme which included an education about falls risk management plus a home-based balance exercise delivered by a physiotherapist for four-month duration or control group. Falls, balance, physical activity, and other falls risk factors were measured at baseline and after programme completion.Results: About 90% of the participants in the intervention group completed the programme, with very high adherence to the exercise programme, though poor compliance with the suggestions of other falls risks management. There were no falls or injuries related to the exercise programme reported. There was no significant difference in falls rate between the two groups.Conclusion: This falls prevention program was not effective in reducing falls in community-dwelling older people in Thailand. However, the study provided encouraging evidence that home-based balance exercise could be practically implemented in older people living in communities in Thailand.

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Saengrut, Bumnet, Takeshi Yoda, Yumi Kimura, Yasuko Ishimoto, Rujee Rattanasathien, Tatsuya Saito, Kanlaya Chunjai, et al. "Can Muscle Mass Be Maintained with A Simple Resistance Intervention in the Older People? A Cluster Randomized Controlled Trial in Thailand." International Journal of Environmental Research and Public Health 19, no. 1 (December 23, 2021): 140. http://dx.doi.org/10.3390/ijerph19010140.

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The aging population is rapidly increasing worldwide. Sarcopenia is a common and important health problem among older people. The prevalence of sarcopenia among older Thai adults is increasing. Exercise intervention for sarcopenia prevention may significantly improve muscle strength, body balance, and muscle mass. Therefore, this study aimed to investigate the effects of a simple resistance intervention (SRI) program in preventing sarcopenia on physiological outcomes among community-dwelling older Thai adults. This study was a 12-week randomized controlled trial, which included 80 community-dwelling older adults in Chiang Mai, Thailand, who were randomly assigned into control (40 participants who performed usual exercise) and intervention (40 participants who performed the SRI program) groups. The SRI program was a home-based program consisting of 30 min of resistance exercise three times/week for 12 weeks, health education on sarcopenia. After 12 weeks, all physiological outcomes were measured and were significantly improved in the intervention group compared with baseline; hand grip, skeletal muscle mass index, and walking speed were significantly improved in the intervention group compared with the control group. Based on our results, the SRI program may prevent muscle weakness in community-dwelling older people in Thailand.

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Tanvatanakul, Vasuton, Corália Vicente, and Sastri Saowakontha. "Folk Health Wisdoms as an Alternative Health Care Modality in the Community." Complementary health practice review 14, no. 3 (October 2009): 128–35. http://dx.doi.org/10.1177/1533210110363544.

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This study aimed to investigate perceptions and practices of folk health wisdoms among various age groups in Thailand. The study used an exploratory design involving a survey and focus group discussions. Between March 2003 and April 2005, 422 respondents from 5 communities of different districts of Chonburi Province, Thailand were interviewed, and then followed up for clarification of responses by focus groups in each community. Most respondents (93.8%), especially in the older age groups, were familiar with and interested in folk health wisdoms, with 62.8% using one or more kinds of folk health wisdoms. Herbal medicines and massage were most often used as health care, with significant differences in use (p < .05) between younger and older age groups. Younger people (<35 years) used almost every type of folk health wisdom in lesser percentages, with the exception of mind control therapies. Greater use of folk health wisdoms could contribute to improving the health care of the people of Thailand. However, to appropriately use and integrate these practices, the people need to increase their confidence in these modalities and be encouraged by the official health system.

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Tan, Heather, Chaweewan Wutthilert, and Margaret O'Connor. "Spirituality and quality of life in older people with chronic illness in Thailand." Progress in Palliative Care 19, no. 4 (July 2011): 177–84. http://dx.doi.org/10.1179/1743291x11y.0000000013.

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Piyakhunakorn, Panat, and Nithimar Sermsuti-anuwat. "The Associations between Oral Health Literacy and Oral Health-Related Behaviours among Community-Dwelling Older People in Thailand." Global Journal of Health Science 13, no. 3 (January 8, 2021): 1. http://dx.doi.org/10.5539/gjhs.v13n3p1.

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OBJECTIVE: This study aimed to investigate the associations between oral health literacy and oral health behaviours among community-dwelling older adults in Thailand. MATERIAL & METHODS: This community-based cross-sectional study was conducted at the District Health Promoting Hospitals (DHPH), Panarae district, Pattani province, Thailand, between 1-30 June 2020. A total of 271 community-dwelling older adults participated in the study. The inclusion criteria were independent living elderly who were 60 years or over and had at least one remaining tooth. Those who had a communication problem, severe chronic diseases, or disabilities were excluded. Data were collected by questionnaire interviewing. Binary logistic regression was analyzed. RESULTS: In the final model of regression analyses, older age (OR = 1.810, p = 0.035), limited education levels (OR = 2.113, p = 0.027), and participants who had the frequency of tooth brushing less than two times per day (OR = 1.905, p = 0.047) were statistically significant predictors of lower oral health literacy levels. CONCLUSIONS: The findings confirmed the strong associations between OHL and age, education levels, including the frequency of toothbrushing in the participants. This evidence indicates that an appropriate education program about oral health promotion probably induce adequate oral health literacy among the older population.

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Piyakhunakorn, Panat, and Nithimar Sermsuti-anuwat. "The Associations between Oral Health Literacy and Oral Health-Related Behaviours among Community-Dwelling Older People in Thailand." Global Journal of Health Science 13, no. 3 (January 8, 2021): 1. http://dx.doi.org/10.5539/gjhs.v13n3p1.

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OBJECTIVE: This study aimed to investigate the associations between oral health literacy and oral health behaviours among community-dwelling older adults in Thailand. MATERIAL & METHODS: This community-based cross-sectional study was conducted at the District Health Promoting Hospitals (DHPH), Panarae district, Pattani province, Thailand, between 1-30 June 2020. A total of 271 community-dwelling older adults participated in the study. The inclusion criteria were independent living elderly who were 60 years or over and had at least one remaining tooth. Those who had a communication problem, severe chronic diseases, or disabilities were excluded. Data were collected by questionnaire interviewing. Binary logistic regression was analyzed. RESULTS: In the final model of regression analyses, older age (OR = 1.810, p = 0.035), limited education levels (OR = 2.113, p = 0.027), and participants who had the frequency of tooth brushing less than two times per day (OR = 1.905, p = 0.047) were statistically significant predictors of lower oral health literacy levels. CONCLUSIONS: The findings confirmed the strong associations between OHL and age, education levels, including the frequency of toothbrushing in the participants. This evidence indicates that an appropriate education program about oral health promotion probably induce adequate oral health literacy among the older population.

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Ploylearmsang, Chanuttha, Chutamat Somboon, Utoomporn Namdee, and Saithip Suttiruksa. "Managing health care needs of the elderly through an elderly care manager: Thailand." F1000Research 11 (June 21, 2022): 680. http://dx.doi.org/10.12688/f1000research.122555.1.

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Background: This mixed method research aimed to investigate health needs of older people and the attributes of the Elderly Care Managers (ECMs), and to evaluate the outcomes of two ECMs coordination. Methods: Three phases were: 1) a field survey of the health needs of 94 older persons; 2) group discussions between ten relevant persons involved in ECMs characteristics; 3) two ECMs coordinating with health-related agencies and measuring the outcomes of older people who needed assistance. Results: 63.1% of the participants had difficulties with their health, 12.8% of them had no caregiver, 26.6% of them had >1 health condition. Group talks dealt with the characteristics, role and attributes of ECMs. The two-month of ECMs coordination with health-related agencies according to older adults' needs, and made home visits encouraged the aged to acquire knowledge on their diseases. Conclusion: ECMs’s coordination with health-related agencies could support the needs of those of advanced age.

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Narongchai, Wanichcha. "The Elements of Happiness of Disabled Older Adults in Khon Kaen Smart City, Khon Kaen, Thailand." Journal of Population and Social Studies 30 (February 3, 2022): 377–90. http://dx.doi.org/10.25133/jpssv302022.022.

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This research aims to study the elements of happiness of disabled older adults under the Khon Kaen Smart City. The qualitative research method was applied with in-depth interviews and observations to collect data from 29 disabled older adults and their caregivers. The collected data was triangulated prior to content analysis. The results showed that disabled older adults in Khon Kaen Smart City were happy with their ways of life. Happiness could be classified into four categories: 1) Sense of Belonging—the awareness of their purpose of living for their loved ones, with the motivation to live happily in society, (2) Strong Families¬—older adults receive attention and moral support from the family members, who assist older persons in leading their daily life based on their condition, (3) Subsistence Allowance Welfare—older adults are given income from the government welfare, and some older adults can earn money from jobs, and (4) Social Empowerment—the fact that the older adults feel safe in their lives and assets, have good relationships with people in their community, and with people in the community who regularly visit and talk with them.

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Luang-Ubol, Jatuporn, Surasak Thiabrithi, Sumattana Glangkarn, and Vorapoj Promasatayaprot. "PREVALENCE OF FALL AND ASSOCIATED RISK FACTORS AMONG OLDER ADULTS IN THAILAND." Journal of Southwest Jiaotong University 56, no. 6 (December 24, 2021): 712–20. http://dx.doi.org/10.35741/issn.0258-2724.56.6.63.

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Generally, older adults are highly at risk of falls resulting in severe injuries such as fractured bones or death. Injury from falls amongst the elderly is widely accepted as a critical health problem. The purpose of this study was to assess the prevalence and health correlations of falls in a rural population-based community-dwelling sample of older people in Maha Sarakham. A cross-sectional study was carried out in 10 sub-districts of Maha Sarakham, and 1,519 people aged > 50 years were systematically randomly selected. The sample provided information about sociodemographic and various health variables, including falling down history in last year. Overall, 12.1% had one or more falls in the past year; 15.5% of women and 8.7% of men. In a binary logistic regression model, having two or more chronic conditions (Adj. OR=2.08, 95%CI=1.3, 3.33, p-value=0.002), a vision problem (Adj. OR=1.85, 95%CI=1.20, 2.84, p-value=0.005), and sleep impairment (Adj. OR=1.56, 95%CI=1.03, 2.37, p-value=0.034) were potential risk factors of having fallen during the past year. This study highlights several older people with fall risk in rural areas of Maha Sarakham. Several risk factors were identified that could help in designing fall-prevention strategies. The health care providers at primary care units in Maha Sarakham’s rural areas should be aware of health promotion for fall prevention, and there needs to be more concern about a routine screening of falls in the older adult population.

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Lloyd-Sherlock, Peter, Anne Margriet Pot, Siriphan Sasat, and Fernando Morales-Martinez. "Volunteer provision of long-term care for older people in Thailand and Costa Rica." Bulletin of the World Health Organization 95, no. 11 (May 26, 2017): 774–78. http://dx.doi.org/10.2471/blt.16.187526.

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Srisilapanan, P., and A. Sheiham. "The prevalence of dental impacts on daily performances in older people in Northern Thailand." Gerodontology 18, no. 2 (December 2001): 102–8. http://dx.doi.org/10.1111/j.1741-2358.2001.00102.x.

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LLOYD-SHERLOCK, PETER. "Formal Social Protection for Older People in Developing Countries: Three Different Approaches." Journal of Social Policy 31, no. 4 (October 2002): 695–713. http://dx.doi.org/10.1017/s0047279402006803.

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The paper examines social protection for older people in three middle-income countries: Argentina, Thailand and South Africa. It focuses on income support, health services and the provision of care, as well as considering the effects of these policies on social exclusion. The paper locates each country's different social protection programmes within a broader welfare regime model. It finds an interesting variety of approaches to pension and health provision, which range from generous universalism to minimal means-testing. However, it finds much less innovation in areas such as long-term care and intermediary services. The paper challenges generalisations about old age social protection in developing countries, and argues that the different experiences of these three countries could provide useful lessons for social protection in many parts of the world.

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Punyakaew, Autchariya, Hsiu-Yun Hsu, Suchitporn Lersilp, and Supawadee Putthinoi. "Development and psychometric properties of a questionnaire to measure the active aging index for older people." Journal of Associated Medical Sciences 56, no. 1 (January 3, 2023): 150–58. http://dx.doi.org/10.12982/jams.2023.018.

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Background: The world's aging is a global phenomenon. The active aging framework responds to this phenomenon by emphasizing on the connections between good health, participation, and security in the lives of older people. Objectives: This study developed a novel measurement of active aging for older people by integrating the international concept with specific features of Thailand. Materials and methods: Active aging measurement components were generated through relevant literature reviews, with content validity examined by experts. Internal consistency and test-retest reliability were used for examining measurement reliability. Two hundred older people living in Chiang Mai Province participated in a pilot survey. Results: The active aging measurement was composed of four components including health, social participation, security, and enabling an environment for active aging. Good internal consistency was represented overall by Cronbach’s alpha=0.77, while the test-retest reliability value was 0.89. Conclusion: The active aging measurement was developed for older people. It is a valid and reliable measure of an active aging index.

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Iamtrakul, Pawinee, Sararad Chayphong, Sajjakaj Jomnonkwao, and Vatanavongs Ratanavaraha. "The Association of Falls Risk in Older Adults and Their Living Environment: A Case Study of Rural Area, Thailand." Sustainability 13, no. 24 (December 13, 2021): 13756. http://dx.doi.org/10.3390/su132413756.

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Falls in older adults have become a serious problem and a major cause of home injuries and even deaths. The increasing number of older people that will enter the “older adults” category in a few years’ time calls for an effective plan to mitigate the risk factors to falling. This article reported on our study of the relationship between living environment hazards and fall risk in older adults to reduce and prevent the risk of falling using a specific case of a rural area in Thailand. A site investigation together with a questionnaire survey were conducted in a total of 950 homes of older people who were interviewed in conjunction with authorities from Banphaeo district of Samutsakorn Province, Thailand. Using a multinomial logistic regression model, this research found the following risk of falls based on the categorizations of the calculated risk factors among socio-economic characteristics (sex, age, marital status, income), health status (congenital diseases), and living environment characteristics (toilet availability in bedroom). The analysis identified a multifactorial relationship involving intrinsic and extrinsic factors that determined fall risk among older adults. Based on the findings of the research, risk factors associated with socioeconomic determinants in term of poverty were found as a key barrier in promoting the health and well-being of older adults. We recommend interventions for fall prevention and fall risk-reduction strategies through improvement of the physical environment in the homes of older adults as a proactive measure to lessen the causes of home injuries from falls.

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Trongsakul, Supaporn, Thapakorn Ruanjai, Wilawan Chaiut, Ratipark Tamornpark, and Tawatchai Apidechkul. "Prevalence of cognitive impairment among hill-tribe older people in the Northern part of Thailand." Journal of Health Research 32, no. 6 (November 12, 2018): 478–84. http://dx.doi.org/10.1108/jhr-11-2018-088.

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Purpose The purpose of this paper is to investigate the prevalence and factors related to cognitive impairment among hill-tribe older people in Chiang Rai province, Thailand. Design/methodology/approach A cross-sectional study was carried out amongst 459 hill-tribe older people aged 60 years and above. A Mini Mental State Examination (MMSE) Thai 2002 version was used for cognitive screening. A questionnaire and medical records were used for demographic and clinical data collection while descriptive statistics were used to analyze characteristic data. Potential factors related to cognitive impairment were analyzed by using univariate logistic regression analysis. Findings The prevalence of cognitive impairment amongst the participants was 49.89 percent (95% CI 45.32%, 53.47 percent). Factors related to cognitive decline included no occupation (OR=1.49, 95% CI 1.10–2.03, p<0.04) and a history of amphetamine use (OR=1.57, 95% CI 1.09–2.33, p<0.04). Originality/value Cognitive decline should be a cause for concern amongst Thai hill-tribe older people, especially amongst those in the group with a history of amphetamine use. However, Thai health care professionals need to be aware of the potential cultural bias in the MMSE Thai 2002 version as a cognition test targeted at the hill-tribe population as the questionnaire may not provide a true reflection of their cultural experience and background.

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Leelavanichkul, Sumana, Aphichat Chamratrithirong, Aree Jampaklay, and Rossarin Gray. "Religiosity, the Practices of Religions, and the Perception of Older People Among Muslims and Buddhists in Thailand." International Journal of Aging and Human Development 86, no. 2 (March 24, 2017): 131–51. http://dx.doi.org/10.1177/0091415017699937.

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We examined the effects of religiosity and the practices of religions among the Buddhists and Muslims aged 20 to 79 in Thailand on maintaining positive attitudes toward older people. Factor and multiple regression analyses are applied, using data from the 2011 National Survey on Conditions of Society and Culture. The measures of perception of older people are Social Value and Personal Value. Religiosity is measured by the self-assessment of religious strictness and one’s own practices according to the religious principles. Among Buddhists, the practices are measured by the frequency of praying, Takbat, Pancha Sila, and meditation. For Muslims, the practices are measured by the frequency of doing Salat, observing Saum, and giving Zakat. We found that religiosity and some practices of religions have positive effects on the perception of the value of older people. In addition, social policy for a smooth transition to an aging society should be considered alongside this religious mechanism.

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Daengthern, Laddawan, Somsak Thojampa, Kittisak Kumpeera, Chommanard Wannapornsiri, and Roongtiva Boonpracom. "Factors Influencing Quality of Life and Longevity in Elderly People, Phrae City, Thailand." Asian/Pacific Island Nursing Journal 5, no. 2 (2020): 48–54. http://dx.doi.org/10.31372//20200502.1081.

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The purpose of this descriptive research was to study the factors that influence the quality of life (QOL) and longevity of the elderly in Thailand. The sample was made up of 280 elderly people in Phrae province, Thailand. The research found that (1) the QOL of the elderly in Phrae province was overall at a good level of 66.30%, (2) the factors that have significant influence on the QOL of the elderly at the p value = .01 are healing and exercise factors which are able to jointly predict the QOL of the elderly in Phrae Province by 12.2% (R2 = .122), and (3) from the structured interviews of 10 elderly people aged 80 years and older, it was found that diet, exercise, stress reduction, and healing are factors that allow the elderly to live for an average of 80 years which is above the average age of Thai people (the average age for men is 71.8 years old and for women is 78.6 years old).

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Yoda, Takeshi, Bumnet Saengrut, Benjamas Suksatit, Kanae Kanda, Hiromi Suzuki, Rujee Rattanasathien, Rujirat Pudwan, and Hironobu Katsuyama. "Quality of Life and Mental Health Status of Japanese Older People Living in Chiang Mai, Thailand." Geriatrics 6, no. 2 (March 30, 2021): 35. http://dx.doi.org/10.3390/geriatrics6020035.

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This study aimed to establish the quality of life and mental health status among older Japanese people living in Chiang Mai, Thailand. We conducted a questionnaire survey among Japanese retired people aged 50 years or over who had been living in Thailand. The questionnaire covered socio-demographic variables including health status and ability to communicate in Thai. We measured mental health status using the Japanese version of the General Health Questionnaire-28 (GHQ-28) and quality of life using the Japanese version of EuroQOL-5D-3L. We explored the factors associated with poor mental health and quality of life using logistic regression analysis. In total, 96 (89.7%)participants provided complete responses. Overall, quality of life was generally good, although those with one or more chronic diseases reported significantly lower quality of life. Having one or more chronic diseases and being aged 70–79 were significantly associated with poorer mental health. In total, 21 (21.8%) respondents had a possible neurosis, which was defined as a total GHQ-28 score of more than 6. The logistic regression analysis showed a significant association between possible neurosis and the presence of chronic diseases (adjusted odds ratio: 11.7 1). Quality of life among older Japanese people living in Chiang Mai was generally good, but there was a high level of possible neurosis, especially among those with one or more chronic diseases.

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Aung, Thin Nyein Nyein, Myo Nyein Aung, Saiyud Moolphate, Yuka Koyanagi, Siripen Supakankunti, and Motoyuki Yuasa. "Caregiver Burden and Associated Factors for the Respite Care Needs among the Family Caregivers of Community Dwelling Senior Citizens in Chiang Mai, Northern Thailand." International Journal of Environmental Research and Public Health 18, no. 11 (May 30, 2021): 5873. http://dx.doi.org/10.3390/ijerph18115873.

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Background: Families are the backbone of caregiving for older adults living in communities. This is a tradition common to Thailand and many low- and middle-income countries where formal long-term care services are not so available or accessible. Therefore, population aging demands more and more young people engaging as family caregivers. Informal caregiving can become an unexpected duty for anyone anytime. However, studies measuring the burden of informal caregivers are limited. We aimed to determine the caregiver burden, both from the perspective of the caregivers as well as that of their care recipients. Method: We used the baseline survey data from a cluster randomized controlled trial providing a community integrated intermediary care (CIIC) service for seniors in Chiang Mai, Thailand, TCTR20190412004. Study participants were 867 pairs of older adults and their primary family caregivers. Descriptive analysis explored the characteristics of the caregivers and binary logistic regression identified factors influencing the caregivers’ burden. Results: The mean age of family caregivers was 55.27 ± 13.7 years and 5.5% indicated the need for respite care with Caregiver Burden Inventory (CBI) scores ≥24. The highest burden was noted in the time-dependence burden domain (25.7%). The significant associated factors affecting CBI ≥24 were as follows: caregivers older than 60 years, being female, current smokers, having diabetes, and caring for seniors with probable depression and moderate to severe dependency. Conclusions: A quarter of caregivers can have their careers disturbed because of the time consumed with caregiving. Policies to assist families and interventions, such as respite service, care capacity building, official leave for caregiving, etc., may reduce the burden of families struggling with informal care chores. Furthermore, caregiver burden measurements can be applied as a screening tool to assess long-term care needs, complementing the dependency assessment. Finally, implementation research is required to determine the effectiveness of respite care services for older people in Thailand.

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Asavanirandorn, Chonticha, Watchara Pechdin, and Nguyen Thi Quynh Trang. "Identifying Factors Influencing Productivity of Older Workers in Service Sector: A Case Study in Pilot Companies in Thailand." Behavioral Sciences 12, no. 8 (August 4, 2022): 268. http://dx.doi.org/10.3390/bs12080268.

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Productivity has posed issues for global countries in terms of promoting older employment due to an emergence of questions regarding production efficiency. Individual characteristics result in varying production efficiencies, which in turn provide different levels of productivity. Taking this concern into account, we are here to examine the characteristics of older workers who provide high productivity in order to seek recommendations for fostering decent work for them. We utilized the dataset collected from the pilot service companies in Thailand who participated in a national initiative program for employing older people. A total of 204 older workers and their characters were then observed. Those characters were analyzed by the Generalized Ordered Logit Regression (gologit) model. Empirical findings indicate that allocating work that is related to communication and coordination to older workers would enhance odd ratio of their productivity by as much as 4.79 times compared to general tasks. Furthermore, employing older individuals on a part-time basis tends to generate higher-level productivity than full-time employment. We also found that gender and age differences have no significant effect on productivity in the service sector as people age, and factors related to types of employment, education, health, and financial status are also a precise determinant for the productivity of older workers. This would suggest that the work design for the older workers must be in line with the aforementioned determinants. In addition, the government initiatives utilizing key findings from this study to boost older workers’ productivity should give priority on tax incentives, promoting and advocating for employment equality, and vocationalization programs.

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Niwayama, Marie, Kayako Sakisaka, Pongthep Wongwatcharapaiboon, Valika Rattanachun, Satoshi Miyata, and Kenzo Takahashi. "Prevalence of Locomotive Organ Impairment and Associated Factors among Middle-Aged and Older People in Nan Province, Thailand." International Journal of Environmental Research and Public Health 18, no. 20 (October 15, 2021): 10871. http://dx.doi.org/10.3390/ijerph182010871.

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While locomotive organ impairment among older people is attracting worldwide attention, this issue has not yet been widely investigated in Thailand. This study aimed to measure locomotive organ impairment prevalence and identify the determinants of locomotive function decline among middle-aged and older people in Nan Province, Thailand. This cross-sectional study included anthropometric measurements, a two-step test to investigate locomotive function, and a structured questionnaire to obtain socio-demographic and related information. Logistic regression analysis and multiple regression analysis were used to identify the determinants of locomotive organ impairment. The study participants were aged 50–87 years old (n = 165), and 71.5% of them had begun experiencing declining locomotive function; < 6 years of school education (adjusted odds ratio: 4.46), body mass index ≥25 kg/m2 (AOR: 3.06), comorbidities (AOR: 2.55), and continuous walking for <15 min (AOR: 2.51) were identified as factors associated with locomotive organ impairment. Moreover, age, knee pain, anxiety about falling in daily life, and difficulty with simple tasks were identified as factors significantly associated with exacerbated locomotive organ impairment (p < 0.05). Appropriate interventions such as guidance or follow-up and recommendations for exercises are needed to prevent locomotive organ impairment and improve treatment.

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Khongboon, Pattaraporn, Sathirakorn Pongpanich, and Viroj Tangcharoensathien. "Risk Factors of Income Inadequacy among Thai Elderly: A National Cross-Sectional Study for 2007 and 2011." Asian Social Science 12, no. 6 (May 20, 2016): 70. http://dx.doi.org/10.5539/ass.v12n6p70.

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<p>Thailand’s population is aging rapidly. As of 2011, statistics have shown that there has been a constant increase in the percentage of the population aged 60 and older. This study evaluates the causal issues of income deficiency among the elderly in Thailand. The timeline for the study includes two national representative surveys of elderly people, one in 2007 and another in 2011, with double-stage sampling techniques being utilized. The sample is comprised of 30,427 and 34,173 participants in 2011 and 2007, respectively, all aged 60 years and older. SPSS 18 was employed for logistic regression and cross-tabulation analysis. A general decrease in income deficiency was observed in 2011 (38.6%) compared to 2007 (41.9%). The northern region exhibited a higher prevalence of income insufficiency compared to the southern region. Regardless of the prevailing benefit policies for the elderly, the current results demonstrate the need for an augmented government policy that supports elderly individuals facing income deficiency. </p>

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Trapsinsaree, Doungmon, Linchong Pothiban, Rojanee Chintanawat, and Tipaporn Wonghongkul. "Factors Predicting Spiritual Well-Being among Dependent Older People." Trends in Sciences 19, no. 1 (January 1, 2022): 1718. http://dx.doi.org/10.48048/tis.2022.1718.

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Spiritual well-being is a deep feeling within the mind that represents peacefulness and the inner strength of individuals, resulting from an understanding of the nature of life and acceptance of changes occurring to themselves. Spiritual well-being is; therefore, very important to dependent older people. The objectives of this study were to identify the levels of spiritual well-being of dependent older people, to examine the relationships between religious belief, religious practice, self-esteem, social support, depression, and spiritual well-being, and to examine the ability of those factors to predict spiritual well-being among dependent older people. The study sample were 395 of people aged 60 years and above who are dependent and live in three provinces in southern Thailand. Data were collected using questionnaires, including the Spiritual Well-Being Scale for Dependent Older People, Thai version of the Rosenberg Self-Esteem Scale, Thai version of the Multidimensional Scale of Perceived Social Support, Thai Geriatric Depression Scale, the Religious Practices Questionnaire, and the Buddhist Belief Questionnaire. Data were analyzed using descriptive statistics, Spearman’s rank correlation coefficient, and multiple regression analysis. The study results were as follows: 1) The spiritual well-being among dependent older people was at a moderate level (x̅ = 46.97, SD = 7.22). 2) Religious belief, religious practice, self-esteem, and social support significantly related positively to spiritual well-being (p < 0.01), while depression significantly related negatively to spiritual well-being (p < 0.01). 3) Religious belief, self-esteem, and social support together could explain 46.00 % of the variance in spiritual well-being. The results of this study can be used by nurses and health care providers to determine interventions for enhancing spiritual well-being in this particular group of older people. HIGHLIGHTS Spiritual well-being is one of the important dimensions of holistic care. Spiritual well-being has a positive effect on physical, mental and social health The conceptual framework is guided by the Buddhism Principles Religious belief, self-esteem, and social support together could explain 46.00 % of the variance in spiritual well-being

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Vicerra, Paolo Miguel Manalang, and Jose Carlo G. de Pano. "Perceived Risks and Social, Economic, and Health Changes Among Older People in Thailand During the COVID-19 Pandemic." Journal of Education and Community Health 9, no. 3 (September 30, 2022): 133–39. http://dx.doi.org/10.34172/jech.2022.20.

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Background: The coronavirus disease 19 (COVID-19) pandemic and the accompanying restrictions have caused disruptions in the lives of older Thais. The present study aimed to determine the associations of perceived risks with social, economic, and health changes that occurred among people aged 60 years old and over during the implemented lockdown measures. Methods: In this cross-sectional study, data from a survey on the Impact of COVID-19 on Older Persons in Thailand, with a sample size of 1230 collected in July 2020, were used for the analyses. An index was created using factor analysis from a list of perceived risks or worries during the COVID-19 pandemic. The mentioned index was then employed in an ordinary least squares regression model to explore associated factors that involved social, economic, and health changes. Results: The results indicated that older individuals, who were married (β=-0.141; P=0.030) and resided in rural areas (β=-0.218; P<0.001), had lower levels of perceived risks or worries. Greater worry was related to individuals who had negative physical health changes during the pandemic (β=0.177; P<0.001) and those who had less mobility around their communities (β=0.356; P<0.001). Loss of employment (β=0.318; P=0.004) and income inadequacy before the pandemic (β=0.370; P<0.001) and only during the pandemic (β=0.169; P=0.040) had positive associations with perceived risk. Conclusion: Observing psychological health is necessary for the protection of the older population’s wellbeing. The COVID-19 pandemic being an unprecedented event has shown the need to ensure the social and economic protection of this age group as they are highly vulnerable.

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Kraonual, Sunee, Apiradee Lim, Attachai Ueranantasun, and Sampurna Kakchapati. "Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand." Asian Biomedicine 13, no. 2 (December 19, 2019): 71–77. http://dx.doi.org/10.1515/abm-2019-0042.

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Abstract Background Road traffic injuries are a major public health burden in developing countries. Thailand has the highest fatality rate from road traffic injuries in southeast Asia so that prevention of unintentional injuries is important. Objective To identify patient and injury characteristics associated with road traffic mortality in the southern provinces of Thailand. Methods Data on a total of 78,862 road traffic injuries recorded by the general hospitals in 5 southern provinces of Thailand, during 2008–2013, were obtained from the Office of Disease Prevention and Control. Chi-squared test was used to determine the association between patient/injury characteristics and road traffic mortality, and logistic regression was used to identify the strength of associations. Results In this study, road traffic mortality was found to be 1.8% of all injuries. Most of the deaths occurred in males (61.7%), who were aged 25–44 years (35.8%), being drivers (68.6%), using motorcycle (78.4%), and not wearing a helmet (61.0%). Road traffic mortality was higher among males, older age people, those who were not wearing a helmet or not fastening a seat belt, pedestrians and when people crashed with or by motor car, with wound being penetrating or blunt with penetrating, and when they were having head or neck, chest, or abdominal or pelvic cavity injuries. Conclusion Policies and measures for reducing road traffic mortality should focus on males and older aged persons, use of safety devices, and occurrence of multiple injuries.

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Suttajit, S., S. Punpuing, T. Jirapramukpitak, K. Tangchonlatip, N. Darawuttimaprakorn, R. Stewart, M. E. Dewey, M. Prince, and M. A. Abas. "Impairment, disability, social support and depression among older parents in rural Thailand." Psychological Medicine 40, no. 10 (January 8, 2010): 1711–21. http://dx.doi.org/10.1017/s003329170999208x.

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BackgroundIt is not known whether social support modifies the association between depression and impairment or disability in older people from developing countries in Asia.MethodWe used a Thai version of the EURO-D scale to measure depression in 1104 Thai rural community-dwelling parents aged ⩾60 years. These were all those providing data on depression who were recruited as part of a study of older adults with at least one living child (biological, stepchild or adopted child). Logistic regression modelling was used to determine: (a) whether impairment, disability and social support deficits were associated with depression; (b) whether social support modified this association.ResultsThere were strong graded relationships between impairment, disability, social support deficits and EURO-D caseness. Level of impairment, but not disability, interacted with poor social support in that depression was especially likely in those who had more physical impairments as well as one or more social support deficits (pvalue for interaction=0.018), even after full adjustment.ConclusionsSocial support is important in reducing the association between physical impairment and depression in Thai older adults, especially for those with a large number of impairments. Enhancing social support as well as improving healthcare and disability facilities should be emphasized in interventions to prevent depression in older adults.

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Scuzzarello, Sarah. "Practising privilege. How settling in Thailand enables older Western migrants to enact privilege over local people." Journal of Ethnic and Migration Studies 46, no. 8 (January 28, 2020): 1606–28. http://dx.doi.org/10.1080/1369183x.2020.1711570.

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Karuncharernpanit, Sirikul, Joyce Hendricks, and Christine Toye. "Perceptions of exercise for older people living with dementia in Bangkok, Thailand: an exploratory qualitative study." International Journal of Older People Nursing 11, no. 3 (July 14, 2015): 166–75. http://dx.doi.org/10.1111/opn.12091.

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Pothisiri, Wiraporn, and Paolo Miguel Manalang Vicerra. "Psychological distress during COVID-19 pandemic in low-income and middle-income countries: a cross-sectional study of older persons in Thailand." BMJ Open 11, no. 4 (April 2021): e047650. http://dx.doi.org/10.1136/bmjopen-2020-047650.

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ObjectiveThe COVID-19 situation in Thailand was controlled with various social measures. Much of the information covered in the media and in studies focused on the public health and economic aspects of the pandemic. This study aimed to explore the psychological well-being of older people, which is important especially in an ageing society categorised as low income or middle income due to the limits of economic and healthcare resources.SettingThe impact of COVID-19 on older persons in Thailand, an online survey, taken across nine provinces within the five regions of the country.ParticipantsInformation was collected from 1230 adults aged at least 60 years old.If an older person was illiterate, unable to access the internet or had a disability preventing them from responding to the survey, an intermediary residing in the community conducted the survey interview.Primary and secondary outcome measuresThe analysis focused on the worries of older adults and the factors associated with psychological distress experienced during the pandemic using logistic regression analysis.ResultsThe majority of people aged at least 60 years old experienced psychological distress during COVID-19. Employment loss (OR 1.08, 95% CI 0.78 to 1.38), inadequate income (OR 1.77, 95% CI 1.28 to 2.44) and debt incursion (OR 2.74, 95% CI 1.57 to 4.80) were detrimental to psychological well-being. The negative changes in the perception of their health status (OR 1.92, 95% CI 1.23 to 2.99) and decreased life satisfaction (OR 1.49, 95% CI 0.45 to 1.87) also weighed on older Thais. The protective factors for psychological well-being were residing in rural areas (OR 0.46, 95% CI 0.35 to 0.61) and being married (OR 0.75, 95% CI 0.55 to 1.01).ConclusionObserving the concerns of the older population is important for introducing policies that can alleviate their precarious financial and health statuses.

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Kenbubpha, Kedsaraporn, Isabel Higgins, Amanda Wilson, and Sally Wai-Chi Chan. "How primary care providers promote active aging in community-dwelling older people with mental disorders: A qualitative study." Clinical Nursing Studies 7, no. 1 (September 10, 2018): 31. http://dx.doi.org/10.5430/cns.v7n1p31.

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The promotion of active aging in community-dwelling older people with mental disorders is an under-researched area. Primary care providers play an important role in engaging older people with mental health disorders to optimize active aging and increase their quality of life. This study explored how primary care providers apply the concept of active aging in community-dwelling older people with mental disorders and to identify factors that facilitate or hinder such application for promoting active aging in this group. Two focus groups were conducted. Fourteen primary care providers were recruited by purposive sampling from two primary care units located in Ubonratchathani province, the northeast region of Thailand. Content analysis was used to analyse the data. The study found that the majority of primary care providers were unfamiliar with the notion of active aging and that older people with mental disorders were not encouraged to join the health promotion activities organised by the community centre. Thai primary care providers need to be supported with training to enhance skills for promoting active ageing in this group. They also lack resources from the national and local government. The findings of this study were used to help develop a new instrument to measure perspectives of primary care providers in a quantitative study.

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Chuangchai, Warawoot. "Association Among Fear of Falling, Stress, and Quality of Life in Adults and Older People." Journal of Architectural/Planning Research and Studies (JARS) 14, no. 2 (December 30, 2017): 31–40. http://dx.doi.org/10.56261/jars.v14i2.116205.

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Fall-related injuries in older people have become a crucial and unease topic in public health area. The present study investigated the relationship of fall-related factors among fear of falling (FOF), stress, and quality of life (QOL) in adults and older people via structured questionnaires and informal interviews. A cross-sectional study was conducted in the central region of Thailand with 33 participants (9 males, 24 females) aged 45 - 86 years. Significant differences were indentified between groups in psychological well-being (P = 0.021), and stress (P = 0.034), respectively. QOL was significantly correlated with stress (r = -0.551, P = 0.002), and FOF (r = 0.517, P = 0.002), respectively. FOF was significantly correlated with stress (r = -0.310, P = 0.040) as well. The main evidence obtained from the present study suggests that decreasing FOF and/or stress could give prerequisite contribution to improving QOL not only in adults but also in older people. Fall prevention strategies may be more effective if consideration is given to the built environmental design in terms of design for sustainability in order to reduce the incidence possibility, minimize the chance of consequent injuries in elderly Thai population, and enhance their life qualities.

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LELIÈVRE, ÉVA, and SOPHIE LE CŒUR. "Intergenerational relationships within families of HIV-infected adults under antiretroviral treatment in Northern Thailand." Ageing and Society 32, no. 4 (May 24, 2011): 561–85. http://dx.doi.org/10.1017/s0144686x11000389.

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ABSTRACTThailand has been severely affected by AIDS/HIV. The epidemic has undermined the health of the population of working age, placing stress on intergenerational relations and threatening the social fabric. Older people in families affected by the disease, although not the main victims, have experienced major changes in relationships with their adult children and grandchildren. However, the availability of antiretrovirals has transformed HIV infection from a lethal to a chronic disease. Intergenerational relationships are analysed with data from a quantitative survey of HIV-infected adults currently receiving antiretroviral treatment in Northern Thailand. The introduction of antiretroviral treatment has eased the pressure on families. Where HIV-infected adults are more dependent on their older parents, it is because they are single and childless or single parents. While ageing parents remain a source of support for their adult children, the introduction of antiretroviral treatment has radically changed the prospects for HIV-infected adults and their regained health allows them to work, take care of their family and fulfil their filial duties as expected in Thai society. If Thailand's original aim in introducing health policies in this area was to curtail the HIV epidemic, its positive impact on intergenerational relations is an additional benefit.

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Aung, Myo Nyein, Saiyud Moolphate, Motoyuki Yuasa, Thin Nyein Nyein Aung, Yuka Koyanagi, Siripen Supakankunti, Ishtiaq Ahmad, Ryoma Kayano, and Paul Ong. "Community-Integrated Intermediary Care (CIIC) Service Model to Enhance Family-Based, Long-Term Care for Older People: Protocol for a Cluster Randomized Controlled Trial in Thailand." JMIR Research Protocols 10, no. 3 (March 24, 2021): e20196. http://dx.doi.org/10.2196/20196.

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Background Thailand is one of the most rapidly aging countries in Asia. Traditional family-based care, which has been the basis of most care for older people, is becoming unsustainable as families become smaller. In addition, women tend to be adversely affected as they still form the bulk of caregivers for older people, and many are likely to exit the labor market in order to provide care. Many family caregivers also have no or minimal training, and they may be called upon to provide quite complex care, increasing the proportion of older people receiving suboptimal care if they rely only on informal care that is provided by families and friends. Facing the increasing burden of noncommunicable diseases and age-related morbidity, Thai communities are increasingly in need of community-integrated care models for older persons that can link existing health systems and reduce the burden upon caring families. This need is common to many countries in the Association of Southeast Asian Nations (ASEAN). Objective In this study, we aimed to assess the effectiveness of a community-integrated intermediary care (CIIC) model to enhance family-based care for older people. Methods This paper describes a cluster randomized controlled trial comprised of 6 intervention clusters and 6 control clusters that aim to recruit 2000 participants in each arm. This research protocol has been approved by the World Health Organization Ethics Review Committee. The intervention clusters will receive an integrated model of care structured around (1) a community respite service, (2) the strengthening of family care capacity, and (3) an exercise program that aims to prevent entry into long-term care for older people. Control group clusters receive usual care (ie, the current system of long-term care common to all provinces in Thailand), consisting principally of a volunteer-assisted home care service. The trial will be conducted over a period of 2 years. The primary outcome is family caregiver burden measured at a 6-month follow-up, as measured by the Caregiver Burden Inventory. Secondary outcomes consist of biopsychosocial indicators including functional ability, as measured using an activity of daily living scale; depression, as measured by the Geriatric Depression Scale; and quality of life of older people, as measured by the EuroQol 5-dimensions 5-levels scale. Intention-to-treat analysis will be followed. Results The CIIC facility has been established. Community care prevention programs have been launched at the intervention clusters. Family caregivers are receiving training and assistance. However, the COVID-19 pandemic delayed the intervention. Conclusions Since ASEAN and many Asian countries share similar traditional family-based, long-term care systems, the proposed CIIC model and the protocol for its implementation and evaluation may benefit other countries wishing to adopt similar community-integrated care models for older people at risk of needing long-term care. Trial Registration Thai Clinical Trials Registry TCTR20190412004; http://www.thaiclinicaltrials.org/# International Registered Report Identifier (IRRID) DERR1-10.2196/20196

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Srithumsuk, Werayuth, Gunyadar Prachusilpa, Onouma Thummapol, and Weha Kasemsuk. "A Study of Home Healthcare Nursing Outcomes Quality Indicators for Older People in Thailand Using Delphi Technique." Home Healthcare Now 39, no. 3 (May 2021): 154–59. http://dx.doi.org/10.1097/nhh.0000000000000956.

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Pothiban, Linchong, Chomphoonut Srirat, Nahathai Wongpakaran, and Orawan Pankong. "Quality of life and the associated factors among family caregivers of older people with dementia in Thailand." Nursing & Health Sciences 22, no. 4 (July 2020): 913–20. http://dx.doi.org/10.1111/nhs.12746.

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Nanthakwang, Nitayapa, Penprapa Siviroj, Anuchart Matanasarawoot, Ratana Sapbamrer, Peerasak Lerttrakarnnon, and Ratanaporn Awiphan. "Prevalence and Associated Factors of Cognitive Impairment and Poor Sleep Quality among Community-Dwelling Older Adults in Northern Thailand." Open Public Health Journal 13, no. 1 (December 31, 2020): 815–22. http://dx.doi.org/10.2174/1874944502013010815.

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Background: Early detection of cognitive impairment and poor sleep quality are necessary to prevent dementia and the improve the quality of life further. This study aimed to investigate the cognitive impairment and poor sleep quality in the community-dwelling older adults and its association with socio-demographic and health characteristics. Methods: A cross-sectional study of 1,180 people in Northern Thailand aged 60 years and above was conducted in 2017. Mental State Examination-Thai version (MSET10) was used to measure cognitive function while the Pittsburgh Sleep Quality Index (PSQI) assessed sleep quality. Multiple logistic regression was used to analyze associations. Results: The prevalence of CI in older adults was 52.45% (95% CI: 49.64 - 55.42) which increased with age. The prevalence of poor sleep quality was 44.15% (95% CI: 1.29-47.03). Age, illiteracy, hypertension, comorbidities of hypertension and diabetes, alcohol consumption, lack of exercise, and depression were significantly associated with increased risk of CI, while being single, comorbidities of hypertension and diabetes, and depression were significantly associated with poor sleep quality. Conclusion: The rate of CI and poor sleep quality in older adults was relatively high in Thailand. Early detection of CI and poor sleep quality and screening for all risk factors are important to improve in access to service, optimization of medical management, reduction in risk factors, and increased quality of life in older adults.

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Journal articles on the topic 'Older people Thailand'

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