{"title":"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》。","authors":"Tassanee Silawan, Arpaporn Powwattana, Phurithat Ponsen, Nuttawat Ninkarnjanakun","doi":"10.1177/21501319241241456","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction/objectives: </strong>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.</p><p><strong>Methods: </strong>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 <i>t</i>-test and McNemar test.</p><p><strong>Results: </strong>After implementing IHPP-SP, the mean score significantly increased for happiness (<i>P</i> = .004), Activities of Daily Living: ADLs (<i>P</i> = .034), and family support (<i>P</i> < .001), but did not differ regarding depression (<i>P</i> = .413). The proportion of healthy behaviors significantly increased for tobacco use (<i>P</i> = .035), dietary intake (<i>P</i> = .018), and physical activity (<i>P</i> < .001), but not for alcohol consumption (<i>P</i> = .377).</p><p><strong>Conclusions: </strong>The IHPP-SP provided potential benefits to promote the wellness of older adults.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241241456"},"PeriodicalIF":3.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962033/pdf/","citationCount":"0","resultStr":"{\"title\":\"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.\",\"authors\":\"Tassanee Silawan, Arpaporn Powwattana, Phurithat Ponsen, Nuttawat Ninkarnjanakun\",\"doi\":\"10.1177/21501319241241456\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction/objectives: </strong>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.</p><p><strong>Methods: </strong>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 <i>t</i>-test and McNemar test.</p><p><strong>Results: </strong>After implementing IHPP-SP, the mean score significantly increased for happiness (<i>P</i> = .004), Activities of Daily Living: ADLs (<i>P</i> = .034), and family support (<i>P</i> < .001), but did not differ regarding depression (<i>P</i> = .413). The proportion of healthy behaviors significantly increased for tobacco use (<i>P</i> = .035), dietary intake (<i>P</i> = .018), and physical activity (<i>P</i> < .001), but not for alcohol consumption (<i>P</i> = .377).</p><p><strong>Conclusions: </strong>The IHPP-SP provided potential benefits to promote the wellness of older adults.</p>\",\"PeriodicalId\":46723,\"journal\":{\"name\":\"Journal of Primary Care and Community Health\",\"volume\":\"15 \",\"pages\":\"21501319241241456\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962033/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Primary Care and Community Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/21501319241241456\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Primary Care and Community Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/21501319241241456","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
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.
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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