https://he02.tci-thaijo.org/index.php/TJONC/issue/feedThe Journal of Thailand Nursing and Midwifery Council 2023-12-19T14:09:09+07:00Noppawan Piaseu, PhDnoppawan.pia@mahidol.eduOpen Journal Systems<p><strong>The Journal of Thailand Nursing and Midwifery Council </strong></p> <p>The Journal of Thailand Nursing and Midwifery Council (JTNMC) is an official, double-blind, peer-reviewed online journal that publishes articles in the Thai language. It is published quarterly, with new issues released every three months. The JTNMC aims to promote the dissemination of contemporary and relevant academic articles to professional nurses nationally and internationally. The journal invites a diverse range of high-quality academic and research articles that demonstrate advancements in nursing and midwifery knowledge and practices, as well as knowledge development in nursing and theory, and the use of evidence-based practices to improve the quality of nursing care. The journal also seeks to showcase innovation and research in the areas of nursing management and policy development for healthcare services, as well as professional development and nursing education.</p> <p>ISSN 1513-1262 (Print)</p> <p>ISSN 2985-0894 (Online)</p>https://he02.tci-thaijo.org/index.php/TJONC/article/view/264593Factors Related to Caregiver Burden of Children with Chronic Respiratory Failure with Tracheostomy at Home2023-08-24T08:53:02+07:00Hirunya Jeennamsaihirunyajeen14@gmail.comNantaga Sawasdipanichnantaga@stin.ac.thJitladda Deerojanawongjitladda.d@gmail.com<p><strong>Introduction</strong> Chronic respiratory failure in children is a significant health problem leading to tracheostomy at home following hospital discharge. Providing long-term care for children at home becomes challenging when they require complex medical treatments, placing a burden on caregivers. </p> <p><strong>Objectives </strong>1) To describe caregiver burden of children with chronic respiratory failure with tracheostomy at home, and 2) To examine the relationships between caregiving self-efficacy, social support, coping, and caregiver burden of children with chronic respiratory failure with tracheostomy at home. </p> <p><strong>Design</strong> A descriptive correlational design employing Chou’s caregiver burden as the conceptual framework</p> <p><strong>Methodology</strong> Through purposive sampling with inclusion criteria, the sample included 85 caregivers of children aged three months to 15 years old with tracheostomy at home, who were receiving care at a super tertiary hospital in Bangkok metropolitan area and a tertiary hospital in a northern province of Thailand from May 2022 to January 2023. The instruments used for data collection comprised the following: the personal information of caregiver and children questionnaire, the caregiver burden questionnaire, the caregiving self-efficacy questionnaire, the social support questionnaire, and the coping questionnaire. These instruments revealed content validity indices of .86, .97, .92 and .97, respectively and internal consistency reliability, with Cronbach’s alpha coefficients of .90, .95, .95 and .92, respectively. Data were analyzed using descriptive statistics and Pearson’s product-moment correlation. </p> <p><strong>Results</strong> The overall caregiver burden score averaged at a moderate level (M = 2.57, SD = 0.10). Furthermore, caregivers perceived a moderate level of burden across all subscales, including physical, emotional, social, and financial burdens (M = 2.51, 2.42, 3.00 and 3.00, with SD = 0.98, 1.01, 1.15 and 1.15, respectively). Social support was at a high level (M =2.83, SD = 0.07) and revealed a significant negative correlation with caregiver burden (r = -.292, p = .007). Caregiving self-efficacy was high, while coping was at a moderate level; however, there was no significant correlation between these factors and caregiver burden (r = -.182, p = .097, and r = -.139, p = .203, respectively). </p> <p><strong>Recommendation </strong>The results from this study highlighted the burden experienced by caregivers of children with chronic respiratory failure requiring tracheostomy care at home, as well as the factor related to this burden. It is necessary for healthcare providers to provide targeted training programs aimed at enhancing caregivers’ knowledge and skills in home-based child care. Additionally, offering informational and emotional support, along with providing necessary medical equipment, should be considered to alleviate caregiver burden.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/264508Effectiveness of a Participatory Learning for Covid-19 Prevention Program in School-aged Muslim Students2023-08-16T09:56:44+07:00Napaphen Jantacummanapaphen_ja@hotmail.comwarinee iemsawasdikulwarineei@yahoo.com<p><strong>Introduction</strong> The COVID-19 pandemic has had health impacts on the community members, particularly in school-aged Muslim students. Promoting participatory learning is vital to preventing COVID-19. </p> <p><strong>Objectives</strong> 1) To compare COVID-19 prevention awareness, COVID-19 prevention knowledge, and COVID-19 prevention behaviors in school-aged Muslim students in the experimental group before and after the program, and 2) to compare COVID-19 prevention awareness, COVID-19 prevention knowledge, and COVID-19 prevention behavior in school-aged Muslim students between the experimental and comparison groups after the program. </p> <p><strong>Design </strong>A quasi-experimental study with a two-group pretest and posttest design, applying Kolb’s experiential learning theory as the conceptual framework </p> <p><strong>Methodology</strong> The sample comprised school-aged Muslim students in a central province. Two schools were randomly assigned to the experimental and comparison groups. Subsequently, 37 students in the experimental group and 38 students in the comparison group were allocated based on their respective schools. The control group participated in a 6-week participatory learning program for COVID-19 prevention, structured in four stages: 1) sharing experiences, 2) reflection and discussion, 3) conceptualization, and 4) experimentation and concept application. Data collection instruments consisted of three questionnaires: 1) COVID-19 Prevention Awareness, 2) COVID-19 Prevention Knowledge, and 3) COVID-19 Prevention Behavior. The questionnaires revealed reliability of .91, .89, and .94, respectively. Data were analyzed using descriptive statistics, Independent t-test, and Paired t-test. </p> <p><strong>Results</strong> After participating in the program, the experimental group had COVID- 19 prevention awareness (M = 3.17, SD = 0.43), knowledge (M = 22.30, SD = 3.88), and behavior (M = 3.43, SD = 0.59) higher than before the program (M = 3.10, SD = 0.32, t = 0.524, p = .026; M = 21.59, SD = 3.50, t = 5.376, p = .003; M = 2.92, SD = 0.51, t = 5.376, p < .001, respectively) and higher than the comparison group with statistical significance (M = 3.16, SD = 0.25, t = 7.316, p = .035; M = 21.13, SD = 3.12, t = 7.316, p < .001; M = 2.91, SD = 0.54, t = 7.316, p < .001, respectively). However, knowledge about infectious disease outbreaks and self-care behavior to prevent infection with COVID- 19 had no statistically significant difference from before the program. </p> <p><strong>Recommendation</strong> Health team and other stakeholders can apply participatory learning programs to promote awareness, knowledge, and behavior for COVID-19 prevention in Muslim school-aged children.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/264481The Experiences of Transition to Professional Nurses of Newly Graduated Nurses2023-09-06T10:48:56+07:00Phattharamanat Pongrangsarnphattharamanat@gmail.comPoungkamon Krisanabudpoungkamonk@nu.ac.thRaweewan Pilaikiatweewan15@yahoo.co.th<p><strong>Introduction</strong> Newly graduated nurses are healthcare professionals with minimal experience in their professional roles. According to prior research, newly graduated nurses experienced stress with limited knowledge, and skills when working in specialized units where patient conditions are complicated. This may lead to burnout and a high turnover rate. Improving the support system for newly graduated nurses requires authentic insight from their direct experiences. </p> <p><strong>Objective</strong> To explore the experiences of newly graduated nurses during their transition to professional nurses </p> <p><strong>Design</strong> Descriptive qualitative study </p> <p><strong>Methods</strong> The informants were 27 newly graduated nurses working in a university hospital in the lower-northern region selected through purposive sampling. Three focus group interviews were conducted using a semi-structured interview guide via video conferences. Approximately 8 to 10 informants were invited, and they willingly participated in each focus group discussion at a date and time that best suited their convenience. The data were collected from January to February 2022. Sandelowski’s qualitative content analysis method was employed for data analysis. The study’s trustworthiness was established with dependability, confirmability, credibility, and transferability criteria. </p> <p><strong>Findings </strong>This study revealed that the newly graduated nurses were surprised by many competence requirements and expectations during the transition period. The experiences were categorized into four major categories as follows: 1) confronting with something new including a new workplace environment, learning new things, and emotions; 2) adjustment including accepting the role changes, adjusting to new co-workers, and adjusting to new tasks; 3) standing on their own feet including expectations from the workplace and end of the probation period; 4) seeking for additional knowledge by learning through nursing conferences, hands-on practice, self-study, and mentoring system. </p> <p><strong>Recommendation</strong> The findings indicated that newly graduated nurses working in super tertiary hospitals need specific preparation to adapt to their professional nursing roles and possess the required competencies as per their organization’s standards. This study also highlights the importance of close collaboration in preparing students for the transition from educational institutions to workplaces, ensuring their readiness before graduation, and alignment with the organizational requirements during the transitional phase.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/265598Factors Predicting Intent to Stay Among Nurses in University Hospitals2023-10-11T09:27:23+07:00Wuttikoon Intajakwuttikoon.intajak@cmu.ac.thThitinut Akkadechanuntthitinut.a@cmu.ac.thSomjai Sirakamonsomjai.sira@cmu.ac.th<p><strong>Introduction </strong>The intent to stay is important for organizations to promote employee retention, especially in the context of university hospitals with high turnover rates of nurses. Additionally, research on nurses’ intention to stay in university hospitals is limited. </p> <p><strong>Objectives</strong> 1) To describe the intent to stay among nurses in university hospitals, and 2) To determine the predictivity of trust in supervisor, perceived organizational support, work experience, and working hours on the intent to stay among nurses in the university hospitals. </p> <p><strong>Design</strong> This study employed a correlational predictive design, applying the concept of intent to stay by Boyle et al. as a research framework. </p> <p><strong>Methods</strong> The participants consisted of 170 nurses, working in the university hospitals in the northern region of Thailand for a minimum of one year. Data were collected through an online questionnaire in August 2023. The research instruments included four parts: a personal information questionnaire, an intent to stay scale, a trust in supervisor scale, and a perceived organizational support scale. Data were analyzed using descriptive statistics, and inferential statistics, which included multiple regression analysis with “ENTER” method. </p> <p><strong>Results</strong> The mean intent to stay among nurses in university hospitals was at a moderate level (M = 3.11, SD = 0.98). The multiple regression analysis revealed that trust in supervisor, perceived of organizational support, and work experience together predicted intent to stay among the participants for 47.6% (R2 = 0.476, F = 37.434, p < .01). The work experience was the best predictor of intent to stay (beta = 0.355). </p> <p><strong>Recommendations</strong> Hospital and nurse administrators can use the results of this study as the basic information in designing strategies aimed to enhance intent to stay among nurses in the university hospitals through the cultivation of trust in supervisors and providing support for the nursing profession.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/265587Effects of Game-Based Learning in Caring for Patients with Intercostal Drainage on Knowledge, Practical Skills, and Satisfaction in Nursing Students2023-09-29T16:16:27+07:00Parichat Wonggomparwon@kku.ac.thBusaba Somjaivongbussom@kku.ac.thSukuman Homvisetvongsasukuman@kku.ac.thWiphawadee Potisopha wiphpo@kku.ac.thOrawee Changrueangorawch@kku.ac.thWasana Ruaisungnoenwaskir@kku.ac.thDonwiwat Saensom donsae@kku.ac.thMaliwan Silaratsmaliw@kku.ac.thNonglak Methakanjanasak nonchu@kku.ac.th<p><strong>Introduction</strong> In the 21st century, the pedagogy of teaching and learning has transitioned towards self-directed learning, aiming to motivate learners while enhancing the link between theoretical knowledge, and clinical practice skills. Gamification, known as game-based learning, is increasingly emerging as a strategy to complement simulation-based approaches. Proficiency in caring for patients with intercostal drainage is vital for both life-saving and acute care, highlighting the need for effective teaching, and learning methodologies. </p> <p><strong>Objectives</strong> This study aimed to examine the effect of game-based learning on knowledge and skills related to caring for patients undergoing thoracic drainage, and satisfaction with game-based learning in nursing students. </p> <p><strong>Design</strong> This research employed a one-group pretest-posttest quasi-experimental design, using cognitive constructivism, and game-based learning as the research framework. </p> <p><strong>Method</strong> A total of 108 third-year nursing students voluntarily participated in a one-month game-based computer-assisted learning program titled “Fun Games: Awakening ICD Knowledge.” The research instruments included a knowledge questionnaire (CVI =.99, KR-20 =.70), an objective structured clinical examination (OSCE) (CVI =.99, Inter-rater reliability = 1.0), and a questionnaire on satisfaction with game-based learning (CVI =.99, Cronbach’s alpha coefficient =.90). Data were analyzed using descriptive statistics and Paired t-tests. </p> <p><strong>Results</strong> After the game-based learning, knowledge scores (M = 7.01, SD = 1.14) were significantly higher than pre-test scores (M = 5.12, SD = 1.77, t=-10.153, p < .001). All nursing students successfully passed the OSCE examination. Overall satisfaction with game-based learning was at a high level (M = 4.37, SD = 0.62). </p> <p><strong>Recommendation</strong> Game-based learning facilitates nursing students in acquiring knowledge and skills related to caring for patients with intercostal drainage, and their satisfaction reflects the need for an enhanced strategic pedagogical approach that aligns with current educational trends. It is recommended to further utilize and develop this learning method as an integrated approach to bridge theoretical knowledge with nursing practice courses.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/265705Symptom Experiences in Patients with Heart Failure2023-10-19T13:28:59+07:00Aukrit Plangklangaukritbangearn@gmail.comYaowarat Matchimyaowarat.m@gmail.comBorwarnluck Thongthaweeborwarnluck.t@gmail.com<p><strong>Introduction</strong> The prevalence of heart failure (HF) is increasing in Thailand. While current treatment approaches play a crucial role in prolonging life, patients with HF may experience worsening symptoms over time. This can lead to re-admission, along with the ongoing challenge of managing persistent and distressing symptoms throughout their lives. </p> <p><strong>Objective</strong> This study aimed to describe symptom experiences among patients with HF, including symptom occurrence, frequency, severity, distress, and overall symptom. </p> <p><strong>Design</strong> This study employed a descriptive design, adopting the Theory of Unpleasant Symptoms as its conceptual framework. </p> <p><strong>Methods </strong>Through purposive sampling, the participants included 264 patients with HF aged 18 years or older, and classified as having heart functional class II or III based on the New York Heart Association classification. Data were collected using a demographic form and the Thai version of the Memorial Symptom Assessment Scale-Heart Failure (MSAS-HF). The reliability testing of the overall MSAS-HF in this study yielded a Cronbach’s alpha coefficient of .83. Descriptive statistics were used to analyze all dimensions of symptoms. </p> <p><strong>Results</strong> Over half of the participants were male (56.80%), ranging in age from 27 to 92 years, with an average age of 66.71 years (SD = 11.76). Out of the 32 total symptoms, the participants reported experiencing approximately 30 symptoms. The symptoms that were not reported included issues related to sexual interest or activity and vomiting. The most prevalent symptoms were difficulty breathing when lying flat (71.21%), shortness of breath (70.83%), cough (64.77%), lack of energy (61.36%), and difficulty sleeping (53.79%). Each patient experienced between 3 to 20 symptoms, with an average of about 9 symptoms per patient (SD = 2.46). Difficulty breathing when lying flat ranked highest across severity (M = 3.44, SD = 0.18) and distress dimensions (M = 3.36, SD = 0.18). </p> <p><strong>Recommendation</strong> This study highlights the diverse symptom dimensions experienced by patients with HF. Remarkably, only certain patient groups experienced a multitude of symptoms, and specific symptoms were identified as problematic. This information is valuable for identifying high-risk groups that may benefit from targeted symptom management. Additionally, it emphasizes the need for ongoing, thorough symptom assessments for these patients.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/265506Development of A Home Blood Pressure Monitoring-Based Self-Management Model in Patients with Hypertension and Uncontrolled Blood Pressure2023-09-25T15:20:48+07:00Duangmanee Wiyathusdungmanee@gmail.comTapakorn Siripakmanontthepakom@hotmail.comUrai Synlapakitkosol phanom.master@gmail.com<p><strong>Introduction</strong> Uncontrolled hypertension can result in severe complications, disabilities, and even death. Promoting patients to engage in self-management combined with home blood pressure monitoring is an approach to maintaining continuous control of their blood pressure. </p> <p><strong>Objective</strong> To develop and investigate the effects of a home blood pressure monitoring based self-management model in patients with hypertension and uncontrolled blood pressure. </p> <p><strong>Design </strong>This study is a Research and Development. </p> <p><strong>Methods</strong> The researchers developed a home blood pressure monitoring based self-management model for patients with uncontrolled blood pressure at a community hospital in a province of central region, Thailand. The development process was divided into four phases: 1) Problem analysis phase, examining issues with traditional care approaches; 2) Development phase, developing a self-management model integrated with home blood pressure monitoring; 3) Implementation phase, applying the developed model in patient care and evaluating outcomes; and 4) Adjustment phase, refining the self-management model and home blood pressure monitoring. Data were collected from December 2020 to December 2021, and were then analyzed using Paired t test. </p> <p><strong>Results</strong> The home blood pressure monitoring based self-management model included providing knowledge on hypertension, promoting appropriate practices on medication taking, food consumption, physical activity, and use of blood pressure monitoring tools including precise techniques for measuring blood pressure at home. A nurse conducted phone follow-ups in weeks 1, 2, and 4, with assessments scheduled in week 6 following the implementation of the model. Results revealed that patients’ medication taking behavior (M = 3.205, SD = 0.701) was significantly higher compared to the baseline (M = 2.562, SD = 2.144, t = -6.411, p < .001). Additionally, both systolic (M = 123.842, SD = 14.048) and diastolic (M = 76.122, SD = 12.206) blood pressure levels were significantly lower compared to the baseline (M = 135.303, SD = 11.037, t = 3.000 p = .045 and M = 85.221, SD = 9.903, t =4.864, p = .030, respectively). However, food consumption behavior (M = 11.312, SD = 0.890) and physical activity (M = 1.731, SD = 0.710) were not significantly different from the baseline (M = 11.153, SD = 0.839, t = -0.400, p > .05 and M = 1.710, SD = 0.756, t = 1.682, p > .05, respectively). </p> <p><strong>Recommendation </strong>The home blood pressure monitoring based self-management model helps enhance knowledge and self-management skills in the patients. This can serve as a model for care and monitoring of patients with uncontrolled hypertension, enabling them to effectively control their blood pressure. It involves designing home blood pressure monitoring tailored to individual needs.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/265291Factors Predicting Intention for Abortion in Thai Adolescents2023-09-12T11:55:51+07:00Savika JaiborisuttikulNursing@cra.ac.thAdithep Auiyaputthitiporn.suw@cra.ac.thThitiphorn Suwanampathitiporn.suw@cra.ac.thTasaneewan Purksametanantasaneewan.pur@cra.ac.thNatthanart Rowsathiennursing@rmutt.ac.th<p><strong>Introduction</strong> Currently, abortions are significant public health concerns among Thai adolescents. Therefore, investigating the factors that predict the intention for abortion in this population is crucial, contributing to the development of guidelines aimed at preventing abortions among Thai adolescents. </p> <p><strong>Objective</strong> The aim of this study was to examine factors predicting abortion in adolescents. </p> <p><strong>Design</strong> This study employed a correlational predictive design, applying the Theory of Planned Behavior.</p> <p><strong>Methodology </strong>Through purposive sampling, the participants consisted of 120 adolescents aged 13–19 years residing in Bangkok. Sample size was determined based on Green statistics. The research instruments included questionnaires on attitudes toward abortion, subjective norms about abortion, perceived control for abortion decision-making, and intention for abortion. Content validity was examined by five experts, obtaining the content validity indices (CVIs) of 1.00, 1.00, .96, and 1.00, respectively. Reliability was tested, yielding Cronbach’s alpha coefficients of .74, .84, .68, and .93, respectively. Data were collected through self administration between October 2021 and March 2022. Data were then analyzed using descriptive statistics and Multiple Regression Analysis. </p> <p><strong>Results</strong> Participants had mean age of 13.95 years (SD=1.70). Multiple regression analysis showed that the participants’ attitudes toward abortion and perceived control for abortion decision-making jointly accounted for 42.4% of the variance in adolescents’ intentions for abortion (F = 28.486, p < .001). Perceived control for abortion decision-making had the highest predictive power (β = −.419, p < .001), followed by attitudes toward abortion (β = −.252, p = .002). However, subjec- tive norms about abortion did not significantly predict intention for abortion. </p> <p><strong>Recommendation</strong> Efforts should be made to develop a program for adolescents experiencing unwanted pregnancies to foster positive attitudes towards preventing abortion and perceived control for abortion decision-making that will mitigate intention for illegal abortion.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/266286The Effects of a Health Belief Perception Promotion Program Using Tele-nursing on Stroke Prevention Behaviors in Patients with Uncontrolled Hypertension2023-12-02T15:32:42+07:00Pattamaporn ChanamanPattamapon.ch@gmail.comApinya Wongpiriyayotharapinya.w@msu.ac.thSurachat Sittipakornsurachat.s@msu.ac.th<p><strong>Introduction</strong> Hypertension is a significant factor contributing to stroke. Employing tele-nursing to foster health belief perception emerges as an approach to assist patients with uncontrolled hypertension, facilitating the adoption of effective stroke prevention behaviors. </p> <p><strong>Objectives</strong> To investigate the effects of a health belief perception promotion program using tele-nursing on stroke prevention behaviors in patients with uncontrolled hypertension. </p> <p><strong>Design</strong> This study utilized an experimental design with two-group pretest-posttest, applying the Health Belief Model as a conceptual framework. </p> <p><strong>Methodology</strong> The sample consisted of 30 patients with uncontrolled hypertension, selected from the outpatient hypertension clinic in a community hospital of a province in the Northeastern region. Through random sampling, patients were recruited and subsequently assigned to either the experimental or control groups, with 15 participants in each group. The experimental group received a health belief perception promotion program using tele-nursing, while the control group received a usual care. Data were collected using the Stroke Prevention Behaviors questionnaire, which demonstrated a reliability of .83. The data were analyzed using frequency, mean, standard deviation, Independent t-test, and Paired t-test. </p> <p><strong>Results </strong>The results revealed that following the program, the experimental group showed a mean score for stroke prevention behaviors (M = 3.51, SD = 0.54), which was significantly higher than the control group (M = 2.46, SD = 0.54, t = 7.937, p < .001) and also higher than before the program (M = 2.67, SD = 0.26, t = 5.005, p < .001). When considering each subscale, it was found that the experimental group demonstrated statistically significant higher mean scores in eating behaviors (M = 3.17, SD = 0.86), stress management (M = 3.52, SD = 1.08), using various substances (M = 4.03, SD = 0.92), and taking antihypertensive drugs (M = 4.53, SD = 0.47) compared to the control group (p < .05). There was no significant difference in the exercise behaviors between the control group (M = 1.37, SD = 1.01) and the experimental group (M = 1.90, SD = 1.25, Z = -1.383, p > .05) </p> <p><strong>Recommendation</strong> Healthcare teams should implement a health belief perception promotion program using tele-nursing within hypertension clinics to enhance health belief perception in patients with uncontrolled hypertension and continuously follow up their stroke prevention behaviors.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/264662A Literature Review: Applying Behavioral Change Theory to Promote Sedentary Behavior Reduction and Physical Activity Among Truck Drivers2023-09-06T10:56:58+07:00Pawena Narasripnqpc@umsystem.edu<p>Sedentary behavior has become a major cause of several diseases. Commercial drivers are at risk of high levels of sedentary behavior, especially truck drivers. Working conditions are an important barrier to healthy behaviors. The total sitting time for truck drivers might be higher than for other occupations. Limited evidence exists of the total sitting time for truck drivers. Therefore, interventions to reduce sedentary behaviors and increase physical activity are needed among truck drivers. The objectives of this article are 1) to review the theory-guided intervention in truck drivers and 2) to describe and provide an example of intervention using an integrated behavior model for reducing sedentary behaviors and increasing physical activity. The review found diverse interventions aimed at reducing sedentary behavior and promoting physical activity across age groups (children, adolescents, adults, or older adults) and settings (community, hospital, or worksite), addressing various health conditions. Delivery methods, including face-to-face and online approaches, vary. These interventions typically incorporate multiple components such as health education, self-monitoring, behavioral targets, or goal-setting. The principal guiding theories are social cognitive theory and the transtheoretical model. The integrated behavior model can serve as a guiding framework for interventions targeted at truck drivers, and the results may be utilized for other commercial drivers.</p>2023-12-19T00:00:00+07:00Copyright (c) 2023 The Journal of Thailand Nursing and Midwifery Council https://he02.tci-thaijo.org/index.php/TJONC/article/view/266819Full Issue2023-12-19T13:41:16+07:00Professor Dr. Noppawan Piaseunoppawan.tnmc@gmail.com2023-12-19T00:00:00+07:00Copyright (c) 2023 https://he02.tci-thaijo.org/index.php/TJONC/article/view/266821Editorial Note2023-12-19T14:09:09+07:00Professor Dr. Noppawan Piaseunoppawan.tnmc@gmail.com2023-12-19T00:00:00+07:00Copyright (c) 2023