Effectiveness of a Health Literacy and Health Behavior 3E 2S Enhancement Program among Elderly in Pathum Thani Province
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Abstract
The purpose of this study was to evaluate the effectiveness of a program designed to promote health literacy and health behavior according to the 3E 2S principles for the elderly in Pathum Thani Province. This was a quasi-experimental study. The sample consisted of elderly individuals aged 60 years and over in Pathum Thani Province. A total of 80 participants were randomly selected using multi-stage sampling, divided into 40 individuals in the experimental group and 40 in the control group. The program consisted of a learning activity plan lasting 8 weeks, with a follow-up period of 12 weeks. The researcher specifically selected the experimental group. The research instrument was a questionnaire. Statistical analyses used included frequency, percentage, mean, standard deviation, independent t-test, and repeated measures analysis of variance. The results of the study found that comparing health literacy and health behavior between the experimental and comparison groups at each time period, it was found that before the experiment, health literacy and health behavior were not different. After participating in the program for 8 weeks and following up for 12 weeks, the experimental group and comparison group had health literacy and health behavior according to the principles of 3A.2S. They were significantly different at the 0.05 level. And comparing health literacy and health behavior according to the principles of 3A.2S in each experimental group. It was found that health literacy and health behavior according to the principles of the 12-week follow-up period were higher than after using the 8-week model and before using the model, respectively at the statistical significance level of 0.05.
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References
Jitramontree N. Elderly Population: Trends and Issues in Elderly Care. In Wilaiwan Thongcharoen, editor. The science and art of nursing for the elderly. Bangkok: Faculty of Nursing Mahidol University; 2015
Department of Elderly Affairs under the Ministry of Social Development and Human Security. Statistics on the elderly in Thailand, year 2024: [Internet]. 2024 [Cited in 19 September, 2024]. Available from:https://www.dop.go.th/th/know/1/1766
Bureau of Health Promotion, Ministry of Public Health. 2018. Enhancing and evaluating health literacy and health behavior. Nonthaburi: Printing House.
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259–67.
Jirawongnusorn S, Chitmanasak N. Development of aHealth Literacy Model to Enhance Health Behaviours According the “3A” Principle of the Elderly. Journal of Roi Kaensarn Academi 2022; 7(4): 233-249. (In Thai)
Chesser AK, Woods NK, Smothers K, Rogers N. Health literacy and older adults. Gerontol Geriatr Med. 2016; 2:1-13.
Department of Health Service Support Ministry of Public Health. Population database in Pathum Thani Province, year 2024: [Internet]. 2024 [Cited in 18 December, 2024]. Available from:https://3doctor.hss.moph.go.th/
Pathum Thani Provincial Public Health Office. Workshop to develop the potential of senior citizens' clubs to build strength for the aging society: [Internet]. 2024 [Cited in 11 December, 2024]. Available from: https://www.facebook.com/pte.moph
Sudore LR, Harris BT, Rosano C, Ayonayon NH. Limited literacy in older people and disparities in health and healthcare access. JAGS Journal compilation. 2006; 54(5): 770-6.
ND Berkman, DA Dewalt, MP Pignone, SL Sheridan, KN Lohr, L Lux, SF Sutton, T Swinson and AJ Bonito. Literacy and Health Outcomes: Summary. Evid Rep Technol Assess (Summ). 2004; (87): 1-8
Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008; 67(12):2072-8.
Faul F, Erdfelder E, Lang AG, Buchner A. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149–60. doi:10.3758/BRM.41.4.1149
Division of Health Education, Department of Health Service Support. Strengthening and evaluating health literacy and health behaviors among children and youth (ages 7-14), people aged 15 years and over, updated version. 2018: 52-64. (in Thai)
Cronbach LJ. Essentials of psychological testing. 3rd ed. New York: Harper & Row; 1974.
Yingdamnun P. The Effects of a Health Literacy and Health Behaviors Program for Older Adults in Phra PhutthabatMunicipality, Saraburi Province. Journal of Health Sciences and Pedagogy 2024; 4(2): 43-57. (In Thai)
Mamak, M. & Deelers, S. (2018). Knowledge exchange model for support good quality of life for elderly in the village of SiamNiwet PhraSamudChedi district, Samutprakarn province. In Creative RMUT and Sustainable Innovation for Thailand 4.0. Rajamangala University of Technology. (In Thai)
Chaimongkol P. The Effectiveness of Health Literacy and desirable Health Behavior programs among Older Adults in a Semi-Urban Community in Khon Kaen Province. Journal of Regional Health Promotion Centre 7 Khonkaen 2023; 15(3): 124–137. (In Thai)
Sorensen K, Van den BS, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012; 12: 80.
Sarakshetrin A, Kaewyoo R, Chantra R, Howharn C, Ruangdej Chaosuansreecharoen K, Dechboonyachit P. Effectiveness of program enhancing health literacy on health behaviors 3E 2S among elderly. Bcnnon Health Science Research Journal 2023; 17(3): 40-53. (In Thai)