Integrating Manora Bead-Threading Activities for Dementia Prevention and Grassroots Economic Empowerment: A Case Study in Khao Chaison District, Phatthalung Province

Abstract

This quasi-experimental study aimed to examine the effects of the Manora bead-threading activity on cognitive function and income generation among older adults in the community. Conducted in Khao Chaison District, Phatthalung Province, the study involved 30 elderly participants who were screened to ensure they did not have severe dementia. Research instruments included the Mini-Mental State Examination (MMSE), an income interview form, and a satisfaction questionnaire. The activity, based on the traditional Manora art form, was conducted twice weekly for eight consecutive weeks. Results showed significant improvements in cognitive function, with mean MMSE scores increasing from 22.4 to 26.1 (t = 8.54, p-value < 0.001), particularly in short-term memory and language skills. Average monthly income also increased from 500 to 1,500 baht (t = 7.23, p-value < 0.001), with 86.7% of participants successfully producing and selling beadwork in the community. Overall satisfaction was very high (X̄ = 4.62, SD = 0.48). The findings indicate that Manora bead-threading activities enhance cognitive performance, support psychological well-being, strengthen cultural engagement, and promote sustainable grassroots economic development, demonstrating the potential of integrating local wisdom into holistic elderly care.