Journal of the Office of Disease Prevention and Control 9 Nakhon Ratchasima

The Effect of an Arts and Crafts Activity Model on the Quality of Life of Older Adults at Suk-Jai Klai-Ban Elderly School

2025-04-08T09:41:54+07:00

The study was a quasi-experimental research study, using a one-group pretest-posttest design. The objective of this study was to examine the effects of an arts and crafts activity model on enhancing the quality of life among older adults at the Suk-Jai Klai-Ban Elderly School. A sample of 38 older adults, aged 60–79 years, was selected from the Suk-Jai Klai-Ban Elderly School at the Mahachai Community Health Clinic, Nai Mueang Sub-district, Mueang District, Nakhon Ratchasima Province, using a purposive sampling method. The research tools consisted of four parts: 1) the arts and crafts activity model, 2) a quality of life scale for older adults, 3) a practical skills assessment form, and 4) a satisfaction questionnaire regarding activity participation. Data were analyzed using descriptive statistics and inferential statistics. The results revealed that: 1) older adults who participated in the arts and crafts activities reported a high overall level of quality of life ( = 4.22, SD = 0.63); 2) the dimension of education and career development showed the highest level ( = 4.69, SD = 0.79); 3) participants expressed the highest level of satisfaction with the activities ( = 4.52, SD = 0.50); and 4) following participation in the arts and crafts activities, the older adults’ mean quality of life scores were significantly higher than those before the experiment (p < 0.05). This study demonstrates that participating in arts and crafts activities clearly contributes to the enhancement of the quality of life among older adults. For future studies, it is recommended that activities be integrated with socio-cultural contexts to align with local traditions and culture. Such integration would foster a stronger connection to the community and further motivate the target group to participate in these programs.

The Development of HIV/AIDS Patient-centered Service Delivery System in Community Hospital Si Bunrueang District, Nong Bua Lamphu Province

2025-02-27T10:59:45+07:00

This action research aimed to develop a service delivery system and evaluate treatment outcomes among people living with HIV/AIDS (PLWHA) at a community hospital in Si Bunrueang District, Nong Bua Lamphu Province. The study was conducted over a four-month period, from October 2024 to January 2025. The participants included 25 clinical quality improvement staff members and 233 HIV/AIDS patients. Data were collected via questionnaires and analyzed using descriptive statistics, the Wilcoxon signed-ranks test, and the t-test. The results revealed 13 core components of the developed patient-centered service delivery system for PLWHA: 1) professional knowledge development in service delivery, 2) patient preparation, 3) viral load monitoring, 4) clinical assessment prior to ART (antiretroviral therapy) initiation, 5) management of treatment-related side effects and complications, 6) care for pregnant women, 7) Index Partner Testing services, 8) target population screening, 9) prevention, 10) follow-up systems, 11) service delivery, 12) health promotion, and 13) specialist doctor referral protocols. Following the intervention, healthcare personnel showed a statistically significant increase in their knowledge of service delivery for PLWHA (p < 0.05). Similarly, the overall service skills of the healthcare staff reached significantly higher levels compared to the pre-intervention (p < 0.05). Moreover, PLWHA showed a significant improvement in overall health literacy (p < 0.05). Clinical indicators showed that 96.1% of patients achieved suppressed viral load levels at their most recent follow-up. Additionally, 75.1% of the participants attained the target adherence index score, while 81.5% of the total study group experienced an overall improvement in treatment outcomes. Therefore, implementing a comprehensive, patient-centered service delivery system for PLWHA within the hospital setting ensures holistic care, which ultimately leads to significantly enhanced treatment outcomes.

Factors Associated with Fatality from Motorcycle Accidents among Injured Patients Treated at Public Hospitals in Sisaket Province, 2024

2025-06-12T10:48:10+07:00

The objective of this study was to investigate the factors associated with fatality from motorcycle accidents among injured patients admitted to the emergency departments of public hospitals in Sisaket Province during 2024. The study was an analytical cross-sectional study and was conducted using secondary data. The sample consisted of 2,274 injured patients who received treatment at the emergency departments of public hospitals in Sisaket Province during 2024. Data were analyzed using descriptive and inferential statistics, including crude odds ratios (OR), adjusted odds ratios (AOR), and 95% confidence intervals (95%CI). The level of statistical significance was set at p < 0.05. The results revealed five statistically significant risk factors associated with motorcycle accident fatalities: being male (AOR = 2.21, 95%CI: 1.26–3.87); being 35 years or older (AOR = 1.73, 95%CI: 1.06–2.81); injuries from collisions with vehicles, people, animals, or objects (AOR = 2.62, 95%CI:1.38–4.98); head injuries (AOR = 1.83, 95%CI: 1.12–2.98); and injured patients transport by advanced life support (ALS) or basic life support (BLS) emergency medical service teams (AOR = 9.97, 95%CI: 4.93–20.17). From these findings, the data can be applied to risk prevention and fatality reduction strategies, such as developing fatality risk assessment tools and strengthening the capacity of emergency medical services (EMS) for high-risk patient medical care and transport. In addition, district-level multidisciplinary teams should be empowered to conduct in-depth fatality investigations of motor vehicle accidents for area-based risk management. The recommendation from this study is that a proactive data collection design should be implemented to capture a comprehensive range of risk factors across all dimensions. Furthermore, the quality of injury surveillance data in public hospitals should be improved by applying artificial intelligence technology to ensure data completeness, accuracy, and timeliness.

Factors Associated with Behavioral Intention for Antiretroviral Drug Adherence among Newly Diagnosed HIV Patients in Health Region 5

2026-02-06T08:25:57+07:00

The objective of this study was to investigate the factors associated with behavioral intention for antiretroviral drugs adherence among newly diagnosed HIV patients in Health Region 5. The sample consisted of 110 newly diagnosed HIV patients who received medical services at public health facilities in Health Region 5. Data were collected using a questionnaire and analyzed using the chi-square test and Pearson’s correlation coefficient. The level of statistical significance was set at p < 0.05. The results revealed that most participants were male (57.3%) with a mean age of 28.67 years. Approximately 50.9% of the participants demonstrated high level of behavioral intention to adhere to antiretroviral drugs. Regarding health perceptions, perceived susceptibility to the disease, perceived severity of the disease, and perceived benefits of treatment were all at high levels, with mean scores of 4.32, 4.27, and 4.43, respectively. Conversely, perceived barriers to the treatment process were at a moderate level with mean score of 2.67. From correlation analysis, the study found that gender and educational level were significantly associated with behavioral intention to adhere to antiretroviral drugs (p < 0.05). Additionally, knowledge of HIV/AIDS, self-care behaviors after being diagnosed with HIV, and antiretroviral therapy protocols showed a significant positive correlation with behavioral intention to adhere to antiretroviral drugs among newly diagnosed HIV patients (r = 0.436, p < 0.01). Moreover, the perceived benefits of treatment showed a significant positive correlation with behavioral intention to adhere to antiretroviral drugs (r = 0.398, p < 0.01). Therefore, health service units should proactively provide comprehensive education regarding HIV/AIDS knowledge and self-care behaviors. Furthermore, strategies should be implemented to enhance the perceived benefits of treatment and ensure a thorough understanding of correct antiretroviral therapy protocols. Strengthening these areas would foster a positive behavioral intention and increase the likelihood of consistent long-term medication adherence. Ultimately, these interventions can lead to broader improvements in health-promoting behaviors.

Evaluation of the Gonorrhea Surveillance System at a Hospital in Chaiyaphum Province, 2019–2023

2025-08-13T14:43:31+07:00

Gonorrhea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. Data retrieved from the Disease Surveillance Report System 506 (R506) between 2012 and 2021 indicate that gonorrhea incidence rates consistently exceed those of other sexually transmitted infections. In 2023, the incidence rate in Chaiyaphum Province surged threefold. To facilitate more efficient and timely reporting, the Bureau of Epidemiology developed a Digital Disease Surveillance (DDS) system utilizing an Application Programming Interface (API). Consequently, this study aimed to assess the gonorrhea surveillance system, describing the surveillance system, examining both the qualitative and quantitative attributes, and comparing the R506 and DDS systems. A mixed-methods approach was employed. The case definition for gonorrhea followed the Department of Disease Control’s criteria for patients treated at the hospital from January 1, 2019, to December 31, 2023. The results found that the hospital utilized surveillance data for proactive screening and case-finding plans. Comparative data between the R506 and DDS systems revealed that 1) sensitivity was 45.07% and 60.00%, respectively, with low rates attributed to personnel structure changes and personnel unawareness of reporting requirements; 2) positive predictive value (PPV) was 82.58% and 83.33%; 3) data completeness was 100% for both systems; 4) accuracy of the date of onset was 22.58% and 33.33%; and 5) timeliness was 26.67% and 100.00%. When comparing the R506 and DDS systems, users reported higher satisfaction with the DDS system due to its user-friendly interface and simplified procedures. However, no significant differences in sensitivity and PPV were observed between the two systems. In conclusion, the sensitivity was relatively low due to a lack of awareness among staff regarding the necessity of disease reporting. Therefore, it is necessary to build the capacity of staff responsible for disease surveillance reporting and to provide clear reporting guidelines or manuals. In addition, the case definition for gonorrhea reporting in the surveillance system should be reviewed with all relevant staff to improve the efficacy of disease prevention and control.

Development of an Occupational Health and Environmental Medicine Service Delivery Model to Support the Control of Occupational Diseases and Environmental Diseases Act B.E. 2562 for Community Hospitals in Health Region 7

2026-01-21T14:44:33+07:00

This action research aimed to develop an occupational health and environmental medicine service delivery model for community hospitals in Health Region 7, Thailand, to support the implementation of the Control of Occupational Diseases and Environmental Diseases Act B.E. 2562 (2019). The study was conducted from March 2022 to March 2025 and consisted of four phases: 1) situation analysis and needs assessment, 2) model development, 3) implementation and refinement, and 4) evaluation. The participants included public health personnel responsible for occupational health services and four model community hospitals. The developed model comprised operational mechanisms, organizational structure, implementation based on five standard components, and capacity building through a 60-hour short-course training program on fundamental occupational health nursing using problem-based learning. The results showed that the proportion of community hospitals achieving a good standard level increased from 40% in 2022 to 73.33% in 2025. Knowledge scores of nurses improved significantly after completing the training program, and satisfaction with the course was reported at the highest level. Trained nurses were able to apply their knowledge in four key areas: risk assessment and management, occupational health service provision, healthcare and disease screening, and service development planning. All four model hospitals successfully implemented services according to the five standard components; however, environmental medicine services remained a limitation for all hospitals. The findings suggest policy recommendations: the Department of Disease Control should assess the readiness and limitations of community hospitals to support compliance with Section 24. Furthermore, at the health regional level, a strategic service system development plan should be established, encompassing resource allocation, personnel development, and support mechanisms to enable community hospitals to implement Section 25 effectively.

Effects of a Medication Reminder Bag Innovation on Older Adults with Non-Communicable Diseases

2025-11-05T09:10:04+07:00

This quasi-experimental research aimed to evaluate the effects of an innovative medication reminder bag in preventing medication non-adherence among older adults with non-communicable diseases (NCDs). The sample consisted of 30 participants aged 60 years and older with multiple comorbidities. The participants used the developed medication reminder bag for a one-week period. Following the intervention, they completed a questionnaire to evaluate the usability of the innovation and its effectiveness in improving medication adherence. The research instruments included: 1) the medication reminder bag innovation and 2) a structured questionnaire consisting of demographic data, a six-dimension evaluation of product attributes, and an assessment of medication adherence. The questionnaire was validated by three experts (IOC = 0.80), and reliability testing yielded Cronbach’s alpha coefficients of 0.81 and 0.87, respectively. The findings revealed that the overall attributes of the medication reminder bag were at a high level. The highest mean score was observed in the safety dimension ( = 4.10, SD = 0.66), followed by user responsiveness ( = 3.96, SD = 0.64) and innovation and creativity ( = 3.96, SD = 0.69). The lowest mean score was for ease of use ( = 3.73, SD = 0.76). Furthermore, medication non-adherence among older adults significantly decreased after the medication reminder bag intervention (p < 0.05), with the mean non-adherence scores being higher at pre-test ( = 4.2, SD = 0.78) compared to post-test ( = 1.2, SD = 0.63). It is recommended that the medication reminder bag innovation for older adults with multiple comorbidities be implemented for a duration longer than one week to further evaluate its long-term effectiveness.

Factors Influencing Food Consumption Behaviors among the Working-Age Paka-Kyaw Ethnic Group in Mae Yuam Subdistrict, Mae Sariang District, Mae Hong Son Province, Thailand

2025-11-05T09:45:47+07:00

The Paka-Kyaw ethnic group possesses a unique culture and traditions, with traditional dietary habits centered on natural ingredients and rotational farming rather than urban commercial consumption. This cross-sectional study aimed to examine food consumption behavior levels and to determine the factors influencing these behaviors among the working-age Paka-Kyaw ethnic group. A sample of 400 participants was selected through simple random sampling. Data were collected using questionnaires assessing knowledge, beliefs, social support, and food consumption behavior. Data analysis was performed using descriptive statistics, simple linear regression, and multiple linear regression. The results revealed that most participants had a high level of beliefs regarding food consumption (54.75%) and a high level of appropriate food consumption behaviors (41.00%). Food consumption knowledge and social support were significant factors influencing food consumption behaviors (p < 0.001). Therefore, a proactive information support system should be established by enhancing the capacity of Village Health Volunteers (VHVs) to act as primary communicators through bilingual media innovations. This approach could bridge the information gap and increase accessibility to food consumption knowledge in remote areas.